Medicare Home Health Training is a comprehensive program that can cover a wide range of topics related to the efficient and effective management of home health services. Here are some of the areas that may be covered in the training:
Explaining the PDGM Platform and expectations for the billing department: Understanding the Patient-Driven Groupings Model (PDGM) is critical to managing home health services effectively. In this part of the training, participants may learn about the PDGM platform, how it works, and the expectations for the billing department in terms of submitting claims and ensuring timely payments.
Assist with NOA Transmissions and Timeline: Notice of Admission (NOA) is a critical step in the home health service process. Participants may learn about the NOA transmission process, the timeline for submission, and the potential consequences of not submitting it in a timely manner.
Walk through the process of correcting claims in a Denial, Rejection and or RTP status: In the event of a claim denial, rejection, or Return to Provider (RTP), participants may learn about the corrective process. This may involve identifying the reasons for the denial, rejection, or RTP, correcting the claim, and resubmitting it.
Work Accounts Receivable Aging reports: Managing accounts receivable is a critical aspect of home health service management. Participants may learn about accounts receivable aging reports, how to read them, and how to take corrective action based on the information they contain.
Verify Eligibility and understanding of which Insurance is Primary: Verifying eligibility and understanding which insurance is primary is essential for accurate billing and timely payment. In this part of the training, participants may learn about the eligibility verification process and how to determine which insurance is primary.
Assist with Medicare Secondary Payer (MSP) claims: Medicare Secondary Payer (MSP) claims can be complex and require special attention. Participants may learn about the MSP process, the documentation required, and how to submit claims accurately.
Explain the processes of Billing from your software to a Clearinghouse: Billing software is a critical tool for managing home health services. Participants may learn about the billing process, how to use billing software, and how to submit claims to a clearinghouse for processing.
Help with Login and access to the Medicare FISS or DDE: Medicare Fiscal Intermediary Standard System (FISS) and Direct Data Entry (DDE) are essential tools for managing home health services. Participants may learn about how to log in to these systems and how to use them effectively.
Overview of Medicare’s Payment process and 835 file: The payment process is critical to the financial health of a home health service provider. Participants may learn about the payment process, how to read a 835 file, and how to take corrective action based on the information it contains.
Overall, Medicare Home Health Training can provide participants with a comprehensive understanding of the various aspects of managing home health services, from billing and claims submission to payment and eligibility verification.