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Showing posts from April, 2024

Home Health Billing Alert: CMS Calls For Comments On Home Health Aide Utilization

  Home health aide visits have been plummeting in recent years, and the Centers for Medicare & Medicaid Services (CMS) has issued a request for information to understand what might be happening.  Here is a look at the request and what it could mean for any organization interested in home health billing [1]. How Home Health Aide Use Factors into Home Health Care Billing Home health aide services are part of case-mix adjustment. After a practitioner prescribes home health for a patient, the Home Health Agency Center (HHA) is tasked with assessing the patient condition, along with determining elements like therapy, skilled nursing care, medical social services, and also the need for home health aide services. This happens at the beginning of the 60-day certification period and must be done for every subsequent 60-day certification, something that directly intersects with home health billing guidelines. The case-mix adjustment to the national 30-day payment rate is determined using c

Home Health Billing Alert: CMS Calls For Comments On Home Health Aide Utilization

  Home health aide visits have been plummeting in recent years, and the Centers for Medicare & Medicaid Services (CMS) has issued a request for information to understand what might be happening.  Here is a look at the request and what it could mean for any organization interested in home health billing [1]. How Home Health Aide Use Factors into Home Health Care Billing Home health aide services are part of case-mix adjustment. After a practitioner prescribes home health for a patient, the Home Health Agency Center (HHA) is tasked with assessing the patient condition, along with determining elements like therapy, skilled nursing care, medical social services, and also the need for home health aide services. This happens at the beginning of the 60-day certification period and must be done for every subsequent 60-day certification, something that directly intersects with home health billing guidelines. The case-mix adjustment to the national 30-day payment rate is determined using c

3 Ways To Know When It’s Time To Outsource Your Billing

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 With the expansion of practices and the rise in patient volumes, the complexities of managing billing and revenue cycles can escalate, resulting in inefficiencies and potential revenue loss. In these scenarios, outsourcing medical billing to a reputable company such as 3Gen Consulting emerges as a viable solution, offering a plethora of advantages while mitigating the hurdles linked with internal billing processes. As healthcare practices experience growth, the demands on their administrative staff intensify, particularly concerning billing and revenue cycle management. The complex nature of medical billing requires meticulous attention to detail, adherence to evolving regulations, and proficiency in coding practices. However, internal teams may struggle to keep pace with these demands, leading to errors, delays, and ultimately, financial setbacks for the practice.   Outsourced medical billing services to an experienced firm like 3Gen Consulting, healthcare providers can offload th

Benefits Of Outsourcing And Offshoring Medical Coding Processes

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  Medical coding serves as the backbone of the revenue cycle management process, translating complex patient diagnoses, procedures, and treatments into standardized codes for billing, reimbursement, and record-keeping purposes. Given the critical role of medical coding consulting in ensuring accurate and timely claims processing, healthcare organizations are under increasing pressure to optimize their coding operations. To streamline coding processes while upholding high standards of accuracy and compliance, many healthcare providers, many are turning to medical coding outsourcing and offshoring solutions. Outsourcing involves contracting medical coding tasks to external firms, while offshoring refers to relocating these tasks to overseas locations with lower labor costs. In this blog post, we will explore the various benefits that healthcare providers can derive from medical coding outsourcing .   Moreover, from cost savings and scalability to enhanced efficiency, access to speciali