Revenue Cycle Management for Home Care Agencies

The Home Health Care Wire 

Your source for CareVoyant and industry news. DECEMBER 21, 2022

Effective Revenue Cycle Management for Home Care Agencies

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 both 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.

As a Home Health Care Software provider, we find ourselves with questions about the nuances of home care services. Some of the questions we get asked are:

• What is Private Duty Home Care?

• Are RNs required for Private Duty Home Care?

• How is it different from Nursing Care?

• Do you need specialized software to manage Private Duty Home Care Agencies?

The software platform will play a critical role in helping Home Health Agencies to implement OASIS-E changes. Agencies should check with their software vendors to understand their plans to accommodate OASIS-E, make sure their plan will meet the requirements, and adjust their process accordingly.

This blog reviews the functions needed to support your transition to OASIS-E.

Home Healthcare Industry News

HHS Proposes Rule to Strengthen Beneficiary Protections, Improve Access to Behavioral Health Care, and Promote Equity for Millions of Americans with Medicare Advantage and Medicare Part D

The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), proposed a rule to strengthen Medicare Advantage and Medicare Part D prescription drug coverage for the tens of millions of people who rely on the programs for health care coverage. The proposed rule improves protections for people with Medicare, expands access to behavioral health care, and promotes equity in coverage. The proposed rule also implements a key provision of the Inflation Reduction Act to make prescriptions drugs more affordable for approximately 300,000 low-income individuals who will benefit in 2024.

Primary care’s role in the interconnected world of home care

What exactly defines home care these days? The lines among the various service lines in the home are blurring to the point it’s almost hard to tell the difference between home care and something else. Take primary care. This traditional, long-standing service line barely resembles its former self as many companies are rebooting it and taking it to a new level: directly into the home.

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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