Maximize Your Return
Your agency cannot make a profit on every case/episode; that is the nature of the Home Health Care Industry. However, wouldn’t it be great if you could maximize your return for profitable episodes and minimize losses for the rest?
Innovative Financial Solutions for Home Health (IFS) has developed a new and innovative approach to planning an episode of care and projecting the estimated Profit/Loss at the beginning of that episode.
Once you have the HIPPS and/or HHRG information for your Medicare clients, the plan can be completed in minutes. That’s right, a few minutes of effort at the beginning of the episode can help you realize potential profits you have been missing and better manage the resource utilization for all of your episodes of care.
What Our Customers Are Saying
Don’t just take it from us, let our customers do the talking!
The Resource Planner has helped clinicians and supervisors alike to better understand the Prospective Payment system, and to respond proactively with delivery of care. At Indiana University Health Homecare, the needs of the patient will always come first and the Resource Planner has been a tremendous asset in allowing us to meet these needs in the most efficient, effective way.
The Resource Planner enables us to “visualize” the plan of care, and how that plan aligns with our commitment to care as well as our financial goals.
In a world with ever changing Medicare regulations and cuts, we at Indiana University Health Home Care are lucky to have the Home Health Care Resource Planner to help us maintain a strong and healthy bottom line. Thank you again for supplying such a beneficial and useful tool!
I told John Reisinger, CPA, that with his “Resource Planner” he had developed a “Home Health Survival Tool” creating a process for making informed decisions by the agency.
We know we might lose money on any given patient, but we need to make that a strategic decision, not a surprise ending.
Surviving the cuts and onerous regulation over the next several years will allow us the opportunity to thrive in the new value-based reimbursement era.
- Uses agency-specific costs and revenues
(revenues are based on Payor,
costs are based on the agency’s financials)
- Allows for branch-specific Cost-Per-Visits (CPVs) for each discipline
(agency can update the CPVs whenever necessary)
- The HHA Resource Planner encourages your clinicians and therapists (aka Case Managers) to envision the best and most efficient approach for providing the appropriate level of care for each and every patient while considering the financial ramifications of those options.
- It allows for an unlimited number of “what ifs” to identify the financial impact for potential treatment options. This approach teaches and/or reinforces the concept of financial discipline for your case managers and field staff.
- There will still be episodes that are under-resourced, and as such, will generate losses; but consistent use of the Resource Planner will increase your staff’s understanding of the financial ramifications for the projected resource usage and thereby increase the likelihood of maximizing profits to the extent reasonably possible.
- This does not make them financial managers of care (i.e., the old HMO approach), but gives case managers a better understanding of the financial impact of their decisions. Quality care is still the primary driver, but an understanding of the financial impact of their decisions takes case managers to a whole new level of care and resource oversight.
- Enhances your agency’s ability to achieve and maintain positive financial results for episodes
- Maximizes your return on episodes which can be profitable
- Minimizes and manages losses for episodes that cannot not be profitable
- Uses branch cost data versus agency average cost data to more accurately predict financial results
- Enables your agency to readily identify the estimated financial results of any/all episodes at the onset of the episode as opposed to a month or more after the end of the episode.
- Provides a great case-management tool to assist in the reviews comparing projected resource needs to the actual resources used
- Augments your agency’s ability to identify strengths and weaknesses in their staff’s ability to accurately complete the OASIS
(this can become a useful tool in the continual training of staff on OASIS and the art/skill of delivering quality care in the home setting)
- Enhances your ability to achieve a more consistent approach to treating “like-kind” episodes
- Indicates LUPA when applicable
- Indicates whether or not the projected therapy visits are within the acceptable range for the PPS Equations
- Projects episode Profit/Loss based on planned resource usage