The Wrap-Around Impact of Revenue Cycle Management on the Home Care Agency Mission

Speakers: Phil Feldman

Home Care Agencies have a three-pronged mission - maximizing client care quality, financial stability, and growth. The foundation of this is optimized client care, without which the mission is pointless. We will discuss in this presentation how Revenue Cycle Management processes contribute to the client care objective. Revenue cycle management needs to contain procedures to ensure that billing is timely and complies with payer contracts and process requirements. Some providers can struggle with reimbursement, particularly with the advent of EVV/claim match requirements. Thin margins in our industry magnify this impact. Denials prevent timely and complete payment, impacting cash flow and resource requirements in the Revenue Cycle department. Appropriate up-front management of the Revenue Cycle can serve to minimize aggregator and claims clearinghouse rejections and payer denials, thereby improving payments and required 're-touches' to get claims paid, and minimizing write-offs. Interestingly, these same disciplines serve to support care quality, particularly driven by authorization compliance, care plan integrity, and timely visit verification.  We'll discuss how this all weaves together, and the benefits derived in this regard by a robust, full-featured agency management system.

This Course Qualifies for 1 CE Hour under the Financial management Category.

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