HOME HEALTH AND HOSPICE BILLING SERVICES IN ARIZONA

At Cliniqon, we understand the crucial role that efficient and accurate billing plays in home health and hospice care. Understanding the daily time constraints home health and hospice care providers and patients face, we offer comprehensive end-to-end home billing services. Through streamlining processes and reducing operational costs, we aim to pave the way for substantial revenue growth.

Our Home Health and Hospice Billing Services

At Cliniqon, we offer a comprehensive range of tailored services to meet your billing needs. Regarding claims submissions, patient follow-up, dealing with insurance companies, denials management, and collecting payments, you can rest easy knowing that we have it covered. Our home health and hospice billing specialists expertly handle the entire billing process, from Front-end to Back-end billing.

Front-end Billing

Pre-registration and Registration

Our home health and hospice billing specialists at Cliniqon accurately start the billing process by gathering patient demographic and insurance information during registration. We maintain standard operating procedures for patient registration to minimize errors and enhance the quality of patient data.

Insurance Eligibility Verification

Our skilled staff verifies insurance eligibility, ensuring the patient’s health plan covers the home health services required. We confirm effective dates, patient responsibilities (coinsurance, copay, deductible), and plan benefits specific to the service’s specialty and location. In addition, we obtain the necessary preauthorization that insurers often require.

Point of Service Collections

We determine patient financial responsibilities based on verified benefit information. We collect copays, deductibles, coinsurance, or balances due. This enhances revenue, minimizes debt and write-offs, and reduces administrative burden. Additionally, this improves cash flow, operational efficiency, and lowers billing disputes.

Encounter Form Generation

We generate encounter forms, which include patient demographics and medical codes, to facilitate efficient communication about the type and number of services provided to the patient.

Checkout

Our staff assists in scheduling follow-up appointments when necessary, ensuring the completion of encounter forms by providers.

Back-end Billing

Charge Entry

We meticulously translate encounter forms into accurate charge entries, capturing services rendered and associated payments.

Claim Generation

Our specialists generate claims by accurately creating claim numbers for all charges and grouping them into batches, as stated in the Billing Options.

Claim Scrubbing

To further ensure accuracy and maximum reimbursement, we utilize claim scrubbing tools to review each claim before submission. We scrub claims to ensure all codes, patient information, and visit details are accurate and complete. This helps identify potential errors, inconsistencies, and missing data in claims. By ensuring any potential issues are addressed before submission, your claim denials rate is reduced while simultaneously increasing your reimbursement rate.

Claims Submission

Cliniqon revolutionizes claims submission, streamlining the path to revenue optimization. Our core service seamlessly integrates with your EMR system, pulling patient visit details and relevant data into standardized claim forms to submit to the insurance provider.

Claims Tracking

Our home health and hospice billing specialists’ jobs don’t conclude with claims submission. We diligently track claim statuses daily, ensuring transparency in the adjudication process. With clear insights, we act promptly to address any discrepancies or queries.

Payment Posting

We post the payments received by insurance companies to our patient accounts. Our staff matches expenses to the respective patient accounts, rectifying whether payments are made according to their claim and confirming data to match payments.

Denial Management and Appeals

When denials occur, we swiftly address them, deciphering denial codes and rectifying issues. At Cliniqon, our expert billers collaborate to create appeal letters when necessary, maximizing the potential for successful claim reconsideration.

Patient Collections

This is the final phase of the billing process. Our specialists perform the timely mailing out of home health and hospice bills and meticulously follow up with overdue accounts, ensuring that patient financial responsibilities are met within the designated timeframe. After payments are successfully collected, our integration with accounts receivable (A/R) management provides accurate tracking and posting of revenue.

Credit Balance Resolution

Credit balances are a substantial risk for home healthcare providers. That is why our billers also identify credit balances, mitigate potential risks, and promptly facilitate refunds where necessary. Our diligent approach prevents legal and financial repercussions, ensuring compliance and financial stability.

Advantages of Choosing Cliniqon for Your Home Health and Hospice Billing Needs

Increased Work Efficiency

Filing claims and invoices or managing an in-house billing team can take up much of home health and hospice providers’ time, which they can spend directly on patient care and serving more patients. With Cliniqon, home health and hospice workers get to focus on core responsibilities, improving work efficiency.

Enhanced Accuracy

With the frequent changes in guidelines in medical billing and coding regulations, providers often find it challenging to stay updated, which can lead to errors. This can cause denied claims or delays in payments, increasing expenses.

With Cliniqon, you can trust our specialists to stay up-to-date on changing regulations. Moreover, they are highly trained to perform the billing process accurately and efficiently, ensuring smooth financial operations for home health and hospice agencies.

Furthermore, we proactively identify errors before claim submission using our claim scrubbing software. This verifies that claims are accurate and align with payer requirements.

Cost-savings

Hiring in-house biller staff can increase costs for home health and hospice providers. These costs include infrastructure installation, software investment, onboarding, training, salaries, and benefits. Partnering with Cliniqon lets you be at ease, knowing that experts handle your billing needs without worrying about overhead costs.

Additionally, outsourcing your billing needs to Cliniqon reduces the costly rework of the claims denials process since our specialists ensure accurate claims submission.

Faster Claims Processing

Partnering with Cliniqon accelerates claims processing through streamlined processes and advanced technology. Our skilled billing specialists systematically deal with large volumes of records proficiently. We guarantee faster claims processing with our enhanced workforce, upgraded resources, and advanced technological support. Consequently, this accelerates the claims processing from patient encounters, reducing delays and shorter revenue cycles ultimately facilitating quicker reimbursements.

Increased Patient Satisfaction as Claims are Processed Timely

Patient satisfaction is increased when choosing Cliniqon as a trusted partner for your home health and hospice billing services. Our expertise in the timely processing of claims expedites insurance reimbursements, resulting in quicker resolutions and easing patients’ concerns about prolonged payment delays.

Secured Patient Data

At Cliniqon, we ensure that your patient’s records are protected. We utilize robust data security measures and up-to-date software that adhere to industry standards and compliance regulations to prevent potential data breaches and data loss. Moreover, our staff are signed in and trained on HIPAA compliance protocols. This ensures patient data's confidentiality, integrity, and availability at every stage of the billing process.

Maximizing Revenue

Outsourcing your home health and hospice billing needs with Cliniqon helps bring in more revenue for your home health and hospice agency. Additionally, it also helps speed up the revenue cycle. Our billing specialists are competent in the claims approval process, reducing the claims denial rate, leading to faster payment collection, and maximizing provider revenue. Moreover, our specialists ensure that every service is correctly billed, minimizing missed revenue opportunities.