Understanding GG Items: Key Insights and Changes for 2025 with AHCC Talk
In this episode, we dive deep into the world of GG Items, essential components of the Oasis assessment process. Join us as Kelly Kavanaugh shares valuable insights tailored for clinicians, QA reviewers, and educators involved in Oasis. We’ll explore: – New Developments for 2025: Discover the significant changes coming to GG Items, including the removal […]
The Rollercoaster of MAC Audits with Annette Lee of Provider Insights
Join us for an exciting episode of the Home Health Reveal Podcast as hosts Michael Greenlee and Hannah Vale dive into the thrilling world of home health audits and surveys! In this episode, we share personal anecdotes from a recent trip to Cedar Point, where Mike and Hannah faced exhilarating rides and unexpected challenges, including […]
Balancing AI and Human Touch in Home Health: Insights from Jamie Kuelker, RN BSN MBA
Discover how AI is revolutionizing home health and hospice care in this insightful episode of the Home Health Reveal Podcast. Host Mike Greenlee and co-host Hannah Vale welcome Jamie Kuelker, RN, BSN, MBA, a Senior Clinical Technology Advocate at nVoq. With over a decade of healthcare experience, Jamie shares her expertise on: • Promising areas […]
CY 2025 Home Health Proposed Rule
In this episode, hosts Michael Greenlee and Hannah Vale break down the CY 2025 Home Health Prospective Payment System Proposed Rule and its implications for revenue cycle management. Learn about the projected 1.7% decrease in Medicare spending, changes to the Patient-Driven Groupings Model (PDGM), and proposed adjustments to case-mix weights and payment thresholds. Discover strategies […]
Mastering Payer Negotiations: Essential Strategies for Home Health Agencies with Katie Eisel of OCHN
In this episode, Katie Eisel, Payer Relations Director at OCHN and managed care consultant, shares her expertise on negotiating with payers as a home health agency. She discusses how to evaluate if a payer is a good fit, the importance of understanding reimbursement schedules and payment timelines, and key data points agencies should track like […]
AI-Driven Therapy
In this episode of the Home Health Reveal Podcast, we speak with Mark Salley, VP of Innovation and Rehab Solutions at Elara Caring, and Veera Anantha, Founder and CEO of Constant Therapy. They discuss their innovative partnership to bring AI-driven speech and cognitive therapy to Elara Caring’s home health patients. Mark explains the challenges home […]
Eligibilities and Authorizations in Home Health: Keys to Timely Care and Reimbursement
In this episode, hosts Mike and Hannah discuss the importance of proper authorization and eligibility processes for home health agencies. They are joined by special guest Jamila Booker, an expert in E & A, who provides valuable insights into navigating payer requirements, creating payer SOPs, and ensuring timely authorizations. Key topics covered include: Jamila shares […]
Medical Review Activity, QAPI, and OASIS Coding Accuracy with Decision Health and Ashley Benson
Medical Review Activity, Quality Improvement Programs, and OASIS Coding Accuracy Q & A with Decision Health and Ashley Benson, RN, COQS, CHHCM, HCS-D, LSSGB In this episode, we have a Q&A session with Ashley Benson, an expert on medical review activity, quality improvement programs, and OASIS coding accuracy. Ashley provides valuable insights to help home […]
Electronic Visit Verification (EVV) – What You Need to Know with Kristy Pyles of In Your Corner Consulting
In this episode, Mike and Hannah sit down with Kristy Pyles, Founder and Principal of In Your Corner Consulting (IYC), to discuss the critical topic of Electronic Visit Verification (EVV).Kristy brings a wealth of experience to the conversation, having over two decades in law enforcement combating healthcare and pharmacy fraud. She then spearheaded initiatives against […]
Safeguarding the Caregivers: Kwema’s Innovative Approach to Clinician Safety
Kwema, a clinician safety technology company, was founded by Ali Jabry to address the growing issue of workplace violence against healthcare workers. Jabry, the CEO of Kwema, discusses the importance of developing innovative solutions to protect home health clinicians. Kwema’s technology aims to enhance the safety and security of healthcare environments by providing clinicians with […]
