Do you know if your home health clearinghouse is right for you?

Two things we’ve learned thus far from health insurers and clearinghouses in the debacle over the transition to the 5010 claims processing standard: Lots of providers aren’t getting paid much needed revenue, and every entity involved in the transition is reasonably certain that the blame lies elsewhere.

What’s a revenue-starved home health agency to do? The best step to take -- one that will always pay dividends in revenue and productivity -- is to make sure you're using the best clearinghouse -- one committed to delivering clean, 5010-compliant claims to the payer.

In addition, while ICD-10-CM is on an as-yet-undetermined delay, it would be good to have a clearinghouse that's interested in ICD-10-CM compliance.

Here's a preview of a story in this week's HHL  that examines what to look out for when shopping for a clearinghouse:

Make sure you’re able to get out of any clearinghouse contract when the clearinghouse isn’t right for you. Get out fast with as little financial penalty as possible. The more latitude you give a clearinghouse at the start of a relationship is the more of a buffer the clearinghouse has to fix its own worries while you aren’t getting paid. That doesn’t sound like a good deal.

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