Michael McGowan of Operacare delivers this education on understanding why your claims are being denied. CMS states more than 50% of home health claims are billed in error. Ninety-five percent of Home Health Agencies routinely submit data and claims that cannot be defended during medical review. Yet after spending thousands of dollars on Quality Assurance activities each month, most HHA’s still don’t know why their claims are being denied.
Claiming your patients are sicker than other agencies around you; 40-50% of you are at risk for insolvency, audits, and failure in the forthcoming payment models. Value-based payment models, 5-star ratings, and Pre-Claim reviews are all impacted by this myth and lack of understanding of the data available to Home Health Agencies.
This final episode of 2016 is a look back on the previous year. Nick Seabrook, Brad Evanovich, and Eric Scharber - very much part of the A-team - are back and waxing philosophic about the past year and the lessons learned.
We also take a look ahead to 2017 and make some predictions about what is to come.
Diane Link and Nick Seabrook of BlackTree Healthcare Consulting analyze the Home Health Final Rule for CY2017. They present what has changed, how those changes will affect you and your agency, and give you insight as to how you can prepare for these changes. An excellent educational session to get you started on the right foot for 2017!
About a month after the National Association of Home Care's Annual Conference, Matt Hughes of ACHC joins the podcast. We discuss the experience at NAHC, as well as delve into the services that ACHC offers to the Home Care industry.
A good conversation with a good guy about a great company.
Josh Pickus, CEO of Optima Healthcare Solutions is the guest for this episode. Josh and Tripp discuss the state of the healthcare industry, particularly the post-acute care space in which Optima Healthcare Solutions is operating. Josh talks about Optima and their cloud-based technology solutions, as well as why they recently launched their Homecare-specific functionality to accompany their Rehabilitation and other post-acute care solutions.
We always ask our guests: So What, Who Cares? when it comes to their company or solution, and Josh's answer is pretty powerful.