Three Key Ways Software Improves RCM for Home Care Agencies

Revenue Cycle Management (RCM) is the backbone of fiscal health and operational efficiency for home health care agencies. A significant challenge for efficient RCM and accounting management is the complex billing and payroll process. Given its intricacy and potential for human error, this process has historically been challenging and time-consuming. However, thanks to advanced home care software, organizations can enhance their billing and payroll procedures, reduce errors, ensure compliance, and bolster overall operational efficiency.

Here are three ways your home care agency can harness software to refine Revenue Cycle Management and billing processes:

1. Streamline Electronic Visit Verification (EVV) for Enhanced Billing Accuracy

EVV plays a crucial role in enhancing billing accuracy and reducing fraudulent activities. Home care software with integrated EVV capabilities can precisely track and confirm the start and end times of visits, gather service details, capture GPS location data, and instantly generate billing records. This precision minimizes billing discrepancies, such as missed or inaccurate charges.

With mobile app documentation, you can automatically capture EVV during every visit. This real-time data capture eliminates the need for manual EVV entry, reducing administrative burdens on nursing staff and minimizing RCM errors.

2. Automate Billing for Faster Invoicing

Manual invoice generation and submission can be error-prone and time-consuming, negatively impacting your RCM. Home care software with automated billing features offers a solution. These systems facilitate quick bill creation, timely invoice delivery to clients or payers, enable streamlined payment plan arrangements, and keep track of unpaid invoices and overpayments.

While some agencies juggle separate software for charting and billing, a unified system brings everything together seamlessly. Automated claims creation and accounts receivable tracking free up time, enabling billing teams to focus on collections rather than data entry.

3. Optimize Tracking for Employee Hours & Authorizations

Efficiently tracking employee hours and authorizations is often a challenge for home care agencies. Traditional methods like spreadsheets can be error-filled and inefficient, resulting in overburdened field staff and claim denials. Home care software with integrated time and authorization tracking simplifies scheduling, enhances payroll management, and ensures every service provided is compensated.

The ideal software will auto-verify visits aligning with your criteria and collaborate with payroll providers like ADP or Paychex to generate accurate paychecks, with overtime, holidays, and other variables already factored in. Timely alerts regarding authorization blocks ensure services aren't rendered without due compensation. Real-time alerts on exceeding authorization limits and subsequent alerts during claim creation ensure efficient operations and protect revenue streams.

Elevate Your RCM: Discover the Cubhub Advantage

Given that the heart of a home health care agency is delivering exceptional patient care, prioritizing effective RCM tools — which drive down costs, boost revenue, and elevate financial performance — is indisputably essential.

With Cubhub's all-inclusive pediatric home healthcare software, agencies are enhancing their Revenue Cycle Management (RCM), embracing modern practices, and securing an edge in efficiency, accuracy, and patient satisfaction – all vital components for a more profitable and sustainable business model.