Growth is a positive sign for any home health agency, but it can also expose revenue cycle processes built for a much smaller operation. As census rises, billing volume, documentation demands, payer requirements, and follow-up responsibilities rise with it. If those processes do not scale alongside the agency, growth can
Behind every successful home health visit is an entire team working behind the scenes. Patients may see a nurse providing wound care, a therapist helping regain mobility, or a clinician completing an OASIS assessment, but those moments are supported by dozens of coordinated processes that begin long before the first
Home health agencies are now operating under OASIS-E2, and the impact reaches far beyond clinical documentation. With the new requirements in effect, agencies must make sure their assessment workflows, coding practices, and quality assurance processes support accurate reimbursement, quality reporting, and HHVBP performance. In a margin-sensitive environment, precision is no
Home health agencies that want to thrive under value-based purchasing need more than strong intentions; they need disciplined, real-time control of the measures that CMS actually uses to determine performance. The Expanded Home Health Value-Based Purchasing Model ties payment to how well agencies perform on OASIS-based measures, claims-based measures, and
By Hannah Vale, CEO, HealthRev Partners Recently, I had the opportunity to join Mosai’s webinar, The Revenue Recovery Playbook for Home Health & Hospice, where we explored a question that is top of mind for nearly every provider today: Where is revenue actually being lost – and what can organizations
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[…]
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[…]
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[…]
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[…]
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[…]
