Do you remember playing the childhood game of “telephone”? In the game, the first person whispers a specific message to the second person, and down the line the message goes, until it reaches the last person in the line. When the last person says the message out loud, it is usually a totally different message from the original one!
In the home care world, billing can feel a lot like the telephone game. Each payer has its own message about how billing should be handled and what rules apply. The number of unique insurers and payers alone makes the billing process highly complex, and then add in the ever-changing messages, and it makes reimbursement a complicated and often lengthy process. Where the confusion and chaos of the telephone game can be entertaining, the complexity of home care billing is the opposite of entertaining for agencies trying to collect reimbursement efficiently and effectively.
If you are like most home care agencies, you work with clients utilizing a wide variety of reimbursement vehicles, including Medicaid, waivers, veteran assistance programs, area agencies on aging, worker’s compensation, insurance companies, and private pay arrangements. Each client type has its own billing qualifications and set of rules that must be adhered to in order for your agency to get paid. Maintaining an understanding of each payer system on your own is both time consuming and labor intensive. An automated system does much of this work for you, leaving you with more time to focus on achieving excellence in your core business practices.
An automated billing system allows you the flexibility to set up multiple invoice formats to match different payer requirements, as well as divide client bills between multiple payers. Electronic systems reduce billing errors, causing resubmission requests to decrease, and hence increasing your probability of overall reimbursement. The Arrow Billing and Payroll System also allows you to customize invoices, track accounts receivables, and interface with payroll and other financial applications. Tasks that previously took hours to achieve can now be finished within minutes, allowing staff to accomplish more, in less time, which frees you up to better serve existing customers and acquire new business.
Additionally, Arrow’s Eligibility Verification System helps solve an all too common problem for agencies in New York and other states with similar Medicaid verification issues, so that even when a client switches insurance companies, the home care agency will always know whom to bill. With our system, the Arrow team can initiate an inquiry for eligibility for patients via a member identification number, interpret the response that comes back from the payer, and alert your agency when a change occurs so you know you’re billing based on current, accurate information each time.
In the highly competitive home care landscape, you can no longer afford to manually keep up with the numerous changes that impact billing on a daily basis. Let’s face it, agencies still trying to manage billing manually are playing a losing game. If your organization is spending time on tedious manual processes, consider moving to a comprehensive home care management software system like Arrow Solutions. Contact us and request a demo to see how our system can change your game for the better.
Searching for more home care billing and payroll solutions? Check out all our blogs on the topic and learn how to streamline your agency’s processes for greater efficiency.