Effective home health and hospice Revenue Cycle Management (RCM) allows you to maintain financial stability, so you can reinvest in growing your agency and serving your patients. Key components to a healthy revenue cycle management cycle include first pass clean claim rates, faster turnaround on claims, quick resolution of ADRs and denials, and tight follow-up and
Between the growing number of coding changes and the volume of codes to choose from, it’s easy to make a mistake. Home health coding errors can cost your agency thousands of dollars. Trying to juggle a number of responsibilities, coders may develop routine habits and rely on memorized codes rather than assigning more precise codes. This
In today’s challenging environment, many providers are looking for smart ways to realize cost efficiencies, reduce spending, and address value-based care initiatives. They are also looking for opportunities to work with industry experts who can help them succeed while they focus on patient care. One way agencies can address these issues is through medical billing
Home health care billing processes are becoming increasingly more complicated. And with the Patient-Driven Groupings Model (PDGM) looming, it's only going to get more intricate. Implementing home health care billing best practices in your office will provide the framework for success so you can be sure you’re getting paid quickly and accurately. An efficient billing
The implementation date for the Home Health Patient-Driven Groupings Model (PDGM) is on or after January 1, 2020. PDGM is an alternative case-mix methodology designed to put the focus on patient needs rather than volume of care. It relies heavily on patient characteristics to more accurately pay for home health services and uses 30-day periods as a basis for payment.
On February 15, 2019, the Centers for Medicare and Medicaid Services (CMS) announced that effective immediately, all new home health providers will be placed in a provisional period of enhanced oversight. Provisional Period of Enhanced Oversight The provisional period of enhanced oversight means that new home health providers won’t receive Request for Anticipated Payments (RAP)
Between the growing number of coding changes, the sheer volume of codes to choose from, and unplanned employee absences, your coding can take significant time, often resulting in a backlog. Taking advantage of the expertise offered through remote home health coding companies can help you turn around accurate claims quickly. Here are some benefits of
Your agency relies on accurate, efficient home health care coding for timely, accurate reimbursement. Many agencies suffer from a few common coding issues that can seriously hurt them. And with ICD-10, many coders have found themselves overwhelmed, relying on techniques to ward off productivity problems, often at the expense of accuracy. Here is a list
The demand for quality home health care is ever increasing. The competition is tough and home health care agency owners need to work out growth strategies comprising of innovative marketing ideas that give quick and effective results. From chalking out the strengths and weaknesses to getting ahead of your competition, you need to address all
The implementation date for OASIS-D is right around the corner. Beginning January 1, 2019, home health agencies must use the OASIS-D item set to collect and report data for Medicare and Medicaid patients that receive skilled nursing services and are 18 years old and older. The main reason for revising the OASIS is to increase standardization across post-acute care to calculate cross-setting quality measures in accordance with the IMPACT Act. These changes present significant risk if not properly implemented and managed, so we have created this resource hub to help.