Order Management Specialist in Home Health Agency: What to Know, Who to Hire and How to Get It Right

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 […]
Medical Biller for Home Health: What to Know, Who to Hire and How to Choose the Right Billing Partner

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 […]
Top Home Health Care Outsourcing Roles for Better Efficiency and Patient Care

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 […]
How to Avoid LUPA (Low Utilization Payment Adjustment) with Outsourcing

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 […]
Denial Management in Home Healthcare: Proven Strategies to Strengthen Revenue with Outsourcing

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 […]
The True Impact of Outsourcing on US Companies and Workers

Outsourcing is a hot topic among business owners today. But many worry it could affect company culture and job security for in-house teams. And with good reason. However, by exploring these fears and debunking misconceptions, we can reveal how strategic outsourcing benefits both the company and its employees. On this page Key Takeaways Outsourcing reallocates […]