The billing processes for home health and hospice are becoming increasingly more complicated. And with the Patient-Driven Groupings Model (PDGM) looming for home health agencies, it’s only going to get more intricate. Implementing best practices for billing in your office will provide the framework for success so you can be sure you are getting paid for the services you provide. An efficient billing process will also free up your time to devote more attention to patient care.

Four Best Practices for Billing

  1. To avoid reimbursement delays, utilize a variety of resources to check the status of claims.
    Immediate access of payer websites, payer portals and DDEs, as well as making telephone calls, all enable you to identify claims issues much sooner. Checking claims response files on a daily basis ensures that any rejection is corrected and/or rebilled by the next business day. To stay on top of your billing, you may want to consider using financial analytics tools that provide you with comprehensive insight into your claims.
  2. Create and review billing reports.
    Agencies should review monthly A/R reports to determine the status of claims. One very important report, A/R Aging, shows how much current revenue there is versus how much revenue is outstanding & for how long. The A/R Aging report should be monitored regularly, with actions being taken when necessary so the charges can be paid as soon as possible.
  3. Implement a “Billing Recovery” plan.
    Best practices for billing include tracking down errant claims and getting them back in the queue for processing so you can be compensated for your services. Performing LUPA and therapy audits will allow you to check if there are any missing charges resulting in lost revenue. You should also focus on outstanding A/R for the previous twelve months, keeping timely filing rules in mind. If you are struggling with collecting on outstanding A/R, consider working with a company like HEALTHCAREfirst that offers billing recovery services that will analyze your A/R to identify unfiled and rejected claims, working to review and resubmit when possible.
  4. Educate your billing staff.
    A knowledgeable billing staff can go a long way in making sure you bill accurately and on time. Because of this, regular training and education for billers will keep them up to date on the latest regulations and processes. Reach out to state and national home health and hospice associations for training and to learn more about best practices for billing.

We Can Help.

Billing is one of the greatest drains on home health and hospice agencies. It takes up valuable time and requires highly skilled employees that are often hard to find and even harder to keep. Since 2004, HEALTHCAREfirst has provided billing services to home health and hospice agencies across the country, helping them reduce overhead costs and relieving them of the burden of in-house billing. Our team of experts have the knowledge, training, and experience needed to process claims accurately and quickly.

The HEALTHCAREfirst Difference

HEALTHCAREfirst’s billing experts help relieve the administrative and technical burdens of in-house billing at a highly competitive price. Their sole focus is on home health and hospice billing and they receive continual education on regulations, rules and best practices. As a result of this experience and education, you will have fewer denied and rejected claims, allowing you to get paid more quickly and accurately.

Contact us to learn more.