If your Skilled Nursing Facility (SNF) is not prepared when October 1, 2019, rolls around, it may seem as though the RUG has been pulled out from under you.
The Medicare claims process is not for the faint of heart and can be frustrating even for the most seasoned hospital biller. Billing Medicare is one of the most complicated yet critical tasks in hospital revenue cycle management. The process is distinctly different from billing commercial payers, with Medicare-specific requirements and systems.
Join us on Tuesday, March 26th at 2:00 p.m. CT to learn how to easily send unsolicited paperwork (PWK) to your MAC.
If you’re a home health agency (HHA), the Patient-Driven Grouping Model (PDGM) and its January 1, 2020, deadline have probably been on your mind a lot lately. And for good reason – analyst and investment firm TripleTree has called it “the most significant regulatory and reimbursement reform since the creation of the Prospective Payments System (PPS) 20 years ago.”
You may feel a little frazzled or confused by PDGM and the changes it will bring starting in 2020, but don’t hit the panic button. First, you should know what PDGM is and what it’s expected to do. Required by the Bipartisan Budget Act of 2018, PGDM was developed to improve reimbursement for all types of patients eligible for home health benefits and remove perceived incentives to over-provide therapy services, according to Home Health Care News.
For healthcare providers, claim denials are just a routine part of business. It seems you can’t completely escape them no matter how hard you try. You’ve heard the statistics: The average claim denial rate across the healthcare industry falls between five and 10 percent, according to an American Academy of Family Physicians (AAFP) report.
On any given weekend, Andrea Munson is like any other mom, spending her “free time” balancing her daughter’s sporting events, cleaning house and catching up on her favorite Netflix shows. But her work at eSolutions is never far from her thoughts.
As Director of Implementation and Projects, Andrea is responsible for the Implementation, Enrollment, and Strategic Operations teams. She is always busy making sure her teams and managers are firing on all cylinders when it comes to helping eSolutions’ employees assist clients. She also makes sure that any system that can be automated is, to make eSolutions’ products work as seamlessly as possible for new and existing clients.
A Message from our CEO
In just the few short months since coming on board as eSolutions’ CEO, I am truly energized by our dynamic employees and the value our products bring to thousands of providers. Now, more than ever, eSolutions is putting resources and focus behind a growth strategy that enables clients like you to further optimize your performance.
While eSolutions has grown tremendously over the years, our innovative products and committed team position us to evolve into something even greater than our founders could have imagined nearly 20 years ago. After months of comprehensive planning, we know exactly where eSolutions is going and how we’re going to get there.