Home health and hospice agencies are feeling the pressure of Medicare billing combined with increased expenses. Medicare billing errors can lead to denials and reduced cash flow. However, by knowing how to reduce errors in advance, you realize the far reaching benefits of improved accuracy, accelerated reimbursement, and better patient outcomes.

Tips for Making Your Medicare Billing Easier

Here are some things to keep in mind when managing your Medicare billing processes:

Be sure to have complete and correct patient information.

Missing or inaccurate patient information will cause claim denials. Therefore, billers should make sure that the patient insurance number is in the correct location, the admission source/referral is correct, and the patient status is 30.

The diagnosis code must be valid.

Do not use codes that are marked “invalid.” Billers should keep up to date on the new diagnosis codes as they are released every October. Likewise, it is also important to choose the correct code for the patient type. For example, you want to be sure you don’t use pediatric codes for adults.

The correct address must be entered to calculate the correct CBSA code for maximum reimbursement.

For proper Medicare billing, you need to be sure the correct county and zip code are entered. Please note the address date cannot be after the admission date.

The correct attending physician and NPI must be entered.

You must enter the physician’s full name and correct NPI number. Each of your physicians must have an NPI number.

Review your denials.

One of the best ways to educate yourself is to review your Medicare billing denials. Also, keep track of your most common denial reasons. Use this list to create a checklist that you will use to review every claim submission.

Medicare billing can be one of the greatest drains on home health and hospice agencies.  Consequently, it can take up valuable time and requires highly skilled employees that are often hard to find and even harder to keep. It can also take away important resources from your agency that could be better used to provide excellent patient care. One way to help reduce the burden of home health billing is to work with a billing services company like HEALTHCAREfirst.

The HEALTHCAREfirst Difference

HEALTHCAREfirst‘s home health and hospice Medicare billing experts can help relieve the administrative and technical burdens of in-house billing at a highly competitive price. Our sole focus is on your billing. Our team receives 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.