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Review Choice Demonstration Product Launch Announcement

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.

Home Health and Hospice: Looking Ahead to 2019

As we wrap up this year’s National Home Care and Hospice Month celebration, we’re looking ahead to 2019 and the industry changes the new year will bring. In this blog post, we’ll dive into those changes and regulations that will undoubtedly impact your organization.

Guide to Getting Started with Hospice Billing

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.

Guide to Getting Started with Home Health Billing

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.

The Return of Pre-Claim Review - What We Know

**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. 

Home Health Analytics - Why Data Matters

You probably hear this all the time: regularly checking your data is important. You'd better keep an eye on your metrics! In-depth analytics are crucial to keeping your agency going! Business, numbers, etc.

Using Social Media to Improve Your Home Health Agency

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.

Battling Medicare Secondary Payer Claims

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.

Managing Home Health ADRs for Optimal Reimbursement

In our last blog post, we outlined common causes of Additional Development Requests (ADRs) and offered tips to prevent them. We even included a special home health agency final claim checklist to help you submit an end-of-episode claim correctly to avoid an ADR and speed up reimbursement.

Prevent Home Health ADRs before they Cost You Time and Money

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.