Category: Home Health

How to Stay HIPAA Compliant with Cloud-Based Software

hipaa compliant software

To safely carry out billing for your private practice, it is imperative that any cloud-based software being used is compliant with the Health Insurance Portability and Accountability Act. Based on a survey done by Bitglass, those in the healthcare industry aren’t as likely to use software based in the cloud. This is due to the… Read more »

8 Tips for Properly Billing for Managed Care in Home Health

billing for managed care

The process for managed care can be difficult to handle. When managing the office for home health care, you have a lot of responsibility and data to keep track of. If you do not have a handle on a proper billing process, you can quickly find yourself in way over your head. This is why… Read more »

Study: Improper Payment Errors Amount to $9.4B in Home Health

home health payment errors

Home health billing and compliance errors happen all of the time. These issues cannot be ignored or your agency will end up with a large amount of fines and denials, not to mention the outstanding money that is owed to them for services that were already performed. About 9.4 billion dollars was lost to improperly… Read more »

The Top 5 Medical Claim Denial Codes for Home Health

medical claims rejections

There is no doubt that medical billing reviews are frustrating. They plague every healthcare agency, especially those who have yet to develop a thorough processing system. In fact, nearly 10% of all medical claims submitted by home health agencies are denied. That is a lot of money and a loss you cannot afford to have…. Read more »

4 Signs There is a Gap in Your Home Health Medical Billing Process

medical billing process

Every health provider experiences issues with medical billing errors. Home health companies have their own set of requirements when it comes to accurately billing for the patients they see, and the slew of different codes involved can cause of a lot of confusion. Just a few inaccuracies can result in thousands of dollars either being… Read more »

What You Need to Know About the Possible Pre-Claim Review Process

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… Read more »

4 Home Health Billing Basics Every Agency Owner Should Know

home health billing basics

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… Read more »

4 Easy-to-Use RCM Software Platforms for Home Health

revenue cycle management

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… Read more »

10% of Medicare Claims Are Rejected, Impacting Home Health

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… Read more »

Why You Need an Aging Report for a Home Health Agency

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)… Read more »