Dive into the world of healthcare consulting with hosts Michael Greenlee and Hannah Vale as they welcome expert guest Jay Hill to discuss the critical differences between traditional consulting and result-driven approaches. This episode of Home Health Reveal tackles the common pitfalls agencies face when hiring consultants and offers invaluable insights on how to ensure you're getting real solutions, not just pamphlets. Key topics include: - The importance of implementation in consulting - How to ask the right questions when hiring consultants - The "resulting vs. consulting" philosophy - Tail ..read more

In this episode, hosts Michael Greenlee and Hannah Vale break down the CY 2025 Home Health Prospective Payment System Proposed Rule and its implications for revenue cycle management. Learn about the projected 1.7% decrease in Medicare spending, changes to the Patient-Driven Groupings Model (PDGM), and proposed adjustments to case-mix weights and payment thresholds. Discover strategies to optimize your agency's financial performance in light of these changes, including the importance of detailed, industry-specific budgeting. Whether you're a home health administrator, financial officer, or RCM ..read more

In this episode, Katie Eisel, Payer Relations Director at OCHN and managed care consultant, shares her expertise on negotiating with payers as a home health agency. She discusses how to evaluate if a payer is a good fit, the importance of understanding reimbursement schedules and payment timelines, and key data points agencies should track like length of stay, denials, and appeals by payer. Katie also plays a game of "Truth or False" addressing common payer negotiation tactics. Her insights provide a roadmap for agencies to maximize reimbursements and build successful payer partnerships.   ..read more

In this episode of the Home Health Reveal Podcast, we speak with Mark Salley, VP of Innovation and Rehab Solutions at Elara Caring, and Veera Anantha, Founder and CEO of Constant Therapy. They discuss their innovative partnership to bring AI-driven speech and cognitive therapy to Elara Caring's home health patients. Mark explains the challenges home health providers face in finding enough skilled clinicians, especially speech therapists, to meet patient needs. Veera then describes how Constant Therapy's platform personalizes evidence-based therapy exercises using AI based on each patient's per ..read more

  In this episode, hosts Mike and Hannah discuss the importance of proper authorization and eligibility processes for home health agencies. They are joined by special guest Jamila Booker, an expert in E  & A, who provides valuable insights into navigating payer requirements, creating payer SOPs, and ensuring timely authorizations. Key topics covered include: - Determining if patients meet homebound criteria for home health eligibility - Initiating authorizations within payer-specific timelines and visit limits - Potential consequences of delayed or mismanaged authorizations - Cha ..read more

Medical Review Activity, Quality Improvement Programs, and OASIS Coding Accuracy Q & A with Decision Health and Ashley Benson, RN, COQS, CHHCM, HCS-D, LSSGB In this episode, we have a Q&A session with Ashley Benson, an expert on medical review activity, quality improvement programs, and OASIS coding accuracy. Ashley provides valuable insights to help home health agencies navigate the complexities of these critical areas. Some key takeaways: - Strategies for responding accurately and timely to different types of medical review audits to mitigate denial risks. The top denial reasons incl ..read more

In this episode, Mike and Hannah sit down with Kristy Pyles, Founder and Principal of In Your Corner Consulting (IYC), to discuss the critical topic of Electronic Visit Verification (EVV).Kristy brings a wealth of experience to the conversation, having over two decades in law enforcement combating healthcare and pharmacy fraud. She then spearheaded initiatives against fraud, waste, and abuse, including designing and implementing Ohio's first CMS-certified EVV solution.   Kristy shares insights on: What exactly is EVV and why providers have to use it How states have approached EVV models ..read more

Kwema, a clinician safety technology company, was founded by Ali Jabry to address the growing issue of workplace violence against healthcare workers. Jabry, the CEO of Kwema, discusses the importance of developing innovative solutions to protect home health clinicians.  Kwema's technology aims to enhance the safety and security of healthcare environments by providing clinicians with discreet, wearable devices that can alert security personnel or colleagues in the event of an emergency. This technology is particularly crucial given the alarming rise in incidents of workplace violence again ..read more

Plan to join us for the upcoming webinar on the Home Health Proposed Rule 2023 by registering at https://healthrevpartners.com/webinar-the-2023-proposed-rule-for-home-health/ What if time was created to protect you? How can we use it to. better our lives and how to serve others? Lack of time management causes anxiety and stress, sleep issues and even anger or depression. In the work place, it can cause burnout. As leaders, our employees have lives outside of work. Most people are fighting a battle against time before they even grab their favorite cup of coffee.  Michael gives his personal ..read more

Developing trust with patients and staff is crucial in the home health and hospice industry, especially during times of change. Kelci Stafford, an Area Director for BAYADA Home Healthcare, shares her insights on building trust in this podcast. Kelci emphasizes the importance of transparent communication, empathy, and leading by example to foster trust with both patients and staff. She highlights the need to address concerns proactively, be accessible, and demonstrate a genuine commitment to the well-being of the team.  Additionally, Kelci reveals the three characteristics she looks for wh ..read more