Home Health Revealed (+Palliative and Hospice)

In this episode of the Home Health Reveal podcast, we dive deep into the often-overlooked yet crucial topic of cash posting in home health agencies. Join hosts Michael and Hannah as they welcome Alex from HealthRev Partners to discuss:

- The significance of timely cash posting and its impact on financial health
- Common challenges agencies face with cash posting and how to overcome them
- Best practices for maintaining accurate accounts receivable (AR)
- The importance of electronic payment setups and EMR optimization
- Strategies for effective month-end closing and communication with clients

Also in this episode are two NEW segments: Debate Corner and CMS News Updates-

This episode's debate: Is it time to get ride of the penny? Our smallest currency? 

Whether you're a home health agency owner, a billing specialist, or simply interested in improving your financial processes, this episode is packed with actionable insights and tips. Plus, don’t miss the downloadable tip sheet at the end to assess and enhance your cash posting practices!

Subscribe for more valuable content on home health, hospice, and palliative care!

In this episode, we dive deep into the world of GG Items, essential components of the Oasis assessment process. Join us as Kelly Kavanaugh shares valuable insights tailored for clinicians, QA reviewers, and educators involved in Oasis.

We'll explore:

- New Developments for 2025: Discover the significant changes coming to GG Items, including the removal of the GG 130 and 170 discharge prediction columns, and what that means for your assessments.

- Functional Scoring Challenges: Understand the complexities of scoring and the importance of accurate documentation to ensure proper patient assessment.

- Tips and Tricks: Gain practical advice on how to effectively score GG Items and utilize caregiver input for more accurate assessments.

Read about the changes from G to GG Items in our Blog. 

Whether you're a seasoned professional or new to the field, this episode provides essential knowledge to navigate the evolving landscape of GG Items. Tune in for a comprehensive understanding that will enhance your practice and improve patient outcomes!

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Additional Resources: https://healthrevpartners.com/resource-center/

Home Health Revealed is brought to you by Velocity, HealthRev Partners' RCM tech platform. 

Join us for an exciting episode of the Home Health Reveal Podcast as hosts Michael Greenlee and Hannah Vale dive into the thrilling world of home health audits and surveys!

In this episode, we share personal anecdotes from a recent trip to Cedar Point, where Mike and Hannah faced exhilarating rides and unexpected challenges, including a unique encounter with pesky gnats at 92 miles per hour!

But that’s not all! We’re thrilled to welcome our special guest, Annette Lee, a seasoned registered nurse and founder of Provider Insights Inc. With her extensive experience in home health and hospice, Annette sheds light on the complexities of audits, offering valuable insights on how agencies can prepare and navigate the intricate world of Medicare regulations.

Tune in as we discuss:

- The impact of audits on home health agencies
- Tips for preparing for potential audits
- The importance of documentation and compliance

Whether you’re in the home health industry or just curious about the behind-the-scenes of healthcare, this episode is packed with information and entertainment. Don’t miss it!

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Brought to you by HealthRev Partners

Discover how AI is revolutionizing home health and hospice care in this insightful episode of the Home Health Reveal Podcast. Host Mike Greenlee and co-host Hannah Vale welcome Jamie Kuelker, RN, BSN, MBA, a Senior Clinical Technology Advocate at nVoq. With over a decade of healthcare experience, Jamie shares her expertise on:

• Promising areas where AI enhances patient care and operational efficiency
• Effectively communicating AI implementation to staff
• Maintaining a human-centered approach in AI-assisted care
• Addressing concerns about job security and technology adoption
• The importance of HIPAA compliance and data security in healthcare AI

Learn how speech recognition and AI can improve documentation, reduce clinician burnout, and ultimately lead to better patient outcomes. Whether you're a healthcare professional or simply interested in the future of home health, this episode offers valuable insights into the appropriate utilization of AI in healthcare settings.

#HomeHealth #Hospice #HealthcareAI #NursingTechnology #PatientCare

Home Health Revealed is brought to you by HealthRev Partners

Dive into the world of healthcare consulting with hosts Michael Greenlee and Hannah Vale as they welcome expert guest Jay Hill to discuss the critical differences between traditional consulting and result-driven approaches. This episode of Home Health Reveal tackles the common pitfalls agencies face when hiring consultants and offers invaluable insights on how to ensure you're getting real solutions, not just pamphlets.

Key topics include:
- The importance of implementation in consulting
- How to ask the right questions when hiring consultants
- The "resulting vs. consulting" philosophy
- Tailoring solutions for unique agency needs
- Integrating RCM analytics for a 360-degree view of organizational health

Learn how to avoid "mystification" in consulting and discover strategies for achieving predictable revenue in your healthcare agency. Whether you're considering hiring a consultant or looking to improve your agency's operations, this episode provides actionable advice from industry experts.

Don't miss out on this enlightening discussion that could save your agency time, money, and frustration. 

Home Health Revealed is brought to you by HealthRev Partners. 

In this episode, hosts Michael Greenlee and Hannah Vale break down the CY 2025 Home Health Prospective Payment System Proposed Rule and its implications for revenue cycle management. Learn about the projected 1.7% decrease in Medicare spending, changes to the Patient-Driven Groupings Model (PDGM), and proposed adjustments to case-mix weights and payment thresholds.

Discover strategies to optimize your agency's financial performance in light of these changes, including the importance of detailed, industry-specific budgeting. Whether you're a home health administrator, financial officer, or RCM professional, this provides essential insights to help you navigate home health reimbursement and prepare for 2025. #HomeHealth #RevenueManagement #HHProposedRule2025 #PDGM #MedicareReimbursement

In this episode, Katie Eisel, Payer Relations Director at OCHN and managed care consultant, shares her expertise on negotiating with payers as a home health agency. She discusses how to evaluate if a payer is a good fit, the importance of understanding reimbursement schedules and payment timelines, and key data points agencies should track like length of stay, denials, and appeals by payer. Katie also plays a game of "Truth or False" addressing common payer negotiation tactics. Her insights provide a roadmap for agencies to maximize reimbursements and build successful payer partnerships.

Evaluating Payer Fit

Data to Track

Negotiation Approach

Want to talk with Katie? [email protected] or at 419-466-1932

This episode is brought to you by HealthRev Partners

In this episode of the Home Health Reveal Podcast, we speak with Mark Salley, VP of Innovation and Rehab Solutions at Elara Caring, and Veera Anantha, Founder and CEO of Constant Therapy. They discuss their innovative partnership to bring AI-driven speech and cognitive therapy to Elara Caring's home health patients. Mark explains the challenges home health providers face in finding enough skilled clinicians, especially speech therapists, to meet patient needs. Veera then describes how Constant Therapy's platform personalizes evidence-based therapy exercises using AI based on each patient's performance and progress.

They share powerful patient stories illustrating how Constant Therapy empowers stroke survivors and others to take control of their recovery journey through more frequent, data-driven therapy tailored to their abilities. Mark and Veera also discuss their plans to bridge the continuity of care gap by extending this technology across acute, rehab, and home settings.

Tune in to learn more about this cutting-edge partnership improving access to quality rehabilitative care through the power of AI and digital health solutions.

This podcast is brought to you by HealthRev Partners.

In this episode, hosts Mike and Hannah discuss the importance of proper authorization and eligibility processes for home health agencies. They are joined by special guest Jamila Booker, an expert in E  & A, who provides valuable insights into navigating payer requirements, creating payer SOPs, and ensuring timely authorizations.

Key topics covered include:

- Determining if patients meet homebound criteria for home health eligibility
- Initiating authorizations within payer-specific timelines and visit limits
- Potential consequences of delayed or mismanaged authorizations
- Challenges and changes anticipated with home health authorizations

Jamila shares her expertise on streamlining authorization workflows, understanding payer nuances, and the crucial role of eligibility and authorization management for home health agencies. Don't miss this informative discussion packed with practical tips and industry knowledge.

Home Health Revealed is brought to you by HealthRev Partners

Medical Review Activity, Quality Improvement Programs, and OASIS Coding Accuracy Q & A with Decision Health and Ashley Benson, RN, COQS, CHHCM, HCS-D, LSSGB

In this episode, we have a Q&A session with Ashley Benson, an expert on medical review activity, quality improvement programs, and OASIS coding accuracy. Ashley provides valuable insights to help home health agencies navigate the complexities of these critical areas.

Some key takeaways:

- Strategies for responding accurately and timely to different types of medical review audits to mitigate denial risks. The top denial reasons include not submitting records on time, insufficient face-to-face documentation, and certification/plan of care issues.

- Best practices for developing an effective and compliant Quality Assessment and Performance Improvement (QAPI) program. This includes understanding regulatory requirements, collecting and analyzing relevant data, and focusing on health outcomes, patient safety, and quality of care.

- Importance of keeping clinicians up-to-date on OASIS coding changes, especially the new GG functional items that will impact Home Health Value-Based Purchasing payments starting in 2025.

Ashley will be speaking at the upcoming Home Health Quality Outcomes and Documentation Conference hosted by Decision Health on September 16th. Use the promo code QUALITY75 for a $75 discount when registering at decisionhealth.com/QOD2024.