Influence of Coding on Revenue Cycle Management and Reimbursement
Summary
Home healthcare organizations did not meet reimbursement projections in 2020 under the Patient-Driven Groupings Model (PDGM) and now must consider the major impact that coding has on billing. Coding also affects whether a claim will be accepted or rejected by the Centers for Medicare and Medicaid Services (CMS). Accurate coding not only ensures that home health organizations receive enough reimbursement to make ends meet and earn a profit, but it also secures a greater chance of success in terms of billing. A robust home health software can help coders and billers improve the experience by automatically identifying incorrect codes and expediating the submission process with a direct link to CMS’ Direct Data Entry (DDE) website. Axxess Home Health is a cloud-based home health software that connects with Axxess Revenue Cycle Management, a robust financial solution that submits claims automatically in real time, enabling organizations to get paid faster.
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