Agency Compliance

Can home health care agencies bill Medicare Part B for outpatient services? 

 

Outpatient Therapy Services BillingYes. According to CMS, outpatient therapy services may be provided by a home health agency to patients who are not homebound or otherwise are not receiving services under a home health plan of care (POC). These services are not paid under the Home Health Prospective Payment System (HH PPS). The reimbursement for the outpatient therapy services is calculated using the Medicare Physician’s Fee Schedule (MPFS).

Choosing EVV Software

 

How do I choose EVV software?As the 21st Century Cures act moves to the forefront of home health agency staffs, many agencies find themselves trying to prepare for the inevitable. According to their official website www.medicaid.gov, all U.S states are required by law to implement an approved electronic visit verification system for all Medicaid-funded personal care services by January 1, 2020, and home health care services by January 1, 2023. Any non-compliant states will face financial penalties unless they have an authentic delay reason or burden which prevented their compliance.   To meet state requirements, when selecting a software vendor for EVV compliance, agencies performing personal care and home health services need to be sure to do their homework.

To view the MassHealth EVV Software solution by Alora, click here

 

MassHealth EVV 

What you need to know about Massachusetts Electronic Visit Verification 

 

As home health care agencies strive to stay compliant with regulatory requirements on both the state and federal level annually, Electronic Visit Verification (EVV) is a hot topic in the state of Massachusetts. As one of many states where EVV implementation is currently in play, Massachusetts Medicaid EVV (most commonly referred to as MassHealth EVV) requirements will need to be addressed and prepared for by agencies operating within the state. The (EOHHS) Executive Office of Health and Human Services administers the Massachusetts Medicaid program known as MassHealth, and will provide an EVV system that complies with federal Medicaid requirements, while minimizing any undue burden on users.

The Centers for Medicare & Medicaid Services (CMS) and State Survey Agencies (SSAs) are conducting targeted infection control surveys of select home health and hospice providers to ensure providers are following proper infection control practices during the COVID-19 public health emergency. Organizations are being identified for the surveys through collaboration with the Centers for Disease Control and Prevention (CDC) and the Health and Human Services Assistant Secretary for Preparedness and Response (ASPR).

Search engine optimization is an important tool for all businesses to maximize exposure and reach potential customers. The business of Home Health care is no exception to this idea, as Homecare agencies will increasingly rely on search engines like Google, Bing, and Yahoo to position their home health business in front of prospects, caregivers, and partners. In this blog, we review some of the fundamentals of SEO for home health care professionals who may not have the resources to hire a professional SEO firm...

Using Home Health Software Can Reduce Person-to-Person Contact & Facilitate Remote Work Across the country these past several days, many states are implementing stay-at-home or essential-travel only orders for their citizens. For Home Health professionals, the encouragement to practice social distancing to protect ourselves, our families...

Choosing a Home Health Software that Works for Your Agency

 

Is it mobile responsive? Will I be able to collect caregiver and patient signatures electronically? Can I complete visit notes on or offline? Does it have EVV?  How many licenses do I need? Does it handle skilled care? Will it handle non-skilled homecare? How many features does it have? How expensive is it going to be? Can it handle multiple business lines? Does it have Telephony? Will it work for Private Duty? Can I use it for Hospice? Is the support free? What is the onboarding process? Do I have to sign a contract? Can it bill for all payers? Is it easy to learn? Is it easy to use for caregivers? Will it work for Home Health Aide visits?

These are just SOME of the questions you might be thinking about as you begin your search for the best Home Health Software for your agency. Maybe your agency has just opened, or you could be established with multiple branches...in either case, some of your core questions are still the same.

As EVV Mandates Approached - Lawmakers Wanted More Time

EVV extensionIn the last few years, several states in the U.S have implemented mandated EVV not only to reduce fraud, but to keep tighter controls on how homecare visits are conducted and funded. The 21st Century Cures Act, which is an over 6 billion dollar conglomerate of legislation enacted as law under the Obama administration, basically states that Medicaid-reimbursed home care providers nationally must begin implementing approved EVV systems prior to Jan. 1, 2019. U.S. lawmakers then introduced legislation to delay this implementation of electronic visit verification (EVV) in home care by at least one additional year.