Healthcare Reimbursement Simplifield
Improved Cashflow - Maximized Revenue
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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 &…
Read MoreWe 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…
Read More8 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…
Read MoreIf 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…
Read MoreBig 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…
Read MoreThe 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…
Read MoreIf 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). Does the name itself give you panic attack about what is to come? Does the change seem confusing and daunting? We feel you. However, the change is for the best of the industry – the US healthcare industry needs to evolve from a mere volume-based initiative to…
Read MoreMedicare 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 advantages (MA). MA are being incorporated into care offered to chronically ill clients. In addition, Medicare is set to offer supplemental services that are not health related. Supplemental services include the determination of social health determinants and assessing them. One may receive the…
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Healthcare Reimbursement Simplified
Improved Cashflow - Maximized Revenue
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