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.

Kwema, a clinician safety technology company, was founded by Ali Jabry to address the growing issue of workplace violence against healthcare workers. Jabry, the CEO of Kwema, discusses the importance of developing innovative solutions to protect home health clinicians. 

Kwema's technology aims to enhance the safety and security of healthcare environments by providing clinicians with discreet, wearable devices that can alert security personnel or colleagues in the event of an emergency. This technology is particularly crucial given the alarming rise in incidents of workplace violence against healthcare workers, which has become an increasingly pressing concern in the industry.

By leveraging advanced technology and a deep understanding of the challenges faced by clinicians, Kwema is working to create a safer and more secure work environment for those who dedicate their lives to caring for others. The company's innovative approach to clinician safety has the potential to make a significant impact on the healthcare industry and the well-being of its workforce.

Home Health Revealed is brought to you by HealthRev Partners. Grow your mission with a high powered revenue cycle management partner. 

Developing trust with patients and staff is crucial in the home health and hospice industry, especially during times of change. Kelci Stafford, an Area Director for BAYADA Home Healthcare, shares her insights on building trust in this podcast.

Kelci emphasizes the importance of transparent communication, empathy, and leading by example to foster trust with both patients and staff. She highlights the need to address concerns proactively, be accessible, and demonstrate a genuine commitment to the well-being of the team. 

Additionally, Kelci reveals the three characteristics she looks for when hiring staff at any level to ensure they are trustworthy and able to build trust with patients. 

Ultimately, Kelci's insights underscore the critical role of trust in the home health and hospice industry, where the well-being of patients and the dedication of staff are paramount. By prioritizing transparent communication, empathy, and employee development, leaders can navigate times of change and maintain the trust that is essential for delivering exceptional care. 

Home Health Revealed is brought to you by HealthRev Partners