Business Services

Declining reimbursement rates continue to challenge home care providers, which also face unrelenting expenses. Most have already adjusted their cost structures and have been diligently working on revenue enhancements and cost controls. They seek to continue providing quality service while maintaining a positive margin.

CareSouth can help. Our business model is simple. We provide centralized business services through the use of McKesson Horizon technology. Our agency clients retain management control and are free to focus on the core business of patient care.

Our clients experience measurable improvements, including:

• Fewer days in accounts receivable
• Reduced denial rates
• Higher accuracy of HHRG scoring
• Increased staff productivity
• Improved process efficiency
• Increased profitability

We require no capital investment, and our fees are variable, based on agency volume. Our staff is highly skilled in home care reimbursement, regulation and financial reporting, further eliminating the burden on the agency of recruitment, retention and training of experienced personnel in these areas. Our reimbursement department provides the core functions of:

• Insurance verification
• Authorizations
• Billing and collections
• Accounts receivable management

Our utilization management department performs:

• OASIS assessment review
• OASIS to 485 comparison
• Plan of Care review
• Liaison to your fiscal intermediary
• Response to ADR
• Regulatory updates and training
• Hotline for field staff

Our information systems department provides support services including:

• Seamless transition from any existing system
• Upgrades and patches
• Training
• 24 x 7 help desk
• OASIS transmission and monitoring of validation reports

Our finance department provides data reports needed to effectively manage the agency, including:

• Accounts receivable
• Financial trends
• Operational indicators

All of our services are delivered using CareSouth Technologies, assuring our clients systems that are reliable, efficient and easy to use. With the CareSouth system-wide application, our clients have access to these additional features:

• Intake and referral tracking
• Clinical Management
• Scheduling
• Reporting