Are you struggling with home health billing services?  

Well, you are not alone. Providers across the country are suffering with the revenue cycle management due to frequent changes in the billing and coding regulations.  

From order management to insurance claim denials, the complexities of home health billing and coding can be overwhelming. This can result in errors, claim denials, and of course staff burnout due to the administrative burden.  

But don’t worry! We got you covered.  

Before you come up with a solution, you must identify the major gridlocks in home health billing services that are prohibiting your revenue generation.  

Key Home Health Billing Challenges  

The home health space is already struggling with consistent skill shortages and stratospheric labor wages. Furthermore, the complexities within the billing process increase the difficulties for the providers.

Here are some key challenges in home health billing services.

Orders management: Patient intake and order management can be overwhelming due to high patient volume and workload. Delays in order intake and management can hamper your practice’s cash flow and revenue generation.

Claim denials: Claim denials are nothing new in the healthcare industry, and in the case of home healthcare, missing information or a minor mistake in documentation results in claim denials.  

Furthermore, it has been identified that most of the home health practices lack a proper denial management system and follow-up system. As a result, you are leaving a huge amount of your revenue on the table.  

Authorization management: Insurance eligibility verification and prior authorization of the services is essential to obtain accurate reimbursements. However, a lack of proper authorization management systems is a major concern for home health providers.

Complex coding: The home health billing services demand accurate coding for correct and timely reimbursements. A missing code, inaccurate diagnosis codes, CPT codes, upcoding, and under-coding all these mistakes can lead you to claim denials and revenue loss.

We have discussed some possible strategies that can prevent these issues and help you elevate your home health billing services.  

Let’s dig in!  

Strategies to Improve Home Health Billing Revenue

Documentation accuracy: Billing for home health services is tough due to detailed documentation requirements. You must ensure that the patient information is comprehensive along with the presence of medical history, current diagnosis, services provided, and medical necessity of the services.

Coding precision: Coding precision is a must when it comes to seamless billing processes. Make sure no codes are missing and there is no incidence of under-coding or over-coding. One of the notable consequences of broken billing services is an increased likelihood of claim denials, resulting in delayed reimbursements and heightened administrative burden for you and your staff.

Internal audits: Implementing internal audits within your home health revenue cycle management can help you in several ways. You can identify the loopholes within the processes and implement effective strategies in the targeted areas.

Also, through regular audits, you can identify the need for training and education of your employees and analyze the financial performance of your practice simultaneously.  

You can implement these strategies to enhance your home health billing services. Also, you can invest in the latest billing software and other technologies that will reduce errors within the billing and coding process.  

However, the change management within the organization is time-consuming and eats up your revenue at the same time.  

On the other hand, maintaining an in-house billing and coding team requires your time, money, and other resources, which ultimately increases the overhead costs.  

A better solution is partnering with an expert.  

Take Help from an Outsourced Partner

  As the home health billing and coding processes are complex and of course, being a provider, you are not equipped with the specialized skill set and knowledge of revenue cycle management.  

A better solution is to have an outsourced team of revenue cycle management professionals.  

A genuine RCM organization like Sunknowledge Services Inc. has been providing solutions to both the payors and providers for more than a decade with great versatility and references.  

While hiring, training, and sustaining an in-house team is costly, Sunknowledge experts work as an extension of your practice’s operations at a fraction of that cost.  

The real-time and dedicated employees and consistent communication among the stakeholders make them the true next-door RCM company.  

To boost the practice’s efficiency, and productivity, and unlock the potential of your home health billing services connect with Sunknowledge experts today over a non-commitment call.