Tips on Home Healthcare Billing for Beginners

Posted by Willam Smith on May 10th, 2021

Errors and rejected claims in Home healthcare billing cost the industry billion last year. With administrative errors accounting for 86 % of all errors, there is a lot of work that needs to be done behind the scenes.

Here is a list of things to look out for and pay attention to so that you don't add to those alarming statistics in Home healthcare billing.

 

  • Close attention to the detail

It all boils down to one basic fact: claims that are not properly lodged are not charged. It is important that all claim criteria are met and that all codes are followed.

Errors in some places of Home healthcare billing are frequent and can quickly result in a claim being rejected and returned. There are some of them:

  • Patient Information That Is Incorrect
  • Name, date of birth, and insurance number
  • Address, name, and contact information for the provider are incorrect
  • Billing twice
  • Didn’t check to see if a service had been identified already
  • Documentation is lacking
  • A Claim has no EOB (Explanation of Benefits)

This is why it's crucial to double-check all minor information before submitting, as well as to follow up with a representative from the insurance firm that offers coverage to ensure there are no mistakes.

  • Involve All Parties

Enrolling with payers, which was once a time-consuming and complicated operation, has become much simpler. This is due to the Council for Affordable Quality Healthcare's (CAQH) creation of many programs.

Establishing a good relationship with a patient from the start can provide the best outcomes when it comes to the complete Home healthcare billing and future collections process. When it comes to their overage, it's no wonder that many people don't thoroughly check all of their financial obligations.

  • Technology is Your associate

The saying "technology makes life easier" holds a great deal of truth. It's a win-win situation if patients can make the process easier by using a patient portal. This encourages patients to take an active role and simplifies interactions. A patient portal can give patients access to the following resources:

  • Payment Activity and History
  • Medical documents
  • Insurance paperwork and post-operative instructions
  • Sending and receiving secure messages to and from a healthcare practice

Even though it takes some time to get this system up and running. However, once implemented, the benefits to Home healthcare billing process will outweigh the time spent.

  • Constantly Improving

A home healthcare billing provider must adapt to a field that is constantly changing and growing. If a practice wants to maintain its efficiency and output, it must place education and development at the top of its priority list.

Keeping track of unpaid accounts gives you more than just the information you need to know about what you owe. The information gathered allows you to assess the efficiency of your collection process.

Establishing a specific period of the year to observe at a time, such as quarterly, provides items to compare. When you compare the first quarter of one year to the same period the previous year, you have an A/B testing situation. As medical regulations are constantly changing, it is critical to stay informed. You may not only experience slower processing, but you may also encounter more returned claims that require editing.

Hence to conclude, in this current scenario, the world of healthcare is intricate and detailed. It's no different when it comes to the home healthcare billing. You can be assured of proper service and few to no denials by developing a system of principles and allocating adequate time to every claim.

Like it? Share it!


Willam Smith

About the Author

Willam Smith
Joined: August 15th, 2018
Articles Posted: 90

More by this author