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.
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.
In the healthcare industry, “revenue cycle” refers to the process by which providers get paid for the work they do. Managing this process includes keeping track of claims at every stage, making sure payments are collected, and addressing denied claims. Healthcare revenue cycle management (RCM) helps to make this process more efficient by decreasing the length of the billing cycle and reducing delays. To manage revenue cycle most effectively, working with the right RCM vendor is critical.
Focusing on techniques to improve your Hospice CAHPS survey response rate is important for accurate survey data that enables you to compare your results with other providers in your area and target efforts on continuous improvement.
When the Patient-Driven Groupings Model (PDGM) takes effect Jan. 1, home health care billing processes will become significantly more complicated. The new model revolutionizes the way agencies are reimbursed, cutting payment periods in half and requiring more detailed claims, among other changes.
HEALTHCAREfirst announced the recipients of its 2019 Hospice Honors at the National Hospice and Palliative Care Organization’s Leadership & Advocacy Conference in Washington, D.C. In its seventh year, the prestigious Hospice Honors program recognizes hospices providing the highest quality of care from the caregivers’ point of view.
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 can lead to inaccuracies that result in time and money lost because avoidable errors have to be corrected. Outsourcing medical coding for home health agencies has become an increasingly popular alternative to in-house coding when looking to avoid home health errors:
Why HEALTHCAREfirst? “We know when we submit a bill to Medicare that it has been through the process and it's compliant. The coding that's going along with it is where it needs to be so that we're getting our maximum cash flow back."
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 outsourcing.