Hayes RCM Resources
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How to Verify Medicare Advantage Benefits the Right Way
A step-by-step guide for home health and hospice intake coordinators In our last post, we talked about why Medicare Advantage doesn’t have to be a threat to your census — it’s an infrastructure problem, not a payer problem. This post is the infrastructure. If your intake team is still verifying MA benefits the same way…
CY 2025 Home Health: Payment cuts incoming!
The Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) proposed rule, which would update Medicare payment policies and rates for Home Health Agencies (HHAs). With the rise of Medicare Advantage enrollment across the nation (presently over 51%) and a major staffing shortage. CMS…
Understanding the Nuances of Medical Billing Codes
Proper coding impacts the financial health of healthcare practices. Incorrect or incomplete coding can lead to claim denials or delays, which can disrupt cash flow and necessitate additional administrative work to correct and resubmit claims. This can strain resources and reduce the overall efficiency of the healthcare practice. Accurate coding, on the other hand, can streamline…
Medicare Advantage: The Untapped Revenue Stream Home Health Providers Are Overlooking
The home health industry is at an inflection point. Medicare reimbursement cuts continue to chip away at agency margins, and the pool of traditional Medicare Part A/B patients is shrinking as more beneficiaries migrate to Medicare Advantage (MA) plans. Small agencies are feeling the squeeze, and mid-size agencies are asking a harder question: is now…
Texas EVV Enforcement Just Got Stricter — And It Is Creating an Access to Care Problem Nobody Is Talking About
The Texas Health and Human Services Commission published proposed Electronic Visit Verification rule updates in the Texas Register on April 3, 2026. The public comment period has closed. These rules are moving toward finalization — and if your home health agency has not taken a hard look at what they mean operationally, now is the…
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