How Home Health Credentialing and Contracting Give Agencies an Edge

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 the challenges HHAs face, and that’s why we offer professional home health credentialing and contracting services to help. 

What Are the Benefits of Home Health Credentialing and Contracting?

Providing excellent care is the foundation of your business. Yet, in order to deliver care to specific patient populations and be reimbursed, HHAs must be properly credentialed and have established contract rates with insurance carriers and other payors. Furthermore, credentialing and contracting are key components for any HHA to expand their business and increase revenue.

With more than 20 years of experience in the home health industry, Dominion Revenue Solutions knows the importance of taking a hands-on approach to contracts and credentialing. While autorenewal may seem like a time-saving option, the drawback is that payors will only reimburse based upon what they have on file for your agency. So, if prior to renewal your agency has expanded services or is delivering specialized care unique to your geographic region, it’s vitally important to convey this information during the renewal process. Otherwise, your agency may be missing out on the opportunity to increase market share and may not be receiving the maximum allowable reimbursement. 

Some of the benefits of partnering with Dominion Revenue Solutions for credentialing and contracting include: 

  • Ongoing status reports that detail the process and progress with each payor
  • Maintaining and updating CAQH profile
  • Medicare and Medicaid provider enrollment and credentialing
  • Medicare and Medicaid revalidation
  • Private insurance credentialing and contract negotiation
  • Managed care contracting issues
  • Payor relations to resolve reimbursement issues
  • PECOS
  • CAQH Registration
  • NPI Registration (Type I and Type II)

With an ever-increasing aging population, it makes good business sense for HHAs to look for opportunities to expand and grow their business. For non-medical home care agencies, a natural growth opportunity is to add skilled services to their licensure. Becoming Medicare certified allows agencies to further serve their existing client base by offering comprehensive aging solutions. Additionally, doing so brings more opportunity for new clients who have chosen to receive health care at home. At Dominion Revenue Solutions, we understand the continual shifts and changes in the industry and we work with our HHA clients in order to help them look for growth opportunities. We have successfully helped countless clients achieve and maintain Medicare credentialing, thanks to our broad understanding of the home health care landscape and our commitment to understanding the ever-changing regulations at CMS.  

Industry Expertise that Leads to Growth

Through our experienced home health credentialing services, we have established relationships with commercial and government payors and we continually keep up to date on complex regulation changes that impact contract renewal. We work with your team to learn what makes it unique, from expertise and patient populations to local and regional geography and market share, and we look for new opportunities to help you maximize growth.

In our experience, a credentialing service is particularly effective for HHAs that have not had a review of their contracts, services and offerings in more than three years. While the results for each agency vary, some of our clients have seen revenues improve by as much as 40% following revised contracts and updated credentials.

With a commitment to exceptional customer service and deep knowledge of the industries, our team of professionals works efficiently to ensure HHAs are maximizing their revenue while freeing them up to focus on providing exceptional care for their clients.

Put Dominion Revenue Solutions to Work for You Today

Let Dominion Revenue Solutions put our expertise to work for you. With our long-standing relationships with insurance companies, provider enrollment representatives, and home health industry knowledge, we know how to help HHAs maximize their value and increase market share while still focusing on delivering consistent, high-quality care. Contact us today at 888-471-9333 to learn more about our credentialing and contracting services.

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