Revenue cycle management (RCM) for home health and hospice
Outsourced expert RCM services improve reimbursement and maximize cash flow.
HEALTHCAREfirst’s RCM, coding and clinical documentation review services are now integrated with MatrixCare, expanding our suite of solutions and services for home health and hospice providers.
As the healthcare landscape evolves, optimizing financial processes becomes increasingly critical. Our revenue cycle management (RCM) services are designed to streamline and enhance revenue cycles for home health and hospice agencies, helping to ensure financial sustainability and operational efficiency.
We understand that your number one priority is quality patient care. Coding, healthcare billing, OASIS — all are crucial to managing your agency, but fulfilling these operational and administrative obligations can be all-consuming and cost you precious time with your patients.
Our goal is to streamline your RCM processes and remove any obstacles so your agency can focus on where you are needed most — patient care.
Our home health and hospice RCM solutions include:
With the ever-changing regulatory environment and soaring popularity of Medicare Advantage plans, billing is increasingly complicated. Our mission is to alleviate billing headaches and collect what you are owed for the services you provide.
Our home health billing experts have the knowledge, training, and experience to process claims accurately and quickly. The result is fewer billing errors, faster turnaround time, and improved cash flow.
Inaccurate coding can slow reimbursement, drain administrative resources, and result in lost revenue. Without specialized expertise and a solid foundation to support the coding process, you could be increasing your agency’s exposure to risk.
No matter what EHR you use, our team of certified experts are dedicated to your success and our well-tested, proven processes are geared to promote optimal cash flow — allowing your agency and your team to thrive.
As clinical documentation (OASIS and 485/POC) responsibilities become more complex, our certified experts have the knowledge and experience necessary to help you overcome documentation challenges and set your agency on a course for success.
If you don’t have a solid process in place, we can help you reduce your agency’s risk of errors and maximize reimbursement through precise, patient-specific and error-free documentation.
An often labor intensive and lengthy process, most agencies don’t have the time or dedicated staff to take on AR recovery. Outsourcing to our team allows your agency to focus on day-to-day operations and quality clinical care, while we handle problem payors.
We review and resubmit all unpaid claims, notify your agency of any clinical documentation and/or coding errors and fix them for resubmission. We also provide tracking of our progress and appeals status — giving you a real-time view of our work on your bottom line.
MatrixCare’s comprehensive Quality Assurance and Performance Improvement (QAPI) program can help agencies enhance performance and improve compliance through actionable insights into critical areas like infection control and adverse event management. By performing an assessment, creating an action plan, implementing the plan, monitoring progress, and refining outcomes, our program can help your agency address existing challenges while successfully improving patient outcomes and safety.
Whether you’re a home health or hospice agency, we work with you to help revolutionize your agency’s approach to quality assurance and performance improvement.
Key benefits of outsourced RCM:
- Accelerated reimbursement and maximized cash flow
- Reduced risk of denials and reduction in write-offs
- Consistent billing and coding output with dedicated, trained and certified staff
- Reduction in write-offs
- Expertise in handling problem payors, regulatory updates and Medicare Advantage plans
- Seamless transition for your preferred EHR platform
Mastering RCM: Myths, metrics, and expert support
Ready to bust some myths?
Navigating billing for home health and hospice can feel like a constant race to keep up with evolving requirements, but partnering with outsourced RCM experts can help—learn the truth about the benefits.
Get expert RCM support, step-by-step.
Your RCM process plays a key role in growing your business—but it often takes time and requires hard-to-find expertise. See how the right expert support can help streamline operations and improve profitability.
The 5 KPIs you should be tracking.
Measuring your RCM success doesn’t have to be overwhelming. By tracking key performance indicators (KPIs), home health and hospice agencies can gain insights into your RCM’s effectiveness with these key performance indicators (KPI).
Through decades of industry experience with superior customer service, expert guidance and actionable insights, we work hand-in-hand with our agency partners to understand their needs and deliver customized solutions for their success.
Our customers thrive through superior patient care, better efficiency, improved compliance, and optimized revenue cycle management. That’s why thousands of home health and hospice providers trust us every day to get their work done and stay ahead of the competition.
Focus on delivering exceptional patient care while we manage the financial intricacies, helping to ensure your agency’s long-term success in the evolving healthcare landscape.
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