Home Health Billing and Reimbursement
Tracking # 20-1292078
$19.00
What you'll learn
Upon completion of this course, the reader will be able to:
- Describe the steps of the home health care billing cycle.
- List the most common billing codes used in the home healthcare industry.
- Compare Medicare and Medicaid home health services and billing information.
- Detail CMS alternative payment models and challenges encountered by HHAs.
Course overview
Home health care enables qualified clients to receive skilled medical treatment in their homes, reducing healthcare costs. However, due to the increased number of clients receiving home health care, government regulations, and third-party payor restrictions, the billing and reimbursement process has become very convoluted and cumbersome for home health agencies (HHAs). Home health care is a multi-billion-dollar industry that is growing exponentially not only due to the aging of America but also because private equity funds and large insurance companies are buying smaller, independent agencies and rolling them into larger, corporate home health agencies that demand higher profits. Home health agencies are burdened with constantly training clinicians and billing professionals to help them keep abreast of changes in the industry that impact the HHAs bottom lines. Nurses need to understand the home health billing and reimbursement process to assist their HHA employers in maintaining financial stability, ensuring regulatory compliance, and delivering optimal care to clients.
Subject areas
This course counts toward the state boards and subject areas below.
Arkansas State Board of Nursing
Certified Nurse Midwife
Certified Nurse Practitioner
Certified Registered Nurse Anesthetist
Clinical Nurse Specialist
Licensed Practical Nurse
Licensed Psychiatric Technician Nurse
Registered Nurse
Registered Nurse Practitioner
District of Columbia Board of Nursing
Certified Nurse Midwife
Clinical Nurse Specialist
Licensed Practical Nurse
Nurse Practitioner
Registered Nurse
Registered Nurse Anesthetist
Florida Board of Nursing
APRN Temporary Certificate for Practice in Areas of Critical Need
Advanced Practice Registered Nurse
Licensed Practical Nurse
Registered Nurse
Georgia Board of Nursing
Licensed Practical Nurse
Registered Professional Nurse
Kansas State Board of Nursing
Licensed Mental Health Technician
Licensed Practical Nurse
Registered Nurse
Michigan Board of Nursing
Licensed Practical Nurse
Licensed Practical Nurse Special Volunteer
Registered Nurse
Registered Nurse Special Volunteer
Mississippi Board of Nursing
Licensed Practical Nurse
Registered Nurse
New Hampshire Board of Nursing
Advanced Practice Registered Nurse
Licensed Practical Nurse
Registered Nurse
New Mexico Board of Nursing
Certified Nurse Practitioner
Certified Registered Nurse Anesthetist
Clinical Nurse Specialist
Licensed Practical Nurse
Registered Nurse
North Dakota Board of Nursing
Advanced Practice Registered Nurse
Licensed Practical Nurse
Registered Nurse
South Carolina Board of Nursing
Advanced Practice Registered Nurse
Licensed Practical Nurse
Registered Nurse
Tennessee Board of Nursing
Advanced Practice Registered Nurse
Licensed Practical Nurse
Registered Nurse
West Virginia Board of Registered Nurses
Advanced Practice Registered Nurse
Registered Nurse
Wyoming Board of Nursing
Certified Nurse Midwife
Certified Nurse Specialist
Certified Nursing Assistant
Certified Registered Nurse Anesthetist
Licensed Practical Nurse
Registered Nurse
Disclosure statements
Use of Course Content. The courses provided by NCC are based on industry knowledge and input from professional nurses, experts, practitioners, and other individuals and institutions. The information presented in this course is intended solely for the use of healthcare professionals taking this course, for credit, from NCC. The information is designed to assist healthcare professionals, including nurses, in addressing issues associated with healthcare. The information provided in this course is general in nature and is not designed to address any specific situation. This publication in no way absolves facilities of their responsibility for the appropriate orientation of healthcare professionals. Hospitals or other organizations using this publication as a part of their own orientation processes should review the contents of this publication to ensure accuracy and compliance before using this publication. Knowledge, procedures or insight gained from the Student in the course of taking classes provided by NCC may be used at the Student’s discretion during their course of work or otherwise in a professional capacity. The Student understands and agrees that NCC shall not be held liable for any acts, errors, advice or omissions provided by the Student based on knowledge or advice acquired by NCC. The Student is solely responsible for his/her own actions, even if information and/or education was acquired from a NCC course pertaining to that action or actions. By clicking “complete” you are agreeing to these terms of use.
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