Reimbursement

Critical in today’s health care environment is ensuring your organization receives the right reimbursement for the care and services that you provide.  An agency’s clinical and financial health relies on streamlined systems and processes. It is imperative that organizational leaders have a clear understanding of clinical processes, additional revenue opportunities and cost containment strategies.

Our team of hospice professionals works exclusively in the industry and understands the unique complexities, challenges and nuances of your agency. From individual agencies to established networks, our consultants have the insight and expertise you won’t find anywhere else. Pathway Health has the depth of services that is dedicated to assisting all sizes of Hospice agencies achieve their goals.

We help organizations in a number of ways, working across the organization or within specific areas of performance:

Eligibility Review, COP and Process Improvement

Eligibility Training

Level of Care documentation

 ADR Support and Appeal assistance

ZPIC/RAC/MAC Audit Risk Assessment

ZPIC/RAC/MAC Audit Response and Assistance

Census and Case Mix Risk Analysis

Baseline Compliance Audit

Operational Efficiency Assessment

Acquisition Due Diligence

Additionally, providers across the nation look to Pathway Health for assistance with national initiatives affecting the post-acute care industry.  In the forefront, we are currently assisting providers with:

  •          Safe Care Transitions
  •          Accountable Care Organizations
  •          Hospital Readmission Reduction
  •          ICD 9 to ICD 10 Transitions
  •          CMS Initiatives
  •          OIG Initiatives
  •          And More!

Ensure your team has the skills necessary to increase financial performance. For more information on Pathway Health Home Health Services, fill out the Contact Us form or call us at 877.777.5463 to speak with our Director of Community Based Services.