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Referral Source under PDGM – How it Impacts Home Health Agency Revenues

by admin | Feb 23, 2021 | Home Health Care and Hospice Billing, Home Health Care and Hospice News

Community hospitals are struggling, and 21 more closed in 2018. Under Medicare’s PDGM commencing in January 2020, home health agency referrals are one of the primary determinants of the calculated reimbursement amount for billing claims. Since most home health agency...

Medicare’s Patient-Driven Groupings Model and RCD Project

by admin | Feb 10, 2021 | Home Health Care and Hospice Billing

Sweeping Medicare and Medicaid regulatory changes have recently impacted home health agencies and skilled nursing facilities. Due to CMS payment model changes, home health and hospice agencies adapting to the Review Choice Demonstration (RCD) project have been...

Medicare’s PDGM, Open Enrollment, and Home Healthcare Agencies

by admin | Feb 2, 2021 | Home Health Care and Hospice Billing, Home Health Care and Hospice News

Ensuring the accuracy of your home healthcare clients’ insurance can be particularly labor-intensive for your staff following Medicare’s annual “open enrollment” period.  Overlapping Medicare’s “open enrollment” period in 2019 (from October 15 – December 7) is...

RAP Payment Changes Impacting Home Health Agencies under PDGM – Part 2

by admin | Jan 25, 2021 | Home Health Care and Hospice Billing

Home healthcare and hospice agencies have utilized Medicare’s Request for Anticipated Payment (RAP) mechanism to maintain adequate cash flow. However, the Centers for Medicare and Medicaid Services (CMS) plans to phase out the RAP mechanism under the new...

RAP Payment Changes Impacting Home Health Agencies under PDGM

by admin | Jan 20, 2021 | Accounting For Home Health and Hospice, Home Health Care and Hospice Billing

Home healthcare and hospice agencies have utilized Medicare’s Request for Anticipated Payment (RAP) mechanism to maintain adequate cash flow. However, the Centers for Medicare and Medicaid Services (CMS) plans to phase out the RAP mechanism under the new...
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