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Category \ Financial


The year 2020 has brought many changes for home healthcare organizations, starting with the shift toward value-based care in the Patient-Driven Groupings Model (PDGM). This new method of billing, the most significant change in 20 years, requires organizations to bill … Keep Reading
The electronic data interchange (EDI) is one of the most innovative and supportive sets of procedures in our electronic and digitized era. EDI is considered the standard for exchanging documents electronically from one company to another and is used in … Keep Reading
There is a big push in the healthcare industry to get off paper transaction claims and switch to electronic data interchange (EDI) for claim submissions. In order to effectively bill claims to payers requiring electronic transactions, it’s important to find … Keep Reading
Private equity’s role has been rapidly expanding in the home care industry, reaching an all-time high in 2019. Over the course of the year, there were 600 healthcare-related private equity deals, at a cost of more than $450 billion. Experts … Keep Reading
As technology becomes more a part of providing care in the home, a home care software is only as good as its ability to streamline processes. One area of importance to home care agencies, both enterprise-level and smaller businesses, is … Keep Reading
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
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
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
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
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
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
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

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