Choosing the Right Clearinghouse for your Agency

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March 16, 2021

The Importance of Choosing the Right Clearinghouse for your Agency

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.

Together with Waystar, CareVoyant's Home Healthcare software streamlines your workflows, empowers your team to be more productive, and helps your organization collect more revenue, more quickly.

Consumer Directed Services (CDS) are home healthcare services offered by Medicaid or Medicaid waiver programs where the consumer (Patient) can hire the caregiver and coordinate the services authorized. 

Medicaid or Medicaid Waiver programs authorize Consumer Directed Services with limits on the number of hours of services provided per day or per month. These limits add another layer of challenge to the agencies. They have to limit the services provided under authorized hours even though they do not have complete control over the hiring of caregivers and managing their services.

When services go over authorized hours, the agencies face the uncomfortable task of telling the caregivers that they may not get paid for the services provided over authorized hours.

An effective software platform should have the functions and features to help agencies manage the challenges posed by Consumer Directed Services. 

There are millions of people who serve as caregivers. Whether they work for a private duty nursing services provider, work for a home care agency, or work independently taking care of a family or friend who might need extra assistance, this article penned by Stacey Bruss, RN, highlights the traits necessary to get the job done.

With falling reimbursement rates, the rollout of PDGM, and increased compliance, Home Care Agencies are under pressure to do more with less. Improving the health of the revenue cycle is a complex process that needs caregivers and financial administrator to work in synchrony to achieve optimal results. An integrated platform that covers all processes including intake, authorization management, scheduling, billing, and collections, and provides features to manage the revenue cycle requirements of these processes is a must for ensuring optimal reimbursements.

CareVoyant is a leader in for Home Health Care on G2 CareVoyant is a leader in for Medical Billing on G2 Users love CareVoyant on G2


Home Healthcare Industry News

A Pandemic Spotlight on COPD

Survey reveals patients are ready to take on treatment via telehealth

While the pandemic has created unique challenges for the COPD community, there was also a silver lining: COVID-19 has increased people’s awareness of the condition and encouraged patients to explore alternative care options, such as telehealth.

Nursing Home Reform Bill Hits Congress

The American Health Care Association representing more than 14,000 nursing homes and other long-term care facilities across the country that provide care to approximately 5 million people each year and LeadingAge, the association of more than 5,000 mission-driven aging services providers including nursing homes, released a reform agenda, the Care For Our Seniors Act, to address long-standing challenges affecting the quality of care provided in America’s nursing homes.

Industry Leaders Applaud Removal of Budget Neutrality for Oxygen

The Council for Quality Respiratory Care (CQRC)—a coalition of the nation's leading home respiratory therapy providers and manufacturing companies—thanked The Centers for Medicare & Medicaid Services (CMS) for the appropriate application of recent legislative action to eliminate the budget neutrality statutory requirement to certain home oxygen equipment and services.

Home Health Profit Margins Projected to Remain Strong in 2021

Margins for Medicare-certified home health agencies are projected to remain strong in 2021, despite ongoing challenges tied to the COVID-19 pandemic and the shift to the Patient-Driven Groupings Model (PDGM).

Margins are anticipated to be so robust, in fact, that Congress should reduce the 2021 Medicare base payment rate for home health agencies by 5% going into next year.


 
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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 care lines of service, including Home CarePrivate Duty NursingPrivate Duty Non-MedicalHome and Community Based Services (HCBS)Home HealthPediatric Home Care, and Outpatient Therapy.

CareVoyant functions – Intake, Scheduling, Clinical with Mobile options, electronic visit verification, eMAR/eTAR, Financial, Secure Messaging, Notification, Reporting, and Dashboards – streamline workflow, meet regulatory requirements, improve quality of care, optimize reimbursement, and bring operational efficiency.

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


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