Category: Home Health

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

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.

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

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

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

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

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

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)