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Home Health Operations

Review of Axxess Software

I admit this review is long overdue. I’ve been seeing Axxess being utilized in the majority of agencies that I’ve visited as both a surveyor and consultant. As it turns out, it is because they have over 1800 home health clients since their inception in 2011. That’s pretty impressive. I had a long chat and […]


It’s a new year! Have you scheduled your annual agency requirements?

Yep it’s a brand New Year! Thought I’d post a reminder about your Medicare/CHAP requirements 1. Obviously, you’ve made arrangements for your Medicare Cost report 2. Have you made arrangements for an “external financial review”? CHAP standards CIII.3 requires that an accountant review the books of the agency and document that the agency followed Generally […]


A Common Medicare Deficiency: The Transfer Summary

Medicare Conditions of Participation dictate that (G 238)  “if a patient is transferred to another healthcare facility, a copy of the record or abstract is sent with the patient”. Inevitably I am asked “what if the agency is unaware that the patient went to the hospital?” and I commit my answer in writing here and […]


CHAP Educational Resources

CHAP has completely re-done its website. Check out the Education and Resources section (by clicking this text) ! Including a link to the CDC to ensure that your policies and procedures reflect current evidence based practice. Click the top pic to go to a video that will help you write your plan of corrections. Click […]


Network with Industry Experts

I notice that I keep telling folks about how to network with other home health business owners, administrators, consultants, and other experts in home health like attorneys and accountants, etc but I haven’t posted it here. So here ya go, it’s FREE! Decision Health Forums I find it an awesome way to stay in touch […]


Notification to Patients re: Changes in the Plan of Care

According to Medicare at 484.10(c)(1) “The patient has the right to be informed, in advance about the care to be furnished, and of any changes in the care to be furnished. The HHA must advise the patient in advance of the disciplines that will furnish care, and the frequency of visits proposed to be furnished. […]


Software Satisfaction Survey

Participate in the short satisfaction survey regarding your shopping experience and satisfaction with home health or hospice software on survey monkey here: http://www.surveymonkey.com/s/82TJ6ZN Or write about your experience in the reply box below. Responses will be aggregated and posted on the software review blog. Be sure to subscribe so you won’t miss it! Carol


Medicare Billing Audits

Pre-billing audit processes are crucial to preventing revenue recoupment and even fraudulent billing criminal charges. Anderson & Tuttle, LLC have been busy defending ADR denials for instance and legal nurse consulting for agencies facing criminal charges that could have all been avoided with a 10 minute check-and-balance process: The Pre-Billing Record audit. For instance, we […]


Agency Start-Up Costs

What does it take to start your own home health agency or hospice agency? The first question I will ask you if you call me is about capitalization. Medicare requires 3 months of operating expenses on deposit at the bank in the name of the agency and less than 50% of that can be borrowed. […]