Home Health Billing Answers, 2025

Home Health Billing Answers, 2025

Give your billing and collections staff the information they need to bill correctly on the front end and correct denials before they reach auditors with Home Health Billing Answers, 2025.

Home Health Billing Answers, 2025, walks you through every step of the billing process and provides crucial tips for avoiding common billing errors. Plus, it explains in plain-English, the confusing billing jargon and acronyms that can trip billers up.

Home Health Billing Answers, 2025, also covers:

• Updated! Get new FY2025 PDGM categories, codes and OASIS items, and learn how your revenue will be impacted
• Updated! An expanded chapter on how to bill for Medicare Advantage vs. traditional Medicare
• Deep dive into the Patient-Driven Groupings Model (PDGM) to ensure your current admission, coding, documentation and billing processes are in compliance
• Learn how to calculate your payment in the PDGM payment system
• Understand how to operate in a payment model based on 30-day episodes, elimination of therapy visits as a factor of payment, new LUPA thresholds
• Get a primer on how admission source, timing, clinical group, functional level, primary diagnoses and comorbidity adjustment will impact payments
• Learn to adopt audit processes to ensure that you are collecting the level of detail needed from physicians so that your clinicians and coders can choose the right codes.
• Get step-by-step instruction on how to complete accurate Medicare claims (with examples)
• Find out how to avoid the most common billing errors and how to read reject/reason codes
• Receive an overview of non-covered services, claim types, HCPCS codes, revenue codes and how they are used
• Billers get the basic guidance needed to minimize denials, PEPs, LUPAs and more
• Bonus: Tools and templates to ensure your agency gets the money it has earned — and fast!