Each and every day, skilled nursing centers around the country assist our beloved family and friends who are seniors or who live with with disabilities, enabling them to live happier, more comfortable lives. Whether it’s reading or listening to music, interacting with families, listening or just helping them feel better, these centers pay it forward by helping to improve individuals’ quality of life and, in the process, experience more fulfilling lives.
If you ask Morgan Brown, she’ll tell you that she was “rescued” by her boss. Once upon a time in the not-so-distant past, Morgan was working as a server at a restaurant frequented by a customer who just happened to work for eSolutions.
After Helen Bardo-Levins, Senior Director of Client Services, finished her meal, she started quizzing Morgan about school and her experience outside of food service. Morgan informed her that she had earned a degree in healthcare administration. Helen gave Morgan her business card and told her to call soon.
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.