If you have not heard yet, The Center for Medicare & Medicaid Services (CMS) is considering bringing back the pre-claim review process for Medicare claims in home health care that had been previously paused in 2017. This program has been controversial in the past, but it has also been recognized as something that is necessary […]
Medical billing can be intimidating to those who are just beginning their careers in home health. The most important thing is to make sure you have all of the information you need to carry out the billing process and that claims are processed adequately per ‘payer’ or insurance provider. In this article, we will delve […]
There is no denying that you need to stay on top of processing claims to ensure that your business is being adequately reimbursed. Yet, claim management has the tendency to be tricky. In fact, one in every 10 medical claims is at risk of being denied! If you are finding yourself with a stack full […]
One dollar for every $10 of private practice revenue is at risk of not getting reimbursed from insurance companies — often because of errors in the submission process. If you are experiencing this frustrating reality, you are not alone. But that doesn’t mean there’s nothing you can do about it. Medical billing companies are experts […]
Every type of healthcare system needs an organizational process to keep their finances in order, including home health services. In order to be sure that clinical functions such as claims processing, payment, and revenue generation are being accurately accomplished, facilities will often turn to a healthcare revenue cycle management software. If you don’t have a […]
Medical billing denial codes are one of the most frustrating parts of running a medical practice. Not only do denials in medical billing mean lost money, they also often mean that you’re going to have to waste your time either fighting the denial or trying to collect from the patient. Know the Top Denials in […]
A Medicare claim denied is a lost opportunity for income. When private insurers reject claims, you may be put in the untenable position of collecting funds directly from patients, particularly alienating them, or writing off the lost funds. The average medical practice has a profit margin of about 13%. Eat into this too much through […]
Claims can be rejected for a variety of reasons. The most recent data from the Centers for Medicare & Medicaid services show the denial rate hovering around 10%. No two insurers are alike, some will cover one thing while another will not. Medicare has specific guidelines for covering home health, and in order to ensure […]
There is no avoiding that rejected claims can have a major impact on a home health agency’s overall success. You need to be sure that your billing team is keeping on top of this activity, and that is not always an easy thing to monitor. The critical tool here is keeping your accounts receivables (A/R) […]
Post by Petria McKelvey, CEO Think about it, with a super biller you will never be broke! Am I wrong in assuming that being super holds more value, absolutely not. As a business owner in this industry, you cross paths with so many different types of people. The niche is being able to identify that […]