Friday, April 17, 2015

Revenue Cycle Managers Struggle With Wisconsin LTC 2015 Budget Change

The approaching 2015 Wisconsin budget lists significant change to the delivery of long term care.  The fiscal arm of Home Care Path is researching how internal process will need to adjust to accommodate regulatory changes related to the 2015 budget.

Staff need to comprehend optimal revenue time frames as a baseline measuring how pay source inefficiencies will impact your profitability.  This is a calculation of true revenue cycle cost as a percentage of your standard unit price of service.

Senior care providers tend to deliver a stable category (code) of service across a diverse number of authorizing networks. Though the same service and category are being delivered to many individual users each interface authorizing payment will have varied submission requirements. 

Home Care Path tracks time as a measure of collection/denial for each authorizing source of payment.  Excessive time can indicate a negative impact which is communicated as a percentage of the cost of a standard unit of service.

Wisconsin Long Term Care consumers demand the cost of a unit of service be high enough to achieve a reasonable profit margin and low enough to keep service delivery affordable and competitive.  This is a quality variable imperative in service continuity as evidence for care assurance.

Regardless of the name those employed to arrange service as a benefit of the fund will need providers who can operate for an extended period of time.  Legislators can serve the overall community by mandating efficiencies designed to reduce collection/denial expense.

Senior care consultants experiencing difficulty with securing in home non-medical care for a family can question how the authorizing entities participation on the revenue cycle limits access to service. Difficulty contacting with local providers , take a look at how it can be shown to fit in to the standard unit cost. 

Home Care Path celebrates 5 years of successfully serving seniors in  Central Wisconsin

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 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life.

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