Home health agencies (HHAs) are viewed as a cost-effective option for many patients when compared with institutional counterparts such as skilled nursing facilities and inpatient rehabilitation facilities. Agencies provide skilled nursing services, other therapeutic services to homebound patients and are subject to policies developed by physicians and registered nurses.
A broad range of Medicare and state regulations impact HHAs. The complex regulatory environment affects healthcare services including:
- Patient selection
- Physician certification
- Clinical services
- A host of other operational requirements
State and federal agencies aggressively monitored HHAs for compliance as a means of identifying both fraud and abuse violations. As a result, HHAs must closely monitor compliance, operations, and billing to ensure that all requirements are being met.