Stakeholders throughout the home health industry are gearing up for another battle over Pre-Claim Review Demonstration (PCRD), a controversial Centers for Medicare & Medicaid Services (CMS) initiative aimed at reducing fraud and improper billing. PCRD asks providers to send in claims earlier in the care process to ensure they are meeting requirements. In August 2016, CMS rolled out […]
$1.93 billion. 741 pages. Those two numbers are significant markers for the home health care industry, which is facing an onslaught of regulations—and huge, looming costs if they come to fruition. Specifically, $1.93 billion is the total financial impact home health care agencies might feel in the two to three years between the new Conditions […]
The transition period from hospital to home following a discharge is not only a crucial time to ensure overall patient health—it’s also an important opportunity for home health agencies and private duty care providers to band together. With the health care system placing a premium on limiting hospital readmissions, coordinated care between private duty and home […]
Rehabilitation services within home health have long lacked consistency, but more recently certain agencies are seeing the benefits of emphasizing and properly training physical therapists. “Before, companies were concerned about quality of the services but had no way to measure them, and physical therapists were very independent and had little supervision,” Joyce Boin, principal consultant at Strategic […]
As the home care industry grapples with the transition to value-based purchasing and the impacts of Pre-Claim Review in certain states, referrals are more important than ever. But to have a successful referral program, simply implementing a strategy won’t cut it. Agencies must have a solid process to build upon, beginning with employees and intake staff. The […]
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