Revenue Cycle/Billing

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

So now that you’ve brushed up on best practice how-tos and tips to maximize the information in your documentation, you might be thinking that your organization will be immune to ADR requests. Fact is, it’s not a matter of if it happens, more like when. All organizations receive ADR requests at some point or another. Part I and II of our series provide a good foundation to help prevent major headaches for when it does. Responding to ADR Even if…

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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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Growing and Harvesting Results with Automated Eligibility Verification

You’re heading to the Saturday farmers’ market where you can’t wait to purchase your favorite fruits and vegetables. Vendors only accept cash for purchases so you’ll need to stop by the bank first. Your bank isn’t nearby so you go to the closest ATM on the way to the market.  You put your card in the ATM and in a matter of moments, you have cash in hand from a bank that you don’t typically do business with. The integrated…

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Time Is Now On Your Side with Electronic Billing

Before the time of paperless statements and electronic billing, we would spend a sunny Saturday morning sipping coffee and paying bills – credit card, medical, mortgage… too many to count! It would take hours away from our leisurely time to sort statements, write checks and mail them. We would hold our breath hoping that they’re delivered with no problems. Now we can pay our personal bills in a matter of minutes thanks to the introduction of electronic bill pay and…

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Netsmart and HIMSS17: What to Expect

The HIMSS17 Conference and Exhibition is just around the corner! From February 19-23, join Netsmart and thousands of health and IT professionals from across the globe to learn about and advance the future of healthcare technology. We will be showcasing how Netsmart can help you take the right steps to integrate care across all healthcare communities. We’ll show you how we’re already connecting behavioral health and post-acute care to the rest of healthcare and the impact it has had to…

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Accounting for Care: Why You Can’t Afford to Forgo Healthcare IT

Health and human services (HHS) organizations share a core mission: better the lives of the people they serve. Unfortunately, with rising costs of healthcare and a complicated healthcare landscape, HHS organizations could lose sight of this purpose. Sorting out the details of billing and bureaucracy leaves many organizations just trying to stay afloat.

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