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Relias is committed to helping your organization get better through training, performance, and talent solutions that address your specific areas of focus. The Health Home program is a partnership between HCA, the Centers for Medicare and Medicaid Services and the Department of Social and Health Services .
Patient responsibility and copay must be confirmed and discussed at intake. In some cases, deductibles and out-of-pocket amounts will be due from the patient. Keep in mind that your impressive reputation requires sustained awareness.
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It is important that patients released from your agency’s care are positioned to avoid hospital admissions for potentially preventable conditions within the first 30 days of release. A competent, confident team will give consistent attention to high-quality care. They’ll make good decisions and score good outcomes for your home health agency. It’s clear that home-based care is experiencing a growth phase.
Regular outreach to those contacts keeps your home care agency front and center. Many home care agencies in your service area will be listed with the insurance companies. If you're smart, you can make sure that your agency gets more direct referrals. Each home care business is different and needs to find the referral sources that work best for them. Terrey Hatcher has worked in professional development and curriculum design organizations for more than 20 years. Besides her current focus on healthcare solutions, her experience includes sharing best practices in education, IT, and international business.
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When you do have a great track record, you will want to find ways to capitalize on your successes and expand your client base. All the work you’ve done to raise your scores will set you up to be an attractive referral option for hospitals, health systems, skilled nursing facilities, and other referral sources. What you can control, however, is your team’s training and attention to the process and outcome measures for home health.
Agencies that pay staff for mileage might consider how far staff will be driving to see a patient and how that figures into the per-visit cost. Patients in rural or outlying service areas may end up costing a lot. Every 3-4 months, send them a referral card that offers them a service discount when they refer friends to your agency.
Referral source #14: Social workers
Patients who require home health nursing care for complex conditions will generate higher reimbursement. But they require strong clinicians to manage care quality, visit frequencies, and supply costs successfully. With Medicare, they must know the admission source and timing for beneficiaries. If there were a recent inpatient facility discharge, it affects the claim.
For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services . Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Once again, training and experience will better-ensure success for your team, as well as your clients. Your team must educate patients and family caregivers with clear instructions on medications and ways for patients to become more independent in their own activities. Staff training will ensure your staff is observant, can identify risks, and will promptly communicate problems to the patient’s physician. If the referral source is a managed-care or Medicare Advantage plan, the home health agency must verify eligibility through a prior authorization process.
They send referrals to preferred home care agency partners, and the services are funded through the Veterans Administration. Join local, state, and national organizations and pursue accreditations to demonstrate your agency's commitment to providing quality care. Then, promote your accomplishments in the local media to build your reputation in the community. In this guide, we’ll highlight the best available referral sources for your home care agency to explore and help you build your referral program.
The end result will benefit the patient, the agency, and the referring source. Agencies want to provide care to those who need it and grow the business in the process. But being strategic with the intake process could be a more effective use of resources. Ensuring the referral wants services, has the needed supplies and payor and can be adequately staffed will help agencies start on the right foot with new patients and referral sources. The health care staffing crisis has destabilized home-based care providers both clinically and financially, sparking a search for innovative ways to improve recruitment and retention.
Residential care homes are an alternative to traditional assisted living facilities that care for elderly or disabled individuals. Most of them provide standard caregiver services but not medical care or treatment. Keep in mind that your referral sources for home health are actively looking at your quality ratings.
The admission criteria should state the types of referrals that are not appropriate for service and how these referrals will be handled. As part of the overall management of the agency, administrators must also be aware of seasonal trends and how they may affect staffing and total budget. A positive relationship between the staff of the home health agency and the referral source is one way to generate needed referrals.
Having a clinician look at the referral is a great way to identify potential red flags. Plus, you can follow up with all the contacts you meet and build a stronger business relationship. Over time, social media will influence home health consumers more and more.
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