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
AI is not coming to replace home health and hospice leaders. It is coming to expose the gaps, clean up the mess, and give agencies a faster way to see what is actually happening in their business. For agencies that are ready to grow, protect margin, and stop drowning in
Solution Creates Predictable Revenue, Expedites Reimbursement, and Allows Clients to Spend More Time Focused on Clinicians, Caregivers and Patients Schaumburg IL – May 18, 2022 – Complia Health, a leading home health and hospice technology provider, and HealthRev Partners, a provider of revenue cycle[…]
PDGM became effective 1/01/20 and significantly changed how we operate in Medicare Home Health. New Cost Centers were developed, additional discipline data needed to be tracked, billing fundamentals, and coding changed dramatically. And now, CMS is proposing to expand the Home Health Value-Based Model[…]
What Is Home Health Coding? ICD-10, PDGM & Certification Explained Home Health coding is the process of translating patient diagnoses and clinical documentation into standardized ICD-10 codes used for billing, reimbursement, and care planning in home health services. In the PDGM world, this process has[…]
