Question

You are the manager at a home health agency. One of your elderly patients has insulin-dependent diabetes. He has no family support. He speaks limited English and has little understanding of his disease. He lives alone. Your reimbursement from a government agency pays $90 per visit. Because this gentleman needs so much care, you find that the actual cost to your agency is $130 for each visit to him. What will be the impact to your agency if this patient is seen twice a week for 3 months? How can you recover the lost revenue? How can you make each visit less costly and still meet the needs of the patient?

Answer 1

Home health care is a agency they provide clinical medical care provided by an registered nurrse,occpational therapist,physical therapist or other skilled medical professionals and is often prescribed as a part of care plan following a hospitalization.It covers a wide range of services and can often delay the need for long term nursing home care.

Here in the present scenario one of the elderly patient is suffering with Insulin dependendent diabetes and has no family support and lives alone and speks limited english and little understanding of his disease.

For the home health care agency as an reimbursement the government agency pays $90 per visit.But he needs so much of care according to his condition.But the actual cost need to get your agency is $130 for each visit.The gentle man needs so much of care and is seen twice a week for 3 months.

*If the patient is seeing twice a week for 3 months and the government agency is reimbursing $90 for each visit and the actual cost for the agency is $130 for each visit,It leads toa financial burden to the home health care agency.Why because the home health care agency is aprivate agency they has to meet the demands of the patients as well as the staff equally.They have to get the pay for their own work.

*Medicare covers a broad range of services to meet the health needs of beneficiaries include reimbursement for home health care agency also.

*The manager of the home health care agency can go for :

$\rightarrow$Accurate billing with fast turn around :Home health care agency can choose billing company that will submit clean accurate claims quickly,speeding up the reimbursement process while reducing the number of unpaid or denied claim

$\rightarrow$Billing expertise : A home health care agency should staff a billing experts with expert knowledge in home health who can bill a variety of payers including Medicare,Medicaid,and commercial insurance,ensuring that your revenie cycle runs smoothly

$\rightarro\rightarrow$web based analytic technology:The beat home health billing companies provide comprehensive analytic technology that offers insight into agency financial health by identifying the trends,discovering lost revenue opportunities,and integrating payer-specific analysis

$\rightarro\rightarrow$Billng recovery: Specializing in the manangement of unpaid claims and aged accounts.Top billing companies will work with home health agencies torecover lost claims,so they are proprly paid for the servvices provided.

By approaching these metods the home health agency can recover the lost revenue

*By making the each visit less costly better to go for placing an billing expertize who can bill a variety of payers such as Medicare etc..Anyway Medicare covers the reimbursemnt for the home health care agency to meet the demandsof the beneficiaries.