HHAX Blog and Announcements

New survey data reveals State of Home Care surprises

February 28, 2017| Blog, Homecare, Survey

The home care industry is complex. The American healthcare system is struggling to serve an aging population, a challenge that home care can help address. But with just five percent (150.4 million USD) of the 3 trillion USD national healthcare budget, home care players are struggling to keep up, let alone innovate.

We recently surveyed 250 individuals who were directly involved in the home care process, either through their own experience or a loved one’s. Our questions sought to identify the benefits and challenges associated with home care, and reveal the trajectory of the industry moving forward.

The survey was divided into three sections to better identify trends within the whole of the industry: the shifting home care paradigm, the home care experience and the future of home care. Our results revealed some surprising trends; a lack of communication among payers and providers; instances of fraud, waste and abuse; and an increasing role of technology in the industry.

Specifically, we found that: Read More

Q&A: The Ins and Outs of Payroll and Consumer Directed Service

February 27, 2017| Blog, CDS, Provider, Technology

Joel Krausz of ADS is a payroll and back office automation expert. ADS has established itself as the source for all-inclusive management solutions.

What are the biggest problems home care and home health agencies have from an automation perspective? What about broader problems in automating back end functions?

JK: The problem that most home care and home health agencies have is that they don’t step back and look at the amount of manual work that goes into each pay period. These agencies lack a software system that is backed by years of design, and can handle everything in the cloud. The best organizations are able to handle an entire practice including credentialing, authorizations, HR, telephony, billing, accounting and payroll in an automated and efficient system.

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Two Roadblocks in the Era of Consumer Directed Service

January 12, 2017| Blog, CDS

Consumer Directed Service (CDS) is not new to the home care industry, yet it’s becoming a focal point in 2017. Home care members are continuing to leverage family members as primary home care providers, and, as a result, are facing payroll and visibility issues.

An upcoming HHAX survey highlights the continued role of CDS, as more than 60 percent of respondents indicated they have used a family member as a primary home care giver.

While leveraging family can be a necessary and useful way to receive convenient in home care, particularly for members in rural areas, it also results in a couple of significant issues for payers and providers.

Check Your Costs

Administratively, many home care providers are wasting significant money on payroll for hundreds of family caregivers. With costs as high as 30 dollars or more for CDS payroll checks every period, home care providers are spending significant money that could be saved. Read More

Home Health Care News: Addressing OIG’s Characteristics of Home Health Fraud — Without Toppling the Whole System

January 9, 2017| Blog, Health Care, Homecare, Payer, Provider
Posted by Home Health Care News; contributed by Tom Meyer, HHAeXchange

The numbers don’t lie.

After more than 10 years serving in the New York Office of the Medicaid Inspector General, including as the Acting Inspector General, I can attest firsthand to the unfortunate instances of fraud, waste and abuse that occur with too much regularity in home health care and home care.

Between 2011 and 2015 alone, investigations from the national Office of the Inspector General (OIG) resulted in more than 350 criminal and civil actions and $975 million in receivables. In fact, the OIG estimates more than $10 billion in improper payments in the 2015 fiscal year.

In spite of the numbers that point to the need for improvements, home health and home care play a vital role in the broader healthcare ecosystem, and increasingly, states are relying on managed care organizations (MCOs) to deliver efficient and effective Medicaid programs. For MCOs and state Medicaid programs alike, the balance between preventing fraud and continuing to provide quality care is a delicate one.

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Moving Forward in 2017: Top Trends and Predictions

December 22, 2016| Blog

We’ve reached an inflexion point in the home care industry, and the coming year is likely to result in several major steps forward in the areas of technology, quality and structure in the industry.

Over the past year, Medicaid payers at the state and Managed Care Organization (MCO) level have begun to realize the value of a continued emphasis on collaboration to ensure better member care. As part of this shift, stakeholders within the home care industry are placing increased value on communication and collaboration as it relates to compliance and better care.

This shift in sentiment is sparking change in several areas. As we gear up for 2017, there are noteworthy industry trends that are hold outs from last year that we can expect to stick around, and some new trends that will play a prominent role within the industry. Read More

CURES Act’s EVV Mandate for Home Care is the First Step

December 16, 2016| Blog, Compliance, EVV Bill, HR Bill 2446, Homecare, Payer

In an industry where issues of mistrust and system abuse often rule the headlines, family and friends want reassurance that their loved ones are being provided with proper care. Government programs, like Medicaid, need accountability for the money they pay out, and proof positive that members are receiving proper care and caregivers are being held accountable. Electronic visit verification (EVV) alone doesn’t solve all problems, but implementing an EVV system is the first step to combatting fraud and abuse to ensure program integrity.

Signed into law this week by President Obama, the 21st Century CURES Act mandates, among other actions, that EVV be used for in-home visits for home care and personal care visits.

While EVV is an effective monitoring tool for tracking arrivals and departures – thereby reducing false claims of time spent with a member – it only goes so far. Capturing and tracking data from an EVV solution won’t help Medicaid payers reduce readmissions unless they actively manage the process and consider a collaborative and transparent home care platform.

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Why home care is more important than ever before

December 1, 2016| Blog

This November, we joined the rest of country in celebrating National Home Care and Hospice Month, and with it came a renewed focus on the ins and outs of home care, why the need for quality care is growing and the situations facing home care members. At HHAeXchange (HHAX) we are constantly seeking better outcomes for members, and November is another reminder of the importance of improving the quality and efficiency of today’s home care.

According to U.S. News and World Reports, there are more than 40 million Americans age 65 and older, comprising 13 percent of the population in the United States. The dynamics are changing, and aging generations are uncomfortable with nursing homes. The preference of many baby boomers has shifted toward home care, which allows them to age in place and be independent for as long as possible. Read More

Ensuring Compliance

September 29, 2016| Blog, Compliance, Payer, Provider

Solving the Most Common Compliance Problems

HHAeXchange’s web-based software platform dynamically links payers and providers — creating a shared environment to effectively interact in real-time allowing increased operational efficiency.

Benefits include: Read More

Testimonials

I've been managing and submitting my claims via HHA eXchange and I have one word....fantastic! My billing time has been cut drastically. I better control my visits and employees, but work less at it. It is so much easier to stay in compliance with HHA eXchange… thanks Homecare Software Solutions!

Berey Weiss, Greater NY Homecare

Our experiences using the HHA eXchange program have been very positive. Their compliance toolset is excellent, and really gives us confidence that we are billing as near error-free as possible. It has greatly decreased unnecessary workload. It all just flows and is extremely user-friendly. My staff is extremely happy with it.

Susan Katz, Summit Home Health Care