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.