The Importance of Choosing the Right Clearinghouse for your Agency

- Stacey Beal, Trainer and Client Services Specialist at CareVoyant

There are many tasks and processes involved when capturing patient demographics and following the information through to clean claim submission.  Streamlining intake and billing functions are essential to your Home Health Care operations.  The use of the right Clearinghouse will help to meet your end goals of achieving operational efficiency.

The best clearinghouses today offer high-value features that provide a whole new level of revenue cycle management intelligence. The data and analytics make their services extremely compelling from a financial perspective and highly desirable from an office-staff efficiency point of view.

Importance of a clearinghouse

Though clearinghouses are instrumental in reducing the claim error rate as noted above, they are equally helpful in insurance verification.  Ensuring quick and accurate insurance eligibility is one of their many functions.  It allows for quick real-time entry into your software.  Moreover, the information gained empowers communication with your patients and family members by educating them on their health care coverage.

Waystar - Denial Management

At the heart of every home health care organization is the unrelenting pursuit of improving their patients’ quality of life.  To achieve this is to ensure your financial viability.  Having a sound revenue cycle management process in place will allow you to further the mission of providing top-quality healthcare in your communities.  Clearinghouses can take the guesswork out of your claim submissions.  Claim ‘scrubbing’ functions provided by Clearinghouses will help reduce the number of denied or rejected claims and, in turn, result in timely reimbursement the first time.

How does an organization choose one that best meets their needs with so many clearinghouses to choose from?  The following is a helpful list to consider provided by our partner, Waystar: 

  1. Knowledgeable, prompt client support

  2. Quick claim status checks

  3. Accurate, actionable claim information

  4. Usability

  5. Single-instance technology

  6. Integration with your favorite Home Health Care Agency Management software, CareVoyant

Carevoyant’s partnership with Waystar

CareVoyant’s partnership and integration with Waystar demonstrates our commitment to providing operational excellence for our Home Health Agencies, Private Duty Nursing Home Care Agencies, Private Duty Non-Medical Home Care Agencies, Outpatient Therapy providers, and Medical Billing Services providers. CareVoyant’s fully integrated interface with Waystar enables our clients to do the following:

  • Real-Time or Batch Mode Eligibility Verification and Benefit Retrieval

  • 837P (Professional) and 837I (Institutional) direct claim submission with built-in claim edits

  • Track, view, and download 835 Payment Remits to create automatic batch payments within CareVoyant’s ERN (electronic remittance notice) module

Together, we can streamline your workflows, empower your team to be more productive, and help your organization collect more revenue, more quickly.


Stacey Bruss

About the Author

-Stacey Beal is a Trainer and Client Services Specialist at CareVoyant. A dedicated healthcare IT and support professional with over a decade of years of experience focused on delivering robust software solutions and exceptional customer service, Stacey applies technology to drive results for our healthcare clients.


ABOUT CAREVOYANT

CareVoyant is a leading provider of cloud-based integrated enterprise-scale home health care software that can support all home-based services under ONE Software, ONE Patient, and ONE Employee, making it a Single System of Record. We support all home based services, including Home Care, Private Duty Nursing, Private Duty Non-Medical, Home and Community Based Services (HCBS), Home Health, Pediatric Home Care, and Outpatient Therapy at Home.

CareVoyant functions – Intake, Authorization Management, Scheduling, Clinical with Mobile options, eMAR/eTAR, Electronic Visit Verification (EVV), Billing/AR, Secure Messaging, Notification, Reporting, and Dashboards – streamline workflow, meet regulatory requirements, improve quality of care, optimize reimbursement, improve operational efficiency and agency bottom line.

For more information, please visit CareVoyant.com or call us at 1-888-463-6797.

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