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Synergy Consulting provides Home Health Billing Services

We assist Administration by providing a global picture on billing activities with our monthly management reports.

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Revenue Cycle Management

Final Rule Home Health 2021

There are several important changes

Click Link to see full story New Rule

  • RAPS will not be paid in 2021 for any New or Previously Approved Provider.  Finals will be reimbursed at 100% of the episode.
  • RAPS will need to be submitted within 5 days of admission.  CMS will follow NOA as in Hospice.
  • Agencies will suffer penalties of 1/30th of the 30 day episode for every day late after 5 days.
  • Stop using in house Billers and move to Outsourcing your Billing/Collections dept. which are knowledgeable and continue to stay updated with new rules and trends.
  • Payments will increase somewhat to 1.9%

Proposed New Home Health Rule 2020

The proposed rule can be downloaded from the Federal Register at: New Rule

PDGM- Patient Driven Groupings Model is the new revamped method of reimbursement for Medicare.

Many Changes are being proposed but at this time it’s not yet Final.

Trump Administration Announces Steps to Strengthen Medicare with New Home Infusion Therapy Benefit and New Regulations that Put Patients Over Paperwork

CMS proposed significant changes to the Home Health Prospective Payment System (Home Health PPS) that keep the unique needs of patients first, with proposals to implement a new home infusion benefit for beneficiaries, increasing home-based care. This proposed rule also includes updates to payments for home health agencies that would increase Medicare payments to home health agencies (HHAs) by 1.3 percent ($250 million), as well as proposals to protect taxpayer dollars against fraud and abuse.

Infusion Benefit

Stay on top of your Home Health Billing Rules
CMS FINAL RULE for Conditions of Participation (CoP’s) Effective July 13, 2017