In today’s environment of reduced reimbursements, rising care costs, and ever-changing regulatory demands, getting all the reimbursement money available seems like a no brainer. However, many Medicaid home care agencies often unknowingly shortchange themselves, and their clients, by allowing authorized hours to expire unused. This means that care they could have administered to clients, and billed to Medicaid, is not being provided.
Although each state’s Medicaid system is unique, the process typically authorizes a specific number of hours of service a client can receive for a particular care need. Once authorization is given, it is up to the home care agency to manage and schedule the care. Too often, home care providers are not leveraging all they have been approved to do and leave authorized hours unused. Opportunities to provide additional care fall through the cracks and reimbursement unnecessarily diminishes.
Worse than what it means for the agency is how it translates to patient care. Each client should be given the opportunity to utilize all the services he or she has been approved to receive in order to achieve the best care outcomes. No agency wants an oversight on their part to negatively affect patient care, the individual’s potential for improvement, nor family satisfaction surrounding the care of a loved one. Your clients and their family members trust that you are doing everything in your power to provide excellence in care.
This is where Arrow Solutions can help. Arrow’s client management system, a component of our comprehensive agency management system, helps to eliminate expired authorized hours and reimbursements. The system monitors authorized hour usage and alerts you to future expiration deadlines for more efficient case management. No longer do you have to maintain labor-intensive manual scheduling records and work logs. Instead, the Arrow system dashboard alerts you to when a client’s benefits are expiring and allows you to schedule a care appointment well before the expiration date.
The implementation of a home care agency management system that includes client scheduling is about so much more than cost savings. Using a system like Arrow truly does improve how you care for your clients and the comprehensive services you provide.
Contact us today to talk with us about making sure your clients are receiving the care and attention they deserve and your agency is recouping all the reimbursement for which it is entitled.