Home Health Care

The contracts are signed.  The clinicians are ready to work. But they cannot see their patients or bill for care because their credentials aren’t verified.  Credentialing specialists prevent these lapses by keeping providers active, records current and approvals on track.  When outsourced, they take the weight off your staff, speed approvals and keep patient care

Did you know prior authorizations can take several days or even a couple of weeks to be approved?  That’s when patients wait, claims pile up and your team wastes hours chasing approvals, delaying care and revenue. This is where pre-authorization specialists step in. They secure approvals ahead of time, keeping treatments on schedule, claims reimbursable

Patient intake specialists engineer your agency’s operational workflow.  They decide how fast referrals move, how clean your claims are and how prepared your clinicians will be on day one. When intake is slow, so is everything else: your scheduling, documentation, billing — even patient trust.  In this article, we’ll break down what patient intake specialists

Did you know it takes 37 to 41 days to fill a health care role? That’s nearly six weeks of chasing resumes, verifying credentials and rescheduling interviews — draining your team and putting patient care at risk. This is where clinician recruiters come in.  They drive the workforce that delivers your care.  When outsourced, you

The visit’s over, the patient’s home but the paperwork is just getting started.  Your nurse finishes charting at 7:00 p.m.  By morning, billing’s already waiting to move claims forward.  Multiply that lag across every visit, and it adds up: slowing reimbursement, straining teams and risking compliance. This is where medical transcriptionists step in. They turn

What if your biggest compliance risk isn’t in the care you give, but in the orders you can’t track? Order management specialists convert orders into billable actions, keeping your team on track and your payments on time. When it’s weak, visits are postponed, claims get denied, audits are triggered and revenue suffers.  An effective order

What if the most ignored part of your operations isn’t clinical but clerical?  Medical billers protect your revenue at its most vulnerable point. They step in after coding, managing the claims that decide how much and how fast you get paid. But when billing is weak, things slip: denials pile up, follow-ups get pushed and

Running a home health care business feels like a relentless amount of work.  The passion is there, the resources are there, but daily challenges stack up: staff shortages, rising operational costs, frequent compliance updates, all while providing your patients with high-quality care.  It’s not about whether you’re doing enough, but about “Is doing everything still

LUPA can significantly impact home health agencies, especially with the unpredictability of the Patient-Driven Groupings Model (PDGM). According to the Centers for Medicare & Medicaid Services (CMS), LUPA rates increased from 10% to 25% during the pandemic, financially straining agencies. The good news? Outsourcing critical tasks like billing and coding can reduce your agency’s revenue

Denied claims are not just an administrative burden — they’re lost revenue. These claims are the money you have earned but haven’t had a chance to collect, and over time, they substantially drain your cash flow. Every resubmission costs between $25 and $117, and unresolved cases can lead to a 5% loss in net patient