Learn how McBee partnered with an agency to tackle their outstanding face-to-face documentation and recover unbilled revenue by adapting order management processes best practices and maximizing efficiency.
Learn how McBee partnered with the agency to tackle their gaps in face-to-face documentation compliance and resolve all of their unbilled revenue with agency-wide education initiatives and adapting best practice order management processes.
Clinical documentation plays many roles within healthcare. It validates the patient care provided, supports coding decisions, and facilitates claims processing, billing, and reimbursement. But at its core, clinical documentation works as a narrative in telling the patient’s story – where the patient has been, what they are going through and what the future holds for them.
Inadequate medical necessity and face-to-face (F2F) documentation are the source of many denials, and auditors will look specifically for accurate F2F and medical necessity documentation that supports the skilled services provided to patients.
Since the implementation of the Patient Driven Payment Model (PDPM) in October of 2019, many skilled nursing organizations have employed a variety of strategies for grading their overall performance against this new reimbursement model.
Read more about the many regulatory changes that have become more flexible during this COVID-19 pandemic.
For home health agencies, the holidays mean more than spending time with family and time off work. Change is a constant of the home health industry, and the introduction of OASIS-D1 on January 1, 2020 proves this to be true. Luckily, the revisions occurring under OASIS-D1 are considered minor - but as we know, even [...]
The Patient-Driven Groupings Model (PDGM) is the most significant change to the home health payment reform in the past two decades. The impact from PDGM is expected to significantly shift service delivery and will change the structure of home health reimbursements. A key component for calculating payment under PDGM...
The Recovery Audit Contractor (RAC) Performant Recovery, Inc. announced last month that they will conduct a complex home health review for documentation and medical necessity. They will do an annual additional development request (ADR) limit that will be one-half percent (0.5%) of the total Medicare paid claims from the previous year.
