Financial process in healthcare from patient registration to final payment.
Credentialing with insurance networks is the verification of healthcare providers' qualifications to join and provide services within these networks.
Focus on Quality Care & Increase in Practice Collections and Revenue. Help to Decrease Administrative Burden.
Billing assessments and compliance ensure that healthcare billing practices adhere to legal and regulatory standards.
Starting a new medical practice requires securing financing, licensing, and a location, hiring staff, and ensuring compliance with healthcare regulations.
Ensures that our clients get paid faster by providing efficient Denial Management solutions to resolve.
Navigating the intricacies of home health agency billing is a formidable task for healthcare providers, entailing compliance challenges with dynamic federal and state regulations, especially within the frameworks of Medicare and Medicaid. Accurately documenting home health services becomes a labor-intensive endeavor, demanding meticulous documentation to ward off potential claim denials. The intricacies of specific coding systems for procedures, diagnoses, and visits, coupled with the coordination of multidisciplinary care teams, contribute to the complexities. Providers grapple with eligibility verification, authorization processes, and the frequent occurrence of claim denials or rejections, often rooted in coding errors or incomplete documentation. Tackling technology-related challenges requires the integration of efficient billing systems and electronic health records, coupled with addressing staff training needs. The industry also contends with delayed payments affecting cash flow, necessitating proactive measures like staff education, robust technology solutions, and potential outsourcing of billing services to professionals well-versed in home health agency billing intricacies. Our dedicated team at ORMBS stands ready to assist in enhancing the overall efficiency and collections of your practice.