• Arrange financing for business expansion

• Create financial controls and budgets

• Bookkeeping

• Tax return preparation and review

• Third Party Audits

• Billing, Accounts Receivable and Accounts Payable review and implementation of standard operating procedures and controls

Accounts receivable (AR) is the balance of money due to an agency for services delivered but not yet paid for by a MCO. Accounts receivables are listed on the balance sheet as a current asset. As new sales are made, the balance increases; as claims are paid, it decreases.

Green Street has a process workflow that scrubs claim data from HHA Exchange and each individual MCO portal to create an accounts receivable balance. The balance is for any claims outstanding up to 12 months from the date ran. Initial claims are allowed to be re-billed or corrected up to 12 months after the initial date of service and/or 6 months after the date of service if not already billed.

Green Street has come up with this process through the reconciliation of internal client claims to compare to external factoring and debt servicing financial institutions. Throughout our time doing these audits and reconciliations we have uncovered situations such as data not being properly transmitted, claims remaining unpaid past 60 days and other issues to include system error, factoring errors, etc. Throughout our time doing this reconciliation we have recouped millions of dollars for our clients.

Feel free to reach out to us to discuss your situation and how we can serve you in recouping past due monies and reconciling your claims for improved cash flow efficiency.

Many clients wish to know that the final claims they are billing and sending electronically through HHA Exchange are going to be paid in full, with no issues concerning Nonpayment (Denials) or Clawbacks (Compliance Issues). The Billing Optimization Audit (BOA) combats these issues either in real time (weekly) or more flexible to your choosing (monthly, etc.) to make certain that the quality of each claim you attempt to Bill has the highest payment success rate.

The Billing Optimization Audit consists of three parts - Visit Compliance, Scheduling Synchronization, and Billing Holds. These three reviews address the causes that if corrected, can prevent potential payment issues and optimize overall revenue.

With this piece in place, we can run it to give you and your staff the feedback and necessary guidance as needed. We can also take over the actual submission of your claims on a week to week basis if you desire. If this is the case, we highly recommend the GSC Clear Report in addition to the Billing Optimization Audit, as it was designed specifically for this purpose. It gives the full, clear picture of all the metrics and insights your billing, verification, and agency as a whole needs to operate properly and successfully.

If you have any questions about the implementation at your agency in particular, simply let us know and we'll set up a time around your schedule to discuss what that looks like.

Authorization Audit Reporting is a process that allows the client to have a live report of Authorized Hours and the issues that impede an agency from billing at their fullest capacity.

Green Street has built a proprietary auditing tool that pulls data from HHA that is analyzed in order to produce reports that detail the issues related to authorization usage that are keeping the client from billing at their Expected Weekly Total. These issues include:

• Underutilization of Authorized Hours

• Overutilization of Authorized Hours

• Expired Authorizations

• Unscheduled Authorizations

• Authorized Hours on Hold

• Changes in authorization that are sent through HHA.

  • These would be input into the report as they occur, so that action can be taken as needed in order to maintain a good relationship with patients and their caregivers.

This audit is generally completed monthly with separate reporting tabs for each authorization issue built in, so that the client has a clear accessible picture of where problems lie and can work either with Green Street or internally to resolve these issues. Each month will show an up-to-date report of gain or loss of authorized hours and corresponding weekly billing. This audit process can be completed and maintained by Green Street or trained to an internal employee with experience in excel. Resolution of issues surrounding authorizations can also be supported by Green Street.

Electronic Visit Verification (EVV) is a federally-required Visit Verification method for agencies to ensure their Patients receive the reliable care they were promised. EVV data is captured through several methods completed by the Caregiver. The Data is sent to HHAeXchange, where it processes the EVV for billing.

Visit Verification Support & Reporting is an array of reporting metrics that allows clients to assess and improve their team of Care Coordinators so that an Agency can verify as many visits through federally mandated EVV.

Using data from HHAeXchange, Green Street has built a process workflow alongside recurrent reporting, which allows the Client to see issues seen in:

• Efficiency amongst Team;

• Compliancy of Visits Verified;

• EVV Utilization & Training;

• EVV State Aggregation;

This service will disclose the problems seen in the Agency’s EVV program and assist in those matters so that scheduled visits are being billed at their Expected Weekly Total & are EVV Compliant.

When it comes to the Agency’s mission in providing Care & its Billing operations, it all starts with EVV. Through working with agencies & their Caregivers, Green Street has constructed a Visit Verification model, which will improve the many facets of the Agency’s EVV program. The model implemented will offer a report for clients and an action plan to boost Billing while all being Compliant.

• Create growth opportunities

• Develop relationships and partnerships

• strategic vendor relationships

• Review policy and procedure

• Written Standard Operating Procedure for Agency

• Integration with existing HHAeXchange tools

• Training for Intake Staff

• Coordination between Intake and Marketing

Marketing Strategy

• Create value proposition

• Develop key brand messaging

• Analyze data on target demographic

• Implementing high-level planning to your marketing team

Marketing Plan

• Design and implement specific marketing activities

• Develop timetable for roll out of marketing initiatives

• Delivery of innovative ideas to market

• Create employee handbooks

• Implement tax credit programs for new hires

• Job description for all employees and management

• Design and implement company policies and procedures

• Develop electronic records for consumers and caregivers

• Design and implement best-in-class training

• Provide training manuals for all service classes.

ClearReport is a personalized spreadsheet with weekly HHAeXchange data to ensure accuracy and efficiency and provide insight to your business’ status and growth in the following areas:

• Case Management;

• Scheduling Management;

• Authorization Management;

• Pre-Billing Management;

• Payroll;

• Complaint Management; and

• Key Performance Indicator (KPI) Tracking.

Each report is intersected with one another to create a check-and-balance between authorized hours, scheduled hours, billed hours, and paid hours to verify that the Agency is scheduling, verifying visits, billing, and paying out within the Patient’s authorized hours set by the Payer.

The spreadsheet also provides Client a workspace Agency Staff can utilize to resolve any issues detected by ClearReport.

Green Street Consultants analyze the data from ClearReport to ensure that the Agency is running smoothly. If there are any issues present, Green Street liaises with Client the details and possible resolutions. From there, the Client can decide to resolve internally or Green Street to create a project proposal (out-of-scope) by the Client’s request.

All Weekly ClearReport is archived in Green Street’s Cloud with Client Access.

• Design processes to use technology to bring innovation to clients, caregivers, and stakeholders.

• Use technology to improve services an client satisfaction

• Increase workflow efficiencies.

• Provide management charts and workflow

• Design management system to increase efficiency and profitability

We help to prepare your business and sell in confidence. We help you to get your business in order, prepare a growth plan, analyze and solve your operations, and create financial controls.

Let us take the worry off your hands and assist you on your next steps.

If you’re looking to expand your company Green Street, as experts in the field, can perform the necessary analysis and due diligence so you can purchase in comfort.