Your challenges are real.
Home based care is under increased Federal and State scrutiny as ill prepared newcomers are challenging the fabric of what is excellent patient care by most standards and program integrity. Fraud and abuse has become more widespread forcing Congress to increase auditing while attempting to filter out the bad players in the industry. Many good companies are struggling to obtain full reimbursement for care delivered in their communities. Their patient care is excellent, referrals are up, but the Federal measurements fall short impacting reimbursement.
Does this sound familiar?
Do you find your constantly looking for the needle in a haystack? Staff shortages bringing delays in QA workflow resulting in late claim submission or denials?
Business owners are, rightly, very protective of their operations, staff and reputation. You have worked hard to build your business and reputation in this competitive healthcare marketplace. Payers are becoming more selective in who they choose to contract with.
Your clinical and supportive documentation along with patient references are all that auditors (MACs), can measure you by. They do not know your operation, nor are they at your patients homes as your team delivers care. They judge you on what you have or have not documented! The MACs will also penalize you when your documentation is not delivered to them timely and can deny your claims- even make you repay money back to them!
We can provide an unfiltered overview of workflows and processes with a collaborative solution. We have been there and done that! We will use our many years of experience to delve into the written words to find the needle in the haystack that is often hidden in plain sight, help you develop workflows, educate staff, and be the support your team needs for short or long term.
