Medical Billing
An important distinction when it comes to medical billing errors is the difference between a rejected claim and a denied claim. A rejected claim is one caused by a billing error which may be the result of a clerical error, or a mismatched procedure and ICD codes. These claims can then be corrected and resubmitted. Of course, having to correct and resubmit claims not only slows down the revenue cycle and, ultimately, cash flow, it also costs…
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Given the current economic and regulatory environment for home health agencies, many have been largely driven by Medicare payments, making agencies hesitant to turn to managed care and commercial insurance to drive additional revenue. The process to seek and secure payment outside of traditional channels can be overwhelming. However, considering that some agencies increase revenue by 20% to 30% when introducing alternative payment sources, it’s worth considering as Medicare increases regulations and compliance measures. As cash flow…
Read MoreAccording to recent CMS.gov data, 10% of all home health care claims are rejected. With the average claim being approximately $2000, you can see how the cost of not being able to capture this portion of your total claims can quickly add up. In addition to the money you can recoup by having fewer claims rejected when you work with Dominion Revenue Services for outsourced billing, there’s another part of the savings equation to consider: the money…
Read MoreCOVID-19 has had a tremendous impact on home health care agencies, hitting their cash flow very hard. If your agency is struggling with declining revenue and worried about paying its bills—now is the time to talk to us about outsourced medical billing and revenue recovery services. Before you start thinking, “I can’t afford to pay someone to do medical billing and revenue recovery work for our agency.” Rest assured, you only pay for our services if you…
Read MoreA steady stream of revenue is critical for home health agencies, otherwise their operations will not be able to function optimally. If revenue is reduced significantly for any period of time, it puts significant stress on the agency’s bottom line. Here are just a few of the best practices and smart strategies for keeping your cash flowing in light of the changes from CMS covered in our COVID-19 Cash Flow Guide for Home Health Care Providers. Keep in…
Read MoreHow do I know when Choice Review will affect my agency? Since CMS is rolling out Choice Review with a series of demonstrations at different times in different states, the best way to know when your agency may be affected is by checking the CMS website. The CMS is generally providing 60 days advance notice. Choice Review currently applies to home health agencies (HHAs) that operate in and render services to Medicare fee-for-service beneficiaries in Illinois, Ohio, North Carolina,…
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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…
Read MoreThe 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 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…
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