Have You Left Money on the Table at Medicare?
Did you know that Medicare allows home health agencies (HHA) and other healthcare facilities up to 12 months to recoup payment for services rendered or recover medical revenue? This means that even if you have claims that are several months old or claims which have been denied, you can still submit them now. For a […]
How Home Health Credentialing and Contracting Give Agencies an Edge
If there are two things home health agencies (HHAs) can count on, it’s ever-changing regulations and mounds of paperwork. It can be a full-time job just trying to keep up with each of these facets of the industry, yet critically important in order to maximize reimbursement and contract rates. At Dominion Revenue Solutions, we understand […]
Understanding PDGM Billing and Coding Changes: How Outsourcing Can Be the Solution
Big changes are on the horizon for home health agencies (HHA) in 2020. Patient-Driven Grouping Models, or PDGM, goes into effect beginning on January 1, 2020, radically changing the ways in which HHAs are reimbursed for services for Medicare beneficiaries. PDGM is an effort by the Centers for Medicare & Medicaid Services (CMS) to reduce the […]
The Review Choice Demonstration Program
The Review Choice Demonstration (RCD) program was established in 2017 in response to changes from stakeholder responses in the Home Health Services. The Centers for Medicare & Medicaid Services (CMS) paused the Pre-Claim Review Demonstration which was the program for the Home Health Services. The CMS announced its decision to implement the RCD review program […]
Patient-Driven Grouping Model
If you are a Home Health Agency (HHA), you must be aware of the new change that is coming your way in a few months – Patient-driven grouping model (PDGM).
Medicare Advantage
Home health care is changing frequently due to the use of Medicare in payment of services. It is not just the traditional Medicare, rather the new one often referred to as Medicare Advantage (MA). MA is being incorporated into care offered to chronically ill clients. In addition, Medicare is set to offer supplemental services that are not health-related.