Handling Denials and Appeals | 2023 End of Year Series: Practical Tips and Inspirational Insights for a Powerful Year-End

November 28, 2023 00:12:23
Handling Denials and Appeals | 2023 End of Year Series: Practical Tips and Inspirational Insights for a Powerful Year-End
Home Health Revealed (+Palliative and Hospice)
Handling Denials and Appeals | 2023 End of Year Series: Practical Tips and Inspirational Insights for a Powerful Year-End

Nov 28 2023 | 00:12:23

/

Show Notes

Michael and Hannah guide us through a crucial aspect of home health or hospice agency management: the billing and collections process. As the year wraps up, they emphasize the importance of a detailed breakdown, focusing specifically on handling denials and appeals.

Effective management of denials and appeals is essential for financial stability and maintaining quality care standards. Understanding the reasons behind each denial is the first step, achieved through meticulous review of payer feedback to identify patterns and systemic issues hindering reimbursement.

Hannah highlights the significance of comprehensive documentation for successful appeals. Ensuring accuracy, completeness, and alignment with payer requirements is crucial. Regular training sessions to keep staff updated on regulation changes foster a culture of compliance, reducing the likelihood of errors.

The establishment of clear internal processes as a daily compass, defining roles, setting timelines, and establishing communication channels. Monitoring denial trends enables identification of root causes and implementation of corrective actions, fortifying the agency against financial risks.

Often overlooked is the aspect of communication with payers, a crucial element in denial management. They stress the strategic use of technology not only to react to denials but proactively shape a resilient reimbursement process.

Hannah concludes by underlining the significance of proactive denial and appeal management, urging listeners not to put it off.

Don't miss the next episode: a discussion on KPIs, reporting, and analytic tools within RCM (Revenue Cycle Management). Join them for insights into shaping a sustainable future for home health agencies.

Other Episodes

Episode

May 18, 2023 00:41:23
Episode Cover

Quality Vs. Compliance | How to get the results you want!

Michael Greenlee and Hannah Vale are joined by Shirley Gamble. She is a Division Director at BAYADA Home Health, which offers Skilled Nursing, Home...

Listen

Episode

October 28, 2024 00:10:19
Episode Cover

Turning Patients into Marketers and Addressing the Staffing Shortage with Tia Keller

Get ready to hear from Tia Keller of Home Health Care 2000 in Louisiana, during her attendance at the National Association for Home Care...

Listen

Episode

July 07, 2025 00:40:00
Episode Cover

Real Heroes of Home Care with The Davis Brothers of Patriot at Home

Join Michael Greenlee and Hannah Vale in this special Heroes of HomeCare episode of Home Health Revealed, featuring Greg Davis and Sean Davis from...

Listen