Provider Management Solutions (PrMS) has been on the forefront of training Medicare certified home health agencies on the most current regulatory and reimbursement updates.  Each year PrMS performs personalized training sessions designed to maximize an agency's understanding of Medicare program changes and payment methodologies.  Agencies are shown how new rates are calculated, how outlier payments are calculated and how to track the new 10% outlier payment cap effective January 1, 2010.

• new OASIS-C - Ensure accurate coding; 13 process of care measures; 41 quality measures
• CASE-MIX ENHANCEMENT - professional review of rehab service offerings; enhance HHRG groups
• REVENUE CYCLE - monitor accounts receivable; identify conditions for outlier payments; how to track outlier payments (critically important with the new 10% cap); revenue to cost analysis of each episode; properly capture of medical supplies and DME items to increase reimbursement.
• MEDICARE/MEDICAID COST REPORTING - prepare annual Medicare cost reports; prepare interim cost analysis and other analytical tools. 
• MEDICARE CLAIMS REVIEW / APPEALS - claims audit & review; proper handling of additional data request from Medicare; resolve documentation issues; file appeals on behalf of providers.