Navigating Eligibilities and Authorizations | 2023 End of Year Series: Practical Tips and Inspirational Insights for a Powerful Year-End
In this podcast episode, hosts Hannah and Michael unveil a series aimed at helping listeners end 2023 on a strong note and kickstart 2024 with momentum. They delve into crucial topics such as optimizing revenue collection and conducting a detailed breakdown of the billing and collections process for home health or hospice agencies. Michael introduces a special offer from HealthRev Partners for agencies looking to recover uncollected funds, emphasizing its importance for financial stability and performance analysis. Interested? Contact connect@healthrevpartners.com for more info.
Hannah walks through the steps for entering 2024 with financial peace of mind through HealthRev Partners’ Revenue Recovery Agreement. Michael and Hannah share insights on the intricacies of the billing process, stressing the significance of accurate documentation from the patient’s referral. They offer practical tips, such as verifying insurance cards and understanding payors.
Michael shifts the focus to measures agencies should take regarding their internal teams or partners, including qualifications of coders and reviewers, familiarity with Medicare guidelines, and EHR expertise. Hannah highlights the addition of HealthRev’s eligibility and authorizations service, underscoring its role in preventing revenue loss. Michael stresses the importance of getting this aspect of revenue cycle management right and suggests considering outsourcing.
The next episode, which will cover the handling of denials and appeals in the healthcare revenue landscape.
Catalyst: Jodi Norgaard on Driving Positive Change
In this episode of the Home Health Revealed Podcast, hosts Mike Greenlee and Hannah Vale engage with Jodi Norgaard, a change-maker in the toy industry. The discussion centers around Jodi’s mission to create positive change by introducing dolls that inspire young girls to engage in sports and promote holistic development. The hosts and Jodi share insights on leadership qualities crucial for driving change, such as honesty, vulnerability, and persistence. Drawing parallels to the home health industry, the conversation underscores the importance of leaders in healthcare fostering a culture of positive change. She emphasizes the significance of having a supportive network during hard times. The episode serves as a compelling exploration of how visionary leaders, like Jodi, can inspire transformation within their respective fields, ultimately contributing to a healthier and more empowered community.
Find more information about Jodi at https://www.jodibondinorgaard.com/
This podcast is brought to you by HealthRev Partners
Meeting Home Health Challenges with Centralization with Alicia Marr, CEO of Excelin Health
Join your hosts, Michael and Hannah, as they engage in an insightful conversation with a distinguished guest, Alicia Marr, the CEO of Excelin Health.
Alicia Marr brings over two decades of leadership experience in home health and hospice care to our discussion. Before taking the helm at Excelin Health, she played pivotal roles in various clinical and operational positions within private, private equity-sponsored, and public organizations. Alicia’s expertise extends to orchestrating clinical network integrations between post-acute service lines, making her the perfect guest to unravel the complexities and solutions of home health challenges.
In November 2019, Alicia stepped into the role of CEO at Excelin Health, a private equity-backed company that spans 23 service sites across three states. Her leadership has been instrumental in steering Excelin Health towards clinical success, operational efficiencies, and sustained growth, which are essential for thriving in today’s healthcare environment.
In this episode, we focus on the core pillars of Excelin Health’s success: centralization and Revenue Cycle Management (RCM) solutions. Alicia’s journey with Excelin Health showcases how centralization of operations and data management can be a game-changer in healthcare. They have tackled the complexity of managing patient data in home health by centralizing it for reliability and consistency, even across multiple states with varying regulations.
The conversation then delves into the intricate world of billing efficiency. Alicia explains how Excelin Health handles billing complexities in home health, dispelling the misconception that it’s as simple as clicking a button. Billing complexities are further compounded by the shifting payer mix from traditional Medicare to various replacement plans, a challenge Excelin Health tackles by centralizing their RCM functions and fostering clear communication between departments.
Regulations and compliance management are another vital aspect of home health agencies. Alicia highlights the significance of a strong compliance program and how they’ve integrated compliance from an employee’s first day. Excelin Health has developed an internal compliance department that ensures regulatory and financial compliance, working in partnership with centralized functions to scale while minimizing risks.
The podcast also explores how streamlined workflow standardization is pivotal to the agency’s efficiency. Excelin Health is continually redefining processes to maximize efficiency and track patient progress while evaluating and improving workflow streams. Centralization plays a significant role in enhancing workflow consistency.
Real-time data is the linchpin of decision-making in today’s healthcare landscape, and Alicia underscores its importance. Excelin Health employs KPI dashboards that provide real-time insights into agency activities, enabling timely decision-making for better patient care and operational efficiency.
Patient engagement is a cornerstone of healthcare, and Excelin Health has implemented innovative solutions to enhance it. They utilize an app-based patient engagement system to keep patient engagement at the forefront of their daily operations.
Centralization has allowed agencies like Excelin Health to scale their operations effectively and efficiently. By centralizing functions and reducing duplication at the branch level, they’ve streamlined administrative tasks, saving both time and money while ensuring clinicians can focus on providing excellent patient care.
For more information or to reach out to Alicia Marr, you can contact her via email at amarr@excelin.com or visit Excelin Health’s website at www.excelin.com. Don’t miss this episode of Home Health Revealed for a deep dive into home health solutions that are shaping the future of patient care.
What to Expect at NAHC’s 2023 Annual Conference with Christopher Adams
Listen to this special edition of Home Health Revealed with
Christopher Adams of National Association for Home Care and Hospice to let you know what you can expect at the NAHC 2023 conference
this year.
Learn about the theme, the incredible speakers and presenters
and about things to do at the venue!
Efficient Human Capital Management in the Unique Post-Acute Setting with Viventium
In this episode, we explore the world of HR challenges within post acute agencies with Logan Little of Viventium. We start by dissecting the unique HR challenges these agencies face, including recruitment, onboarding, compliance, and scheduling. The episode delves into the repercussions of poor HR management on patient care and agency success.
Discover practical solutions and technologies for streamlining HR tasks, such as applicant tracking systems and HR software. Real-world success stories illustrate the tangible benefits, such as cost savings and enhanced patient care.
Stay informed by subscribing, rating, and reviewing Home Health Revealed. Join us next time as we continue to delve into the world of home health, hospice, and palliative care. Until then, strive for HR excellence, particularly if you’re in the home health care industry.
Home Health Revealed is brought to you by HealthRev Partners.
Unveiling the Merger and Acquisition Journey with Sonnie Linebarger
Join us on this insightful episode where we embark on a journey into the world of post-acquisition integration within the post-acute space. Our expert guest, Sonnie Linebarger, a seasoned professional in the field of mergers and acquisitions, shares invaluable insights into the intricacies of merging people, technology, and processes for a seamless transition and maximized benefits.
In this episode, your hosts, Michael Greenlee and Hannah Vale, engage in a dynamic Q&A session. They delve into the core elements of successful post-acquisition integration, exploring the challenges and strategies involved in blending diverse organizational cultures, preserving patient-centric care, and harmonizing technology systems.
Learn how cultural alignment plays a pivotal role in fostering a collaborative environment and discover the importance of transparent communication in creating a unified culture. Discover strategies to ensure that patient care remains a top priority throughout the integration process, and gain insights into how technology integration is managed to streamline operations and safeguard data security.
Whether you’re a healthcare professional, a business enthusiast, or simply curious about the inner workings of healthcare mergers and acquisitions, this episode provides a comprehensive exploration of the art and science of seamless integration. Tune in for actionable insights and practical takeaways that can shape the future of post acute services.
Don’t miss this engaging episode filled with expert advice, real-world examples, and in-depth discussions on the critical aspects of post-acquisition integration.
Infusion Insider: Home Health Infusion Services with Brandon Lang of Haggai Healthcare and The Drip IV Infusion
Join Michael Greenlee and Hannah Vale as they talk with Brandon Lang of Haggai Healthcare and The Drip IV Infusion as they talk about Brandon’s entrepreneurial journey.
Brandon Lang began his healthcare journey as an EMT at 19, working his way through nursing school and eventually becoming a flight nurse, with over 17 years in the air medical industry. After realizing the toll corporate healthcare was taking on his life, he purchased Haggai Healthcare Corp in 2020, transitioning from emergency medicine to home health. In 2022, he founded The Drip IV Infusion, a concierge healthcare business centered on wellness, driven by his faith, family, and a dedicated team’s commitment to patient care.
Home health infusion therapy is a specialized area of healthcare that involves the administration of medications, fluids, or other treatments directly into a patient’s bloodstream or tissues in the comfort of their home, particularly beneficial for patients who require long-term treatments or have difficulty accessing healthcare facilities.
Home Health Revealed is brought to you by HealthRev Partners.
Bringing Together People and Technology | Kristen Duell Returns to Her Roots
Join Michael Greenlee and Hannah Vale as they talk with Kristen Duell, new EV of Experience and Innovation of FirstLight Home Care, about bringing together the people and technology within the post-acute care industry as she returns to her roots of care delivery.
She is founder of the non-profit, IDEAL for Healthcare, catalyzing upward mobility and increasing access for women in healthcare.
Kristen talks about her personal career change, a story of resilience, and the changes within the overall industry, highlighting the KEY to retention of employees.
Home Health Revealed is brought to you by HealthRev Partners.
The Consulting Chronicles: Unlocking Efficiency and Maximizing Revenue with Maxwell Healthcare Associates
In this podcast episode, we delve into the world of agency operations and uncover the secrets to achieving efficiency and maximizing revenue. We talk with Eddie Vetter of Maxwell Healthcare Associates to provide valuable insights to help healthcare professionals navigate the complex landscape of consulting projects and process optimization.
Join us as we uncover the different types of consulting projects for intake and SOC processes. Discover how agencies are centralizing various functions to a shared services team and the impact it has on streamlining operations.
We tackle one of the biggest challenges faced by healthcare agencies: achieving a quick and efficient intake process. Learn about the hurdles that can arise, including the need for outsourced authorization and eligibility processes. We’ll discuss strategies to overcome these obstacles and improve overall efficiency.
RCM (Revenue Cycle Management) takes center stage as we dive into process optimization and team staffing assessments. Explore effective workflow and task assignments that can transform RCM processes, leading to improved outcomes and revenue optimization. We’ll also address common client inefficiencies and identify areas for improvement.
No system is perfect, and healthcare agencies face their fair share of system issues. Discover common system challenges and gain valuable insights into mitigating these issues to enhance operational performance.
DSO (Days Sales Outstanding) can significantly impact the financial health of healthcare agencies. We analyze the factors that contribute to higher DSO. Learn how to identify and address these issues to achieve a more favorable financial position.
Effective reporting and data capture are crucial for informed decision-making. We explore the RCM reporting needs of healthcare agencies and the importance of capturing accurate and comprehensive data. Discover the benefits of robust reporting capabilities and how they can drive velocity and success.
Adjustments and write-off reasons play a vital role in revenue management. We analyze the most common types of adjustments and write-offs encountered in healthcare agencies. Managing these processes effectively optimizes revenue and financial stability.
Finally, we address the reporting requirements and expectations of healthcare agencies. Uncover the types of reporting agencies need and explore the capabilities of velocity reporting. Discover how these reporting tools can empower agencies to make data-driven decisions and achieve operational excellence.
Unlock the secrets to transforming your agency’s operations, streamlining processes, and maximizing revenue. Get ready to revolutionize your healthcare consulting journey!
Quality Vs. Compliance | How to get the results you want!
Michael Greenlee and Hannah Vale are joined by Shirley Gamble. She is a Division Director at BAYADA Home Health, which offers Skilled Nursing, Home Health, Hospice, Assistive Care, Habilitation, Behavioral Health and more to patients in 24 states. She started her career in the freelancing market as an editor and proofreader. Her journey within home care began with a non-profit offering home care services in a dozen counties within Missouri. She then moved to a larger organization where she was a Director of Branch Operations for a single-site.
Shirley dispels the assumption that compliance equals quality, which is not the only component to true quality. Quality also includes financial performance, client and employee surveys, and communication with clients and employees.
Shirley gives useful advice on how to assess and improve processes within a home health agency: care, reimbursement, outcomes, and reporting systems. To tackle service-related problems, administrators must first know there is a problem and use reporting systems to filter results. Training is usually the expected course of action for a service-related concern but there are other important ways to make data meaningful.
Perhaps most important is that activities should be communicated in writing or via a webcast (and that the response should be formatted and look pleasant to the eye!) It is also important to share the numbers to show the volume of responses and to show those whose input wasn’t chosen why.
Shirley gives simple steps an agency can use to improve employee engagement and gain feedback to help an agency increase in QUALITY!