Post-acute Care

Home Health Groupings Model: What is it?

If you’ve been keeping up with the latest in the home health industry this year, you’ve most definitely heard the term Home Health Groupings Model (HHGM) floating around at one point or another. Since the introduction of the home health prospective payment reimbursement model, the HHGM is a significant and controversial proposal, shaking up the home health industry. So what does this new payment model proposal mean for you, your organization and the industry? In this three-part blog series, we’ll…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part II

In part I of our series, we’ve explored common reasons for denial in various claim environments. We also established that an important way to avoid denials is to implement solid processes of quality assessment (QA) measures as well as best practices for both administration and staff to ensure complete, thorough and timely claim submission. In order to better understand how it all fits together, let’s dive in and get a better understanding of those reviewing our records as well as…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part I

Additional documentation requests (ADR) are the norm today – everyone in home health gets them. Perhaps the best defense of documentation requests from payers (specifically Medicare) might be a stout offense that boasts an aggressive strategy of documenting every procedure at the point of care and providing specific details of the patient health plan. But even when taking an aggressive approach to defending services provided — with detailed documentation — of the patient experience, there still may be some instances…

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Achieving Care Coordination in Home Health and Beyond

If you’ve ever heard the old adage, “It takes a village to raise a child,” then you now know that the same can be applied to healthcare. The most effective care one can receive happens when his or her provider has a full understanding of their health history from every healthcare community. Coordinating care between settings has become increasingly important for the successful treatment of individuals requiring care from all areas of healthcare, including home health. From referrals to admittance…

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Improving Care through Adopting Technology: What’s Next?

Part IV As we reach the end of our journey addressing technology to create effective care strategy, we invite you to really take time and consider where your organization stands when it comes to utilizing technology in your daily operations. We’ve addressed the importance to connect with regional providers with a robust electronic health record (EHR) solution. Once you have those links in place, make sure to utilize what those connections can do for you. Interoperability helps set providers up…

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Leveraging Data and Optimization for Care Coordination Success

Part III Welcome back and thank you for joining us for part III of our series discussing the importance of embracing technology to achieve effective care. If you’re just catching up, we’ve discussed the importance of going digital and making the right connections for effective care collaboration. Today, let’s explore how to best utilize data as well as how to leverage all of the benefits of your electronic health record (EHR) solution to provide the best care possible. Now you’ve…

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Home Health Rule Will Bring Big Changes in 2018 and 2019

Recently the Centers for Medicare & Medicaid Services proposed a new rule that would update payment rates and the wage index for home health agencies that serve Medicare beneficiaries. This proposed rule will apply to those with home health episodes of care on or after January 1, 2018, with a plan to redesign the payment system in 2019. Read more about this new proposed rule and its guidelines here.

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Connecting Digitally – a Must for Care Collaboration

Part II We’re living in the golden age of technology. From connected homes, to smart phones to autopilot cars, it’s everywhere. Almost every industry has adopted modern technology in some form or another, including healthcare. But when it comes to health records, is your organization set up for success? Care networks across the country are continuously working towards, if not already utilizing, technology to connect and create interoperability between facilities. It’s so important to have the right tools in place…

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Embracing Technology for Effective Care Strategy

Part I As care provider roles evolve across the healthcare continuum, the post-acute realm is finding itself playing a more strategic role than ever before. The need for post-acute care facilities is growing. Formerly independent facilities are joining forces with integrated healthcare systems to help provide seamless transitions of care. In fact, a common theme across care segments is that they are diverting away from a traditional care path and becoming more strategic in addressing the holistic needs of an…

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Willow Health Care in Driver’s Seat Cruising Down Road to Success

Imagine if you bought a brand new car, but you didn’t use any of the features. You never listened to the radio on long road trips. You didn’t switch on the AC in the summer or the heat in the winter. You didn’t use the power locks or windows. Now, imagine your healthcare organization has just made an investment in an electronic health record (EHR) system but isn’t using any of the features and functionality. That’s not the case with Willow…

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