Home Health Billing and Reimbursement
Contact Hours: 3
What's included?
Course Overview
Home health care enables qualified clients to receive skilled medical treatment in their homes, reducing healthcare costs. However, due to the increased number of clients receiving home health care, government regulations, and third-party payor restrictions, the billing and reimbursement process has become very convoluted and cumbersome for home health agencies (HHAs).
Home health care is a multi-billion-dollar industry that is growing exponentially not only due to the aging of America but also because private equity funds and large insurance companies are buying smaller, independent agencies and rolling them into larger, corporate home health agencies that demand higher profits.
Home health agencies are burdened with constantly training clinicians and billing professionals to help them keep abreast of changes in the industry that impact the HHAs’ bottom lines. Nurses need to understand the home health billing and reimbursement process to assist their HHA employers in maintaining financial stability, ensuring regulatory compliance, and delivering optimal care to clients.
Course Outline
- Introduction
- Initial Steps of the Home Health Care Billing Cycle
- Billing Codes Used in Home Health Care
- Next Steps in the Home Health Care Billing Cycle
- Medicare Home Health Care Services and Billing
- Medicaid Home Health Care Services and Billing
- CMS Alternative Payment Models
- Home Health Value-Based Purchasing Model
- PDGM Audits
- Home Health Agency Billing Challenges
- The Future of Home Health Care Billing
- Conclusion
Course Outcomes
- Describe the steps of the home health care billing cycle.
- List the most common billing codes used in the home healthcare industry.
- Compare Medicare and Medicaid home health services and billing information.
Accreditations and Approvals
- American Nurses Credentialing Center (ANCC) (P0614)
- California Board of Registered Nursing (CEP 17418)
- Kentucky Board of Nursing (7-0090)
- Louisiana State Board of Nursing (58)
- Florida Board of Nursing (50-23983)
- Delaware Board of Nursing (DE-24-010127)
- Alabama Board of Nursing (#ABNP1577)
- Iowa Board of Nursing (#393)
- Kansas Board of Nursing (LT0340-0325)
Approved by the Board of Nursing in every state, you can complete your RN, LVN, and APRN CEUs with confidence.
Accreditation Statement
Nursing CE Central LLC is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
It will take the average learner 180 minutes to complete and awards 3 contact hours of continuing education.
Written For
- Registered Nurses (RN)
- Advanced Practice Registered Nurses (APRN)
- Licensed Practical Nurses (LPN/LVN)
Requirements for Completion
- Enrollment in the course by the learner
- Read and learn all course materials
- Complete the course evaluation
- Attest and testify learning of the course materials
Disclosure of Relevant Financial Relationships
Nursing CE Central nor any of the authors, planners, content experts, or any contributors have any relevant financial relationships with ineligible companies to disclose.
