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Category \ Billing

How the HHRG Will Look Under PDGM
Author: Rhonda Ralph RN, BS, COS-C, HCS-D, Clinical Support Specialist
Date: August 22, 2019
One thing everyone in the home health industry can relate to is an environment of constant change. The Patient-Driven Groupings Model (PDGM) is only the latest example. There have been changes to ICD-10 codes and guidelines, CoPs, adjustments to the … Keep Reading
Electronic Claims Submission Makes Billing Easier
Author: Brian Harrington, Payer Services Manager
Date: August 15, 2019
Paperless patient claims or “electronic claims” are generated and transmitted electronically to a health insurer or third-party payer for processing and payment. This transaction reduces unnecessary administrative strain, reduces claim denials and lessens the expense involved with processing and submitting … Keep Reading
Top 5 PDGM Changes that Impact the Revenue Cycle
Author: David Hoover, Vice President of Revenue Cycle Management
Date: August 1, 2019
Medicare reimbursement for home health providers will completely change under the Patient-Driven Groupings Model. When the new system takes effect in January 2020, it will require major adjustments to how organizations operate. A new white paper from Axxess provides in-depth … Keep Reading
Overcoming Medicare Claims Denials
Overcoming Medicare Claims Denials
Author: David Hoover, Vice President of Revenue Cycle Management
Date: September 21, 2018
Claim denial rates hurt the bottom line of home healthcare businesses of every size. Every provider has had to experience denials when filing claims for both Medicare and managed care. Oftentimes, a simple mistake is to blame. The average denial … Keep Reading
Billing
Our Easy-to-Use Billing and Revenue Cycle Solutions Help Clients Get Paid Faster
Author: Betsy Thomas, Manager of Revenue Cycle Management Services
Date: July 12, 2018
Ask anyone responsible for billing or revenue cycle management at a home healthcare organization and they will tell you it is without a doubt the most frustrating part of their business. The struggle to meet the requirements of Medicare, Medicaid, … Keep Reading
Pre-Claim Review Postponement
Author: Andrew Awoniyi, ND, RN-BC, CDE
Date: September 20, 2016
The Centers for Medicare and Medicaid Services (CMS) announced the postponement of the start dates for the subsequent pre-claim review (PCR) demonstration states – Florida, Texas, Michigan, and Massachusetts. CMS announced the change after the experience in Illinois has highlighted … Keep Reading
The Reality of Zero-Payment RAPs
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: April 27, 2016
Billing and revenue exchange is one of the biggest issues for home health agencies across the nation. Agencies without proper billing practices are facing challenges of delayed payments right now. Agencies must expertly examine and fine tune their auditing and … Keep Reading
Axxess Prepares Home Healthcare for Change with Revenue Cycle Management White Paper
Author: Kris Berry
Date: April 5, 2016
Axxess, an industry leader in home health management software, has released a new white paper, preparing home health agencies to use revenue cycle management to thrive throughout complex industry changes. The recent transition to the ICD-10, the focus on patient-centered … Keep Reading
CMS Issues ADR Probe Information
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: November 18, 2015
The Centers for Medicare and Medicaid Services (CMS) recently sent out MLN Matters number SE1524[1], which announced a “Probe and Educate” review of claims by Medicare Administrative Contractors (MACs) for episodes starting August 1, 2015 and beyond.  This CMS mandated … Keep Reading
How One Home Health Agency Broke Down ACO Barriers
Author: Amy Baxter, Home Health Care News
Date: November 5, 2015
Marvin Javellana, co-owner of the Better Care Home Health agency, explains how data from Axxess and the clinicians at the agency have proved the organization’s value as a member of an Accountable Care Organization (ACO). Axxess tracks key data that … Keep Reading
ICD-10 Guidance Gives Latitude to Home Health and Other Coders
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: October 20, 2015
Home health care agencies and other providers can make judgment calls in when to use certain ICD-10 codes that in most circumstances are not meant to appear together, according to interim guidance issued Monday by the National Center for Health … Keep Reading
ICD-10 Is Here. No, Really.
Author: Randy Lilleston, HealthcareDIVE
Date: October 1, 2015
Editor’s note: Original article featuring Axxess published on HealthcareDIVE. After years of planning, software upgrades, complaints, varying degrees of panic and numerous delays, the new generation of U.S. healthcare codes goes into effect today. “Many agencies were gearing up for the … Keep Reading
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