Home Care and Hospice Month is here! One way we're celebrating is by asking our wonderful home health and hospice clients why they're thankful to be in the industry.
As the healthcare industry changes certain things become outdated, and medical facilities are not immune to these changes. Ongoing medical research constantly unearths new and innovative ways to treat people. This leaves facilities, notably specialized facilities, unneeded and abandoned. Unfortunately, many of these establishments have tragic pasts, and some are even rumored to be haunted. This Halloween we’re telling the stories of 5 abandoned institutions that are sure to make your hair stand on end.
As the hospice care landscape changes, so do the rules and regulations surrounding hospice billing and reimbursement. Hospice agencies are faced with regulation requirements that make submitting claims and reporting data more complex. For new hospices, deciding where to focus and assign resources might feel overwhelming. The hospice revenue cycle experts at eSolutions have developed this guide to help hospices make sense of Medicare billing so you can get paid quickly and accurately - and feel less stress.
Billing claims is difficult work. As the insurance industry continues to grow in complexity, it’s no wonder more providers are turning to clearinghouse services than ever before. But with so many choices available for processing claims, how can you make sure your clearinghouse partner is doing everything it can to improve the health of your billing process? This guide will assist you with evaluating your current service and highlight some of the key logistics of switching to a new clearinghouse.
As our population ages and more people are taking advantage of home care services, the home health industry will continue to expand. For new home health agencies, deciding where to focus and assign resources might feel overwhelming. Home health billing and claims management through Medicare is complex, which is why we've developed an easy-to-understand guide to help new agencies get started.
As the “silver tsunami” of baby boomers aging into Medicare continues, so does enrollment in Medicare Advantage (MA) plans. A staggering 10,000 people are eligible to enroll in Medicare each day. From 2008 to 2017, MA plan enrollment grew from 9.7 million to 19.6 million. This growth represents 34 percent of all Medicare beneficiaries.
The financial health of your skilled nursing facility (SNF) depends on claims that are sent on time and accurately. If you’re in the SNF business, you understand the complex process of submitting claims and getting properly paid. The success of reimbursement depends on countless tasks going off without a hitch and in the right order. And if even one task goes wrong, it leads to big problems.
In 2016, CMS began rolling out a pilot program to enforce a more proactive oversight strategy on Medicare home health claims in an effort to reduce fraud and waste. The ultimate goal was to reduce improper payments and the cost of additional documentation and resources it takes for CMS to chase them. This "Pre-Claim Review" demonstration subjected home health agencies to additional billing scrutiny and red tape.