Referring to Home Health

How to refer to home health and the benefits for both patient and referring physician.

New Home Care Solutions for Problem Patients

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Home Health Care

Home health nurses identify individual needs, coordinate available resources and set up a plan that will allow many elderly patients to stay in their homes safer and longer.

Physicians see it all the time: High-needs elderly patients who don’t qualify for skilled care, but who have complex conditions that may compromise their health and safety at home. These patients often have one or more caregivers, but their basic medical needs still go unmet. The solution? Management and Evaluation (M&E) services offered under the home health care benefit. Read more


Hospitals with Best Practices Discharge to Home Care

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Q: What percentage of Medicare hospital patients are referred to home care?

 

What percentage of Medicare hospital patients are referred to home care?

Question & Answer:  What percentage of Medicare hospital patients are referred to home care?

Historical referral patterns and availability of alternative sites are two factors that affect this percentage on a case-by-case basis.

Hospitals with sub-acute or rehab units, for example, may have a bias in their discharge process to keep beds in those units full. A review of individual hospitals and markets shows at least a 50 percent swing in either direction from the national statistic. That’s why hospital management shouldn’t be concerned with national or market averages, but rather with best practices.

A study performed by Healthcare Market Resources on hospital claims data showed that hospitals with best practices discharged more than 100 percent of the national average to home care for the top 25 DRGs. By getting more patients into a supervised setting, such as home care, these hospitals are successfully reducing their risk of Medicare patient readmission.

Copyright © 2010 Healthcare Market Resources

 


Understanding Care Plan Oversight Reimbursement

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Care Plan Oversight

CPO reimbursement covers a physician’s involvement in: (1) Initial certification (2) Any recertifications, and (3) Care plan supervision.

You oversee the care plan of countless home health patients and those numbers are rapidly growing. Shouldn’t you get paid for the services you already provide? It’s not as complicated or time-consuming as you may think. These quick and easy tips will ensure an increase in your revenue.

Care Plan Oversight (CPO) is a way for Medicare to reimburse physicians for their role in managing the care of the home health patient. CPO reimbursement covers a physician’s involvement in: (1) Initial certification (2) Any recertifications, and (3) Care plan supervision.

Many physicians are missing out on extra revenue for their practice because they aren’t tracking and billing for CPO reimbursement. Read more