Should Your Home Health or Hospice Agency Work With Private Insurance?

Описание: Private insurance is a completely different world than Medicare, and if you’re not prepared, the mistakes can happen quickly and be costly.

In this episode, our co-founder Mariam Treystman breaks down the key elements every agency owner and management team must understand before working with private insurance, including:

• In-network vs out-of-network contracting (and why rates are negotiable)
• Authorization workflows and why private insurance controls visit volume
• Billing deadlines that can be as short as a few days
• Documentation requirements that directly impact payment
• When private insurance may survey your agency and when they won’t
• Why starting with Medicare often sets agencies up for long-term success

This is a high-level overview designed to help agencies avoid costly errors and understand how private insurance actually operates behind the scenes.

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0:00 - Intro
1:03 - When starting an Agency, work with Medicare only
2:24 - Contracting with Private Insurance
4:22 - Authorization Process
8:33 - Regular way to get Referrals with Private Insurance
9:15 - Referred Patient not Through Insurance
10:45 - Billing Process
13:54 - Surveying