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!
The 5 star rating, Home Health Compare and the VBP model all include the Improvement in Ambulation outcome. In this webinar, we will focus on the improvement in ambulation OASIS question and best practices for assessments. Included in the webinar will be improvement suggestions based on best practices along with implementation information for PIP based on this outcome.
Home Health Agencies in five states are now required to submit a Pre-Claim Review to CMS before they will be fully reimbursed for the care they provide. This article is a summation of this new regulation and how it can affect these agencies, as well as some tips to help prepare and execute new processes to accommodate the new rule.