Healthcare Reimbursement Simplifield

Improved Cashflow - Maximized Revenue

Home Health Billing


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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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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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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Patient-Driven Grouping Model

May 3, 2019

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). 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…

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Healthcare Reimbursement Simplified

Improved Cashflow - Maximized Revenue


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