The Home Health Care Wire
Your source for CareVoyant and industry news.March 21, 2024
Authorization Management for an Efficient Home Care RCM
Authorization Management plays an outsized role in Revenue Cycle Management. Effective and efficient authorization management will help home care agencies improve the bottom line by reducing non-billable shifts and payroll for non-billable shifts.
Eligibility verification is the first step in authorization management. Proactively managing expiring authorizations and getting new authorizations when coverage changes will keep authorization current. Integrating authorization with scheduling will help agencies reduce or eliminate providing services without authorization. Claims scrubbers can hold the claims back for the services provided during that authorization process.
In today’s environment of employee scarcity, Home Care Agencies often find themselves wondering, “How can I keep up with growing demand for services with fewer staff?”
Home Care Agencies have multiple strategies to respond to the growing pressure to perform, like refining training and on-boarding, hiring events, and improving interviewing processes. However, one thing Home Care Agencies can count on to meet growing demand with fewer staff is Home Care Scheduling Software to optimize employee utilization.
The Revenue Cycle Management (RCM) process starts at intake and continues through authorization, scheduling, billing, and collections. Home Care Agencies must integrate the RCM process with operations to capture, bill, and collect revenue for all the services provided. Agencies should review the RCM process periodically and adjust the process to accommodate the changes in the patient and payer mix.
Home Care Agencies must leverage technology and software to automate repetitive and time-consuming revenue cycle tasks. Management by Exception throughout the RCM process will help home care agencies to do more with less.
Home Healthcare Industry News
CMS updates survey guidance for home health
CMS has released a significant update to the guidance to surveyors for home health agencies.
Payers and Providers Are Fighting. 3 Ways to Win.
Whether you are a payer or provider, there are three important strategies that will be key in working through successful contract negotiations this year.
New Bill Seeks To Reduce Challenges For Dual-Eligible Beneficiaries, Expand PACE Model Across US
Individuals who are dually eligible for both Medicare and Medicaid make up a sizable portion of the overall home-based care population.
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.