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Once you know which sources provide the highest number of QUALITY referrals, you can invest more time and resources into developing and scaling those channels. Having identified the best sources you can target, it’s time to build your home care referral program. Palliative care programs offered through doctor’s offices, health networks, and other private practices most likely require a reputable home care agency as a partner.
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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.
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.
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When you do have a great track record, you will want to find ways to capitalize on your successes and expand your client base. All the work you’ve done to raise your scores will set you up to be an attractive referral option for hospitals, health systems, skilled nursing facilities, and other referral sources. What you can control, however, is your team’s training and attention to the process and outcome measures for home health.
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.
Referral source #14: Social workers
You want to be sure your team helps patients get better at elements such as mobility and taking medications correctly. If your organization is interested in becoming a care coordination organization , contact to receive information about our lead organizations, which you can contact to get started. All referrals and enrollments should be sent to the referral team. Information about the review process, including the timeframes for making a decision and notifying you and your provider of the decision, is located in the Utilization Review section of your Member Handbook. Effective May 6th, 2019, the referral requirement for members to see a GI, GU, ENT, Cardiac, Ortho specialist is no longer required.
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.
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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.
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.
For instance, you could partner with a technology company to sell their products, like a fall detection device, to your clients in return for them selling your services to their clients. “Homemaker Program” is the other caregiver funding and is implemented and managed by regional VA Hospitals. These programs vary by location, but caregiver service hours are limited. Eligibility is more flexible, and the VA Hospital acts as a direct payer.
Failure to obtain prior authorization may result in a denied claim. To see a full listing of procedures and services that require PRIOR AUTHORIZATION, please log in to your secure member account to view your Schedule of Benefits. Sometimes, we need to approve medical services before you receive them. Prior authorization means that we have pre-approved a medical service. Please note, there are some services that you may go directly to a specialist for without a referral. For example, you do not need a referral from your PCP for treatment from an in-network obstetrician or gynecologist.
But only half of palliative care programs in the country are affiliated with hospice companies, which means there’s another 50% up for grabs. Facility discharge planners have to ensure that their patients don’t end up back in the hospital in less than 30 days, or else they’ll get penalized. If you’re looking to stand out from the crowd and earn more referrals, then you’ll want to cultivate relationships with your local hospital discharge planners. Bear in mind that your rating depends on accurate documentation of your initial assessment of the patient and in your Medicare claims for the care provided.
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