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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.

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).

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...

The Power of Simplicity

 

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?  

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 and can include:

 

  • Is it mobile ready and responsive?

  • Can I collect electronic signatures from caregivers and patients?

  • Does it work online and offline, with or without internet connectivity?

  • Does it include built-in EVV?

  • How many user licenses are required?

  • Does it support skilled care?

  • Will it handle non-skilled homecare too?

  • Is it suitable for multiple business lines?

  • Does it include Telephony?

  • Can it be used for Private Duty, Personal care or Hospice?

  • Is customer support included or extra?

  • What’s the onboarding process like?

  • Is a long-term contract required?

  • Can it bill for all payers?

  • Is it user-friendly for both staff and caregivers?

  • Will it work for Home Health Aide visits?

 

Whether you’re launching a new agency or expanding an established one, many of these questions remain critical.

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.