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Category \ Revenue Cycle Management


Every quarter, Medicare implements what they call “Dark Days,” a time period when users cannot submit claims through Direct Data Entry (DDE). During the Dark Days, Medicare brings the Common Working File (CWF) offline to install quarterly updates in the … Keep Reading
As organizations continue to adapt to the Patient-Driven Groupings Model (PDGM), one tactic that can be useful is a 30-day review. PDGM has split the home health episode into two 30-day billing periods, which still include both a Request for … Keep Reading
There have been two major actions recently that both relate to medical review of home health records during the public health emergency. In July, it was announced that the suspension of Review Choice Demonstration (RCD) activity due to the current … Keep Reading
The unexpected home health industry development that emerged from the coronavirus (COVID-19) pandemic was the widespread acceptance and use of telehealth visits. With mandatory shelter-in-place orders in most states, performing necessary healthcare visits seemed out of reach. Enter technology. The … Keep Reading
The Centers for Medicare and Medicaid Services (CMS) announced that Review Choice Demonstration (RCD) will be reinstated after an almost four-month pause due to COVID-19. Home health organizations will be required once again to submit claims following the RCD guidelines, … Keep Reading
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
Axxess received some great news recently that affirms our standing as the industry’s leading technology innovator and dedication to empower healthcare organizations and professionals with the world’s best technology solutions. As a result of several successful implementations in multiple locations, … Keep Reading
As you may know, the Patient-Driven Groupings Model (PDGM) payment model went into effect on January 1. A recent industry survey by Axxess and home health consulting firm BKD confirmed PDGM is among the biggest concerns agencies have in 2020. … Keep Reading
The potential impact of The Patient-Driven Groupings Model (PDGM) has led to a lot of uncertainty among home health providers, and a new industry poll shows adapting to the new payment model and other regulatory changes is considered the greatest … Keep Reading
The 2020 Home Health Final Rule was officially published November 8, 2019, and although the Patient-Driven Groupings Model (PDGM) has been the major focus of published reports to date, this final policy document covers many other aspects of home health … Keep Reading

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