ARTICLES & RESOURCES
In 2024, CMS reported that 6% to 8% of Medicare Fee-for-Service claims had errors, including incomplete documentation and OASIS gaps. Stronger OASIS processes help protect reimbursement, reduce audit risk and give your team more time to focus on patient care. Key Takeaways Minor mistakes in OASIS coding or patient records can trigger ADRs and slow
Excellent patient care is not always equal to better revenue. According to Practolytics, nearly one in five home health claims is denied on the first submission, and 40% of those stem from missing documentation. This guide shows how to cut denied claims and maintain a steady cash flow, leaving more time for patient care. Key
Let’s say a patient walks in, confident they understand their coverage. By checkout, they’re shocked by a bill they didn’t expect. Most of the time, one miscommunication can lead to a billing dispute or a negative review. The Advanced Beneficiary Notice (ABN) informs Medicare beneficiaries about items or services that Medicare may not cover and
A structured QA program improves patient outcomes, reduces errors, speeds up audits and keeps your agency compliant. When you outsource QA, you remove the burden off your internal team and gain higher accuracy, fewer denied claims and cleaner documentation, so leadership stays focused on operations and patient care. On this page Key Takeaways Save time
Do you want your level of patient care to speak for itself? CHAP (Community Health Accreditation Program) is an independent, nonprofit organization that evaluates home health and community-based care providers. Earning CHAP accreditation shows your agency consistently delivers care that meets the quality standards set by the Centers for Medicare & Medicaid Services (CMS). It
Every misinterpreted word in a medical report costs you time, revenue and patients’ trust. A medical transcriber converts your dictated recordings into accurate, structured medical records, giving you reliable data to make decisions and keep care on schedule. Outsourcing this role protects your revenue and keeps your team focused on patient care without the need
When your physicians and nurses don’t communicate properly, your patients pay the price. In heart failure cases, readmissions can rise to nearly 10%, often due to missed updates or slow coordination. A PCP call-out specialist closes that gap. They track orders, follow up with providers and keep teams aligned so patient care stays accurate and
Meet James. He’s a medical coding specialist at a busy hospital, balancing hundreds of patient charts, strict compliance rules and insurance updates. Medical coding is meticulous work, and AI tools are transforming how it’s done. James wonders: Will his job still exist in five years? This guide explores what AI can and can’t do in
Health care begins and ends with patients. When patients feel unheard, they don’t just lose trust… they walk away. A patient support specialist makes all the difference. They listen to patients, keep schedules on track and bring care and attention to every interaction. When outsourced, they ease staff strain, strengthen compliance, reduce costs and free
Did you know that your agency loses around $200 in revenue every time a patient skips an appointment? When you multiply that across the month, that’s thousands lost. The Medical Group Management Association (MGMA) reports that no-shows cost the U.S. health care system over$150 billion annually.For small and mid-sized home health agencies, that loss can