Healthcare Reimbursement Simplifield

Improved Cashflow - Maximized Revenue

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Be Proactive About the PDGM Cash Crunch—Take Advantage of Our Free Revenue Recovery Offer Now

February 16, 2020

Now that we’re about six weeks into the new Patient-Driven Groupings Model (PDGM) we’re starting to hear from many home health agencies about the challenges of the associated changes and the potential impact to their bottom line. Slower reimbursement cycles with PDGM are something that are likely to cause a cash crunch for many agencies very soon. This is why revenue recovery of existing claims is so important right now! Did you know that Medicare will reimburse…

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How Private Insurance Credentialing Pays Off for Home Health Agencies

January 24, 2020

on these payors in order to keep their revenue streams healthy. The most effective strategy for the diversification of revenue streams is by contracting with private insurers. Here’s why your HHA should consider it and what you need to do to get started: Adoption of private insurance among the senior market is growing, especially among older Americans with Medicare. According to statistics from American Health Insurance Plans (AHIP), 22 percent of Medicare enrollees had private supplemental insurance coverage…

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Tips to Help You Understand Your Medical Bill

January 23, 2020

Tips to Help You Understand Your Medical Bill Medical bills from medical billing companies in Houston are complicated documents with codes and confusing line items. It may be tempting to simply find the bottom line and pay what you owe. The problem is that mistakes in medical billing are common and may be costing you significant money in duplicate charges and other billing errors. If you have had multiple visits or procedures, your statement could be pages…

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Key Steps of a Successful Medical Billing Process

January 22, 2020

Medical billing is a complex and confusing yet necessary process for medical billing companies in Dallas, Texas, like the industry specialists at Dominion Revenue Solutions. Behind the front counters and examination rooms, an advanced system to handling the billing of medical services is in motion by trained and experienced professionals. When patients with medical insurance receive healthcare that is covered in their policies, the way it is billed often depends on the insurance company’s procedures and guidelines…

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Learn Successful Medical Billing Strategies for PDGM in This Webinar

January 9, 2020

The new Patient-Driven Groupings Model (PDGM) is here, and for many home health agencies the challenges of learning new billing codes and how to successfully navigate the changes are very real. If your facility needs assistance with your medical billing in the new era of PDGM Dominion Revenue Solutions is here to help! Learn what you need to know about PDGM for successful medical billing immediately by listening to a recording of our recent webinar, “Simplifying Home Health &…

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The Top 10 Reasons Why Your Medical Billing Claims May Be Denied

December 16, 2019

We understand how frustrating it can be when you have medical billing claims rejected. Denied claims cost you money and significant time trying to fight denials or collect money from patients. Knowing these common reasons why medical billing claims are denied is key to reducing their occurrence: Missing information. If you are missing information on a claim or you do not have all of the required documentation, it is likely to be denied. Transcription errors. Accuracy is the key…

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Have You Left Money on the Table at Medicare?

December 6, 2019

8 Red Flags that Signal You Need Help with Medicare Revenue Recovery Did you know that Medicare allows home health agencies (HHA) and other healthcare facilities up to 12 months to recoup payment for services rendered? 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 comprehensive look at Medicare’s claim procedures refer to the manual here. Like many HHAs, you…

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How Home Health Credentialing and Contracting Give Agencies an Edge

November 4, 2019

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…

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Understanding PDGM Billing and Coding Changes: How Outsourcing Can Be the Solution

November 1, 2019

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 cost of home health care and shift from volume-driven, or a fee-for-service model, to value-driven care. Under the value-driven care model, HHAs…

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The Review Choice Demonstration Program

June 10, 2019

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 for the Home Health Services via a PRA announcement and then deliberated on the comments and feedback from the public concerning the…

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Healthcare Reimbursement Simplified

Improved Cashflow - Maximized Revenue

 

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