No Claim Left Behind: The Critical Importance of Claims Management in Home Health
Home health agencies play a vital role in providing essential care to patients in the comfort of their own homes. However, the success and sustainability of these agencies heavily depend on effective claims management. Let’s explore why managing claims in home health is so crucial and how it impacts both providers and patients. Claims Management […]
Outsourcing Revenue Cycle Management in Home Health: A Short-term Fix with Long-Term Gains
Many home health agencies find themselves turning to revenue cycle management (RCM) outsourcing during times of crisis. While this approach can certainly provide immediate relief, it’s important to recognize that outsourcing RCM offers significant long-term benefits as well. Let’s explore how outsourcing can be a strategic decision for both short-term problem-solving and long-term success. The […]
Home Health Revenue Cycle Management (RCM) Audits: Why Expertise Matters
In home health and hospice, revenue cycle management (RCM) stands as the backbone of an organization’s financial well-being. Even the most robust RCM processes can harbor invisible vulnerabilities that, if left unchecked, can significantly impact profitability and sustainability. This is where the invaluable expertise of an external RCM audit comes into play, providing a fresh […]
Understanding MAC Audits in Home Health: A Q&A Guide
Medicare Administrative Contractor (MAC) audits can be a daunting prospect for home health agencies. To shed light on this process, we’ve compiled a Q&A based on insights from Annette Lee of Provider Insights, an expert in home health and hospice reimbursement. What are MAC audits? MAC audits are part of a process called Targeted Probe […]
Revolutionize Healthcare with HealthRev Partners: Key Takeaways from the ‘Proactive Approach to Tech-Enabled Solutions for VBP Readiness in 2025’ Webinar
You’re counting every dollar and every dollar counts! In a regulatory climate where every dollar counts, post acute healthcare agencies are locked in a constant battle against revenue leakage, with coding and billing complexities threatening their financial stability. HealthRev Partners (HRP), under the leadership of CEO Michael Greenlee, has emerged as a beacon of innovation, […]
Home Health Denial Management: Aligning with Industry Best Practices
In the home health industry, effective denial management is crucial for maintaining financial stability and ensuring quality patient care. This blog will cover how a denial management strategy should align to industry best practices, with a focus on the unique challenges faced by home health agencies. Understanding the Benchmark The industry standard for an acceptable […]
OASIS-E1 for Home Health Agencies: What Changed and What to Do Now
The OASIS instrument has undergone significant revisions over the years to increase standardization across post-acute care settings, as mandated by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. The transition from OASIS-D1 to OASIS-E in 2023 brought some of the most expansive changes to date, aimed at uniformly collecting health data and enabling […]
Understanding Medicare Face-To-Face (F2F) Requirements for Home Health
Looking for a quick reference? Check out our F2F Tip Sheet. This document should be viewed as an adjunct to the face to face assessment documented in a progress note. It will be used toensure that the required documentation to support home care service is complete. Or read on to learn more… It’s no secret that […]
Eligibilities and Authorizations: Keys to Timely Home Health Care
At HealthRev Partners, we understand the critical importance of effectively managing eligibility verification and authorization processes for home health agencies. These areas present major challenges that can significantly impact an agency’s ability to provide timely patient care and ensure proper reimbursement. Failing to obtain proper authorizations before providing care means someone will inevitably have to […]
Payer Contract Review & Negotiation in Home Health
Payer contracts are a fundamental aspect of the home health industry, serving as the foundation for reimbursement Understanding key components of these contracts, the consequences of lacking them, and strategies for effective negotiation are essential for home health agencies looking to ensure financial stability within their revenue cycle, as well as operational efficiency. In this […]