As CMS is expected to soon release a start date for Review Choice Demonstration for home health providers in Illinois, we're excited to announce the launch of our latest product. Our RCD product is an update to the Pre-Claim Review product from 2016 and is designed to assist home health agencies who choose pre-claim review to affirm their claims.
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.
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.
**Update - December 12, 2018: RCD did not launch in Illinois on December 10th. Providers are still waiting for CMS to open the RCD portal so they can make their choice between pre-claim review, post-payment review, or a limited review with a 25% payment reduction.
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.
With 70 percent of the U.S. population having at least one social media account, you can bet social media is an effective tool to promote a home health agency. eSolutions has a few tips for social media beginners and advanced users alike that may help you boost your online presence and attract home health agency clients.
Medicare Secondary Payer (MSP) is the term used when Medicare is not the primary paying party. Heartache swirls around MSP claims for a variety of reasons, mainly because these claims are complex, need manual work and take the time from your busy billing team that it doesn't have.
Additional Development Requests (ADRs) are a fact of life for home health agencies. Since CMS renewed its Probe and Educate, now called Targeted Probe and Educate (TPE), preventing ADRs and responding to them in a timely fashion is even more important to the financial health of your agency.