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Learn Successful Medical Billing Strategies for PDGM in This Webinar

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

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 […]

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

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

We understand how frustrating it can be when you have medical billing claims rejected. Medical Billing Denials 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 […]

Have You Left Money on the Table at Medicare?

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

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

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

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

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

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

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

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

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

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

PDGM Billing & Coding, Recover Medicare Revenue, Medical Billing Denials, Cash Flow

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.