Being in the Home Health and Hospice industry is a whirlwind. Keeping up with the latest regulations, payment reforms, HR laws and the best clinical practices is hard and time-consuming. It is critically important to take a breath now and again to understand what the numbers say about what is going on in this important healthcare segment.
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The Medicare home health pre-claim review (PCR) process implemented in 2016 created extensive operational challenges and payment delays and was eventually “paused” in 2017. A new threat to operational efficiency and cash flow has been proposed to replace PCR in the form of the Review Choice Demonstration (RCD). This proposed demonstration project has far reaching implications to all home health providers in the Palmetto GBA jurisdiction and providers must be prepared for the challenges RCD will have on operations and cash flow.
Employers and HR managers have repeatedly expressed their dismay about missing out because their Work Opportunity Tax Credit applications weren’t handled professionally.
Home Health Care agencies are all looking for ways to increase their revenues. The Work Opportunity Tax Credit (WOTC) is the most overlooked mechanism for an improved bottom line in the industry. The Work Opportunity Tax Credit is a federal credit that allows companies to claim $2,400 to $9,600 for each eligible new hire. Completing a simple form for each new hire could earn your company hundreds-thousands of dollars in federal tax credits.
In this episode, Nick Seabrook of BlackTree Healthcare Consulting educates me on the new Patient-Driven Groupings Model (PDGM). He outlines the "new" elements of this major shift in Home Health reimbursement, how it will impact agencies, and touches on what agencies can do now to get ready for this.
A debate has been brewing over the past few years surrounding the Center for Medicare and Medicaid Services (CMS) mandatory and voluntary bundled payment programs. The eventual goal is to shift healthcare providers from fee-for-service payment models to those that are value-based, the most popular being mandatory and voluntary bundled payments. Click to read it all!
The Medicare Cost Report has long been undervalued and underestimated as to its impact on regulatory and reimbursement changes. John Reisinger, of Innovative Financial Solutions for Home Health will bring his vast experience and expertise to enable understanding and practical application of how important the MCR is and how it can be used to positively impact your agency.