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 process will also free you up to devote more attention to patient care.

Four Best Practices for Home Health Care Billing

  1. To avoid reimbursement delays, utilize a variety of resources to check the status of claims.

    First, immediate access to payer websites, payer portals, and DDE, as well as making telephone calls, all empower you to identify claims issues early in the process. Checking claims response files on a daily basis allows you to correct and/or rebill rejected claims. To stay on top of your billing, you may want to consider using financial analytics tools to gain insight into claim statuses.

  2. Create and review home health care billing reports.

    Second, you should review A/R reports regularly to effectively manage claims. One very important report, A/R Aging, shows what has been collected versus what’s outstanding and for how long. An A/R Aging report should be monitored closely. Take action when necessary so claims can be paid as soon as possible.

  3. Implement a “Billing Recovery” plan.

    Third, best practices for billing include tracking down problematic claims. They also include getting them back in the queue for processing so you can be compensated properly. 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 home health care billing staff.

    A knowledgeable home health care 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.

We Can Help.

Ultimately, home health care 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. HEALTHCAREfirst provides home health billing services to agencies across the country. We help them reduce overhead costs and relieve burdens 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 care billing and they receive continual education on regulations, rules and best practices. As a result, you could see fewer denied and rejected claims, allowing you to get paid more quickly and accurately.

Contact us to learn more.