The home care industry has had to learn to be flexible in the past decade due to constant changes in regulations, requirements, and recommendations. While the world around us has evolved, there is still one frustrating system that has remained largely unchanged: manual or outdated billing processes. If your agency isn’t already utilizing billing automation, you are operating in the midst of a manual billing crisis.
Why is manual billing no longer a feasible and sustainable model? Because manual billing no longer meets the needs of home care agencies, reimbursement providers, and caregivers. Here are just a few reasons why manual billing isn’t working effectively anymore.
Billing paperwork can be tricky and there are plenty of ways for even the most experienced team member to make a mistake. Identifying and correcting pre-billing issues can be overwhelming for a manual billing team, resulting in things falling through the cracks and subsequent claim delays and denials.
The solution? Automation. Find a platform that automatically checks every contract, authorization and patient visit for pre-billing issues. Your platform should automatically flag any concerns to a centralized dashboard for easy-viewing by staff members, resulting in hours of saved time. Visits issues are then quickly and easily resolved before a claim heads to the reimbursement party.
It Simply Takes Too Long
Manual billing is simply not efficient, meaning your valuable team is spending too much time unnecessarily completing paperwork and chasing supporting documentation when they could be focused on other tasks that increase your bottom line.
The solution? Automation. Find a platform that compiles documentation from caregivers right at the point of service, making reimbursement claims a snap to complete automatically.
Too Much Potential for Lost Revenue
Manual billing often means losing revenue for non-billable visits due to caregiver compliance issues, outdated patient authorizations, or missing EVV data point reporting. By the time this information hits the desk of the billing coordinator, the visit has already been completed and it becomes a Herculean task to get reimbursed for services provided.
The solution? You guessed it - automation. Search for a platform that includes a caregiver app and staff dashboard so that the caregiver documents their required data points from the patient’s home. Agency staff are alerted to any discrepancies immediately and can take steps to remedy them - same day-remedying greatly reducing billing issues and claim denials.
Difficulty Keeping Track of Claims
Keeping track of claims manually, or through using multiple single-use software systems is a cumbersome and thankless job. It’s a lot for anyone to keep up with, even with the most comprehensive organizational system.
The solution? Automation. Find a program that makes organizing claims easy and that has the option to send notifications when a claim due date is approaching or to bookmark a claim in order to follow up on it later. If you house everything in one intelligent system, you’ll never lose track of a claim again.
The Truth About Manual Billing
Manual billing has been the status quo in home care agencies for decades, mostly because there’s simply been no innovation or advances in billing technology. However, your agency no longer has to be a part of the status quo thanks to billing automation services and platforms. Be sure to find one that works to meet your agency’s current and future challenges.
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