Choosing the right RCM partner for your home health or hospice agency
Choosing the right RCM partner for your home health or hospice agency Jeremy Crow, PMP, director of revenue cycle services
Choosing the right RCM partner for your home health or hospice agency Jeremy Crow, PMP, director of revenue cycle services
Florida Health Care Association hosts the premier conference for long-term care professionals in the state. As our attendees continue to serve on the frontline of the COVID-19 pandemic, our priority remains on keeping everyone safe while still providing vital information and education on emerging long-term care topics and trends.
Watch the video and see why organizations rely on HEALTHCAREfirst.
A year has passed since one of the most significant changes to payment models in decades took effect—and, 11 months into the COVID-19 pandemic, home health and hospice agencies are continuing to wade through a number of challenges and economic pressures.
Simply collecting and reporting patient and caregiver data cannot truly spark performance improvement efforts. To achieve quality peak performance, you really need to dig into your CAHPS data, developing strategies and action items. This allows you to focus on areas that need improvement so you can build solid, patient-centered clinical processes.
Stressed about billing and revenue issues after PDGM implementation? All you need to know is that it all starts with intake.The intake process is the start of care, and if done with purpose, can set your organization up for optimum efficiency. Simply put: quality and accuracy up front will be critical in preventing downstream issues with billing and revenue. The key to PDGM preparedness is intake – and these are a few ways you can start transforming your process.
With PDGM implementation right around the corner, it’s important that agencies understand home health billing basics to reduce errors – as they can cost you a significant amount in penalties and fees. A large portion of these improper payments was likely due to mistakes. Thus, demonstrating a critical need for accurate billing.
There are many reasons why your agency might choose to work with a home health billing services orhospice billing services company. Perhaps you are looking to improve reimbursements or eliminate highclaim rejections. Maybe managing billing has become just too much work and your internal team isstruggling to handle the workload. Don’t worry, however. You’re not alone!
The upcoming Patient-Driven Groupings Model (PDGM), scheduled to take effect on January 1, 2020, will drastically alter the way home health organizations of all sizes manage operations. Among the several reasons is CMS's decision to anticipate that providers will change behaviors in order to keep payments high and cut payments 6.42 percent in order to mitigate that assumed behavior. If providers do not change behaviors to boost payments, they stand to lose that 6.42%, or more than $1 billion across the industry, once PDGM takes effect.
On April 19, 2019, CMS issued the FY2020 Hospice Proposed Rule. The following is a brief summary of the rule and what it could mean to hospice agencies.