Clinicians, practice managers, and other staff interested in enhancing the productivity, and ultimately the bottom line, of their house call program need proven strategies to streamline operations while ensuring high-quality patient care is at the center of all activity. In this on-demand course, you will learn the functions performed by the front office and back office within a house call program and the various types of professionals who perform them. You will identify people, processes, and technologies that can improve your operational workflow and explore resources and strategies for identifying and connecting with community services. You will review geographic scheduling and DME referral coordination strategies and options for diagnostic and operations technology to improve patient care, efficiency, and staff safety. You will also review the common urgent medical issues that arise in HBPC and discuss approaches to planning and preparing for urgent scenarios, as well as implementing and evaluating these strategies.
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I would like it if you post something on HouseCalls. I have learned as I go along, and my housecalls are still in the infancy stage. However, I find that I really enjoy them. The patients are a lot more comfortable, and they are very appreciative. Key points- If patients have insurance, make sure that you check ahead of time when you negotiate your credentialing contracts with the insurance companies that they will cover housecalls, and under what conditions, ie lack of mobility, age or no transportation. The insurance company may be wary, as the reimbursement rate is slightly higher. However, Medicare will pay for housecalls, but it must be stated in the notes why a home visit was necessary. It is also important to be clear with the insurance companies that you are a provider and this is not to be confused with Home Health.
Liberty Billing, LLC does all of the billing from A-Z, as many of my providers do not have any office staff. If a claim is denied as provider write-off, I will do all of the researching as to why a claim has been denied and I will let my client know what needs to be done in order to get the claim paid. We verify insurance benefits which will give you a head-up if the patient has a limited number of sessions per year or a high deductible that needs to be met. I personally review all accounts every 30 days when I run patient statments to see what claims have not been paid by insurance and I call the insurance to see where the claim is at in the process or rebill the claim if necessary. We send you monthly reports that are easy to read so you always know where you accounts are at. We send monthly statements to your patients and all insurance claims are sent out electronically within 24 hours of receipt of charges from the provider.
Hello barbara,,im a houston tx housecall np(self employed)if i drop/cancel my current outside billing service today & switch to ally/practice mate(clearinghouse)..,,will i have 2 to 3 month lapse in medicare reinbursments..? or only 1 to 2 weeks..?..thanks much..bp
Hi Pamela,
I am very impressed by your blog. I am really interested in starting a low overhead practice (walk-in/convenient care clinic) in a town where there is only one place to seek medical treatment. I am a family nurse practitioner in the state of GA. However, I am clueless as to where to start regarding licensing, insurance, etc. Any helpful suggestions/resources?
Thank you!! I am an APRN in the process of opening a family practice. I have been a nurse case manager for over 25 years with my own small business. I have always kept a low overhead and wanted to do the same for my family practice. All the information on starting a clinic was discouraging cost wise until I read your article. Thank you for confirming that the type of straightforward family practice setting I am aiming for IS doable and needed.
Hi Pamela,
I am very impressed by your blog. I am really interested in starting a low overhead practice. I am a family nurse practitioner in the state of NC. However, I am clueless as to where to start regarding licensing, insurance, etc. Any helpful suggestions/resources?
When possible, you will see a consistent provider, however you may be seen by one of our other clinicians depending on scheduling, availability and other urgent needs. Our providers will all have access to your medical records, for seamless care and support.
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