Table of Content
They send referrals to preferred home care agency partners, and the services are funded through the Veterans Administration. Join local, state, and national organizations and pursue accreditations to demonstrate your agency's commitment to providing quality care. Then, promote your accomplishments in the local media to build your reputation in the community. In this guide, we’ll highlight the best available referral sources for your home care agency to explore and help you build your referral program.
For a full listing of these services, please refer to your Evidence of Coverage - you can find it on your online member account at Ambetter.HomeStateHealth.com. November is National Home Care & Hospice Month, and CareAcademy honors the contributions of direct care workers and the value they bring to their clients and families. These heroic caregivers play a central role in our healthcare system and in homes across the nation. Whichever types of referral source you choose to build your home care agency, they all boil down to one thing, and that’s building relationships.
Becoming a Health Home care coordination organization
The home care agency can offer the fall detection device to their clients as a value-add. Likewise, the technology provider can reciprocate by selling home care services to their clients. They maintain a list of post-hospital care, including home health care, home care, and senior housing, in their area. Essentially they are gatekeepers as they advise patients and their families where to go next. Second, ensure you track referrals from insurance representatives and compile a list of their names and contact information for future marketing campaigns.
A common complaint among home health nurses and therapists is the home environment. Residences viewed as unsafe or unsanitary can strain staffing and scheduling resources. While it may not be possible to know any of these factors before accepting a referral, these are some points to consider and questions to ask when considering if you have adequate staffing for a referral. Many home care agencies get referrals from hospitals or doctor’s offices, but they don’t personally know the doctors, caseworkers, or social workers making the referrals. You could even consider including a one-liner in the packet that they can share with their clients.
Referrals
For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services . Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Once again, training and experience will better-ensure success for your team, as well as your clients. Your team must educate patients and family caregivers with clear instructions on medications and ways for patients to become more independent in their own activities. Staff training will ensure your staff is observant, can identify risks, and will promptly communicate problems to the patient’s physician. If the referral source is a managed-care or Medicare Advantage plan, the home health agency must verify eligibility through a prior authorization process.
When it comes to home care referrals, there's no one-size-fits-all approach. To take advantage of the growth opportunities in home health, you want your quality rating to be higher than your competitors’ scores. Shoot for four or five stars on the Care Compare website, and you’ll be sitting pretty at above the average. Whether you’re identifying strengths and weaknesses, enhancing your team’s proficiencies, or improving client care, Relias’s tools generate real results.
Other Options for Making a Referral to HHUNY
When patients do not have the equipment and supplies they need, nurses and therapists are put out. Talk to the referral sources about what supplies and durable medical equipment a patient has and needs at intake. Marketing your four- or five-star rating includes sharing it with staff, your network, and the public. Promoting your high quality and low risk scores in strategic ways will help you garner more home health care referrals.
However, unlike a financial service arrangement, these won’t be mutually exclusive. Take the time to establish an exclusive arrangement with local financial and estate planning professionals who can refer clients. These arrangements are usually ten to twenty times more profitable than an average hospital referral.
Regular outreach to those contacts keeps your home care agency front and center. Many home care agencies in your service area will be listed with the insurance companies. If you're smart, you can make sure that your agency gets more direct referrals. Each home care business is different and needs to find the referral sources that work best for them. Terrey Hatcher has worked in professional development and curriculum design organizations for more than 20 years. Besides her current focus on healthcare solutions, her experience includes sharing best practices in education, IT, and international business.
A safe and timely admission to in-home care for them starts by making referrals easy for you. Non-competing medical services can set up strategic partnerships that benefit both parties. For example, fall detection devices complement home care services. There are typically two forms of caregiver funding for America’s veterans from which home care agencies can get referrals. Make sure you promote your home care services by networking with local doctors and pharmacists in your community. Reach out to satisfied clients and ask if they know of any other people who could benefit from the services you provide.
If this sounds interesting, then you can join the Center to Advance Palliative Care as a preferred provider. And don’t forget to praise individual staff members for a job well done. Recognition of their positive achievements will keep them engaged with their work and with your agency. It is vital to retain talented people so their personal and professional expertise continues to grow along with your positive reputation.
Relias is committed to helping your organization get better through training, performance, and talent solutions that address your specific areas of focus. The Health Home program is a partnership between HCA, the Centers for Medicare and Medicaid Services and the Department of Social and Health Services .
That means making sure they are compliant with all required training, are up to date on evidence-based practices, and have the knowledge and skills to consistently provide high-quality care. When reviewing a referral for acceptance, home health agencies know that they must complete the comprehensive assessment within 48 hours of referral and submit the Notice Of Admission within five calendar days. Without complete medical records can slow down admission and billing processes. Furthermore, clinicians may have inaccurate or incomplete documentation without the whole story. Third party organizations that help veterans access the benefit usually contract directly with caregiver companies.
No comments:
Post a Comment