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Achieving Faster Payroll & Billing in Hours – Not Days

by HHAeXchange
Thu Sep 01 2022

Between collecting paper timesheets, validating visits, and ensuring claims are compliant, providers often spend countless hours on time-consuming and manual payroll and billing tasks. HHAeXchange streamlines the process for homecare agencies with a fast, accurate, and easy-to-use solution that reduces denials and increases cash flow. With HHAeXchange, providers have achieved a 99.9% first-pass acceptance rate and significantly reduced payroll processing time. 

PROBLEM: THE PROCESS IS MANUAL, COMPLEX, AND TIME-CONSUMING 

  • Collecting paper timesheets 

  • Validating visits 

  • Ensuring claims are compliant 

  • Billing  

  • Payroll  

All the above processes can be a recipe for error-prone submissions to payers. Without the right solution to connect the dots between payers and providers, processes not only slow down, but can result in denials and negatively impact cash flow.  

APPROACH: START BY CONNECTING THE DOTS BETWEEN PAYERS AND PROVIDERS   

Using HHAeXchange, payers and providers are directly connected for real-time communications. Payers can securely and electronically send a participant’s information to providers so providers can quickly schedule the right caregiver for the participant.Here’s how it works: 

  1. As soon as a caregiver clocks in and clocks out with EVV, that data appears in HHAeXchange, allowing schedulers to manage any exceptions, like missed or late visits.  

  2. After these exceptions are cleared, HHAeXchange’s pre-billing function will automatically verify that the visit matched the     contract, authorization, and plan of care.  

  3. Once this pre-billing process is complete, providers can perform a final billing review to resolve any remaining contractual issues with the visits.  

  4. HHAeXchange will then generate the 837 claim file to be sent electronically to payers in their preferred format. 

  5. Based on the verified visit and EVV data, HHAeXchange will generate the payroll file to be exported to your payroll system.  

  6. Once the 835 is received, HHAeXchange will match it against the 837, automatically reconciling claims and allowing you to work denials and AR. 

OUTCOME: ACHIEVE COMPLIANCE, GET PAID  

HHAeXchange’s pre-billing module is a real-time, rules-based engine that ensures providers submit 100% compliant, clean claims. The module prevents providers from submitting claims that do not pass all of the pre-bill edits. As a result, caregivers and patients can also gain insight into the non-compliant status of a service visit.  

BILLING & PAYROLL FEATURES 

  • Pre-bill cleansing to ensure claims can be paid 

  • Direct eBilling (837) 

  • eRemittance (835), 999 and 277CA Acknowledgements 

  • Streamlined Payroll, Payment Collections, and Accounts Receivable 

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