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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 manual claims. Though this type of transaction comes with many... Keep Reading
Home health agencies will soon be dealing with the implementation of the Patient-Driven Groupings Model, which begins on January 1, 2020. Under PDGM, providers can succeed with a well-focused management team and a well-informed staff. For agencies to successfully move forward in the PDGM system, they must be diligent in... Keep Reading
If there is one thing Joel Theisen, BSN, RN is passionate about, it’s developing proactive, preventative long-term care for older adults. Theisen is chief executive officer and founder of Lifesprk, an innovative home care company based in Minnesota that is focused on bringing Theisen’s passion to life. The Future of Home... Keep Reading
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 detail about the changes and how each stage of the... Keep Reading
The Centers for Medicare and Medicaid Services (CMS) publishes a proposed rule for home health each summer for the following payment year. While this proposal outlines the payment structure for the calendar year following its release, it often outlines other planned changes for industry standards and requirements. This year’s rule... Keep Reading
Hospice providers must now understand the new rules that surround the disposal of opioids. The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, was recently approved by Congress and signed into law. This law authorizes hospice nurses and other employees to dispose of unused controlled substances,... Keep Reading
With more than 20 years of experience in the home care industry, Wanda Coley, has combined her deep knowledge of finance, business development, payer contracting and post-acute strategies to become a highly-regarded expert. As president and chief operating officer of Well Care Heath, Coley oversees daily operations, growth, profitability, and the execution... Keep Reading
In its proposed rule for Fiscal Year 2020, the Centers for Medicare and Medicaid Services (CMS) has suggested rate increases to agencies for the provision of Continuous Home Care (CHC), General Inpatient Care (GIP), and Inpatient Respite Care (IRC). These increases are proposed to help hospice agencies offset the cost of care provision on these levels of care. According to CMS, these... Keep Reading
Geriatric care managers provide a holistic, client-centered approach to caring for individuals, the families and professionals who help coordinate and provide care. For those working with seniors who desire to stay in their own home as they age, a care manager can provide guidance, planning and oversight of care.  Taney Hamill, CEO of the Aging Life Care Association and the National Academy of... Keep Reading
Every day companies and organizations generate copious amounts of data. “Big data” isn’t so much about the amount of data generated, but rather, what a company or organization does with the data. In analyzing data, businesses can use those insights to save money, to target marketing and advertising dollars, or, in the... Keep Reading
The Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) patient engagement survey impacts the bottom line of home health agencies substantially, by attracting referral sources, value-based reimbursement, and payment under the Patient-Driven Groupings Model (PDGM). It is imperative for organizations to understand the HHCAHPS survey, and continuously work toward improving each measure to maximize long-term growth and... Keep Reading
As a part of its Hospice Quality Reporting Program (HQRP), the Centers for Medicare and Medicaid Services (CMS) recently hosted a webinar to update hospice providers on the pilot study of the Hospice Evaluation and Reporting Tool (HEART) that is planned to replace the Hospice Item Set. This reporting tool is currently being used by hospice providers... Keep Reading