From Licensure to Revenue: Building A Compliance Foundation That Pays Off
Key Takeaways
1. Early Compliance Crucial: Compliance from the beginning is crucial as it drives revenue and ensures smooth operations for Medicaid billing and reimbursement.
2. Monthly Audits Recommended: Monthly audits of client and caregiver files are recommended to maintain compliance and avoid potential penalties from Medicaid.
3. Strategic Waiver Selection: Agencies should strategically select Medicaid waiver programs based on their goals, reimbursement rates, and operational capabilities.
4. Caregiver Compliance Training: Effective communication and training for caregivers on compliance, including electronic visit verification (EVV), are essential to pass audits and maintain proper documentation.
5. Expert Partnership Benefits: Partnering with experts in credentialing and billing, like the Business of Senior Care and Care Time, can streamline the process and help agencies focus on growth and client care.