4 Lessons Learned on the Front Lines of Pre-Claim Review

With the controversial Pre-Claim Review Demonstration (PCRD) set to go into effect in Florida at the start of April, home health care agencies are preparing to be hit with the new requirements. After a bumpy start to the program in Illinois, many home health providers found themselves on a steep learning curve to get pre-claim […]

Physician Signature Worries Home Health Agencies in Pre-Claim Demo

With just over one month before the start of the Centers for Medicare & Medicaid Services’ (CMS) Pre-Claim Review Demonstration for Home Health Services, agencies in the five-state pilot program are eagerly looking for clarification on compliance requirements. The three-year program will begin in Illinois on August 1, with Florida and Texas beginning later this […]

How to Find and Win the Right Referral Partners in Home Health

As the health system continues to move toward managed care and value-based purchasing, home health agencies are becoming an increasingly important partner along the continuum of care. Across the industry, data has played a big role in securing preferred partnerships for home health agencies with other types of providers. Home health and home care have […]

CMS Floats Home Health Prior Authorization Requirement

The home health industry could be bracing for another measure to combat fraud and abuse in a proposed pilot that would require preauthorization before seeing patients. The Centers for Medicare & Medicaid Services (CMS) quietly announced it is seeking approval for a Medicare Probable Fraud Measurement Pilot in five states. “The probably fraud measurement pilot would […]

How One Agency Uses Data to Drive Success

As health care services transition to the digital age, one of the most essential elements of a successful home health agency is its ability to track, capture and share data that shows improving patient health outcomes. Data can prove savings and make a home health agency a valuable partner in the health system, says Marvin […]

The Biggest Home Health Care News of 2015

Home Health Care News kept readers on the forefront of breaking news throughout the home health and home care industry in 2015. The year was marked by rapidly-changing regulations and a booming emergence of app-based caregiving services. From policy changes to major acquisitions and reports on the biggest players in the industry, here’s a list […]

Editor’s Picks: Breaking Down ACO Barriers

Daylight Savings took effect on Sunday, but we didn’t let the shorter days get us down. We were happy to bring you coverage from last week’s National Association of Home Care and Hospice (NAHC) annual conference in Nashville. You wanted to know how one home health agency was able to break down the barriers into […]

How One Home Health Agency Broke Down ACO Barriers

Home health agencies agree that getting invited into accountable care organizations (ACOs) is a priority, though the barriers of entry are typically high. As the health care system continues to align and reward cost savings, home health will increasingly play a more vital role in ACOs. One Illinois home health agency, Better Care Home Health, […]