Elevating Home Healthcare: How WorldView Improved CenterCare's Finances and Operations
Many home health care agencies remain dependent on manual methods, leading to slow and cumbersome operations. They find themselves spending excessive time on administrative work and risking non-compliance. CenterCare Home Health & Hospice was faced with these challenges. Enter WorldView.
WorldView helped this agency drastically reduce its billing cycles and efficiently organize operations with the leadership of Amy Fife, the Operational RN for CenterCare.
CenterCare Home Health & Hospice
CenterCare is located in El Paso County, Colorado, and offers a full range of home health care and hospice services, including specialty services people may not be able to find with other care providers. The agency’s team of specialists help patients live a more active lifestyle and manage their conditions.
To improve referral management and physician orders, CenterCare began working with WorldView in May 2023 when Amy joined the agency. Amy is an Operational RN with more than 10 years of experience and regularly works with agencies on system improvements that create smoother operations, better processes and stronger training programs.
WorldView offered CenterCare a single digital location for managing physician orders and referrals and matching them to the correct patient record, among other efficiencies. Amy recognized its potential to bring more structure to operational workflows.
Improving the Billing System
Amy says that when she started with CenterCare, “There was no rhyme or reason to billing or order tracking.” Orders were more than 120 days outstanding, which increased to 160 on patient accounts that weren’t current.
CenterCare’s billing department wasn’t able to bill consistently and didn’t have an established revenue cycle. Lacking a time-efficient solution can delay reimbursement for healthcare agencies, affecting other areas of the business.
The agency misses out on prompt revenue, requiring the involvement of accounting and management teams to examine billing discrepancies and identify the causes of payment delays. These delays shift focus from other important tasks.
After using WorldView for just a few months, Amy and her team saw their order turnaround time decrease by over 80%. This change also led to an increase in revenue of more than $20,000. As CenterCare continues to utilize WorldView, they expect further improvements in order turnaround time.
Amy said: “WorldView has definitely brought consistency to our revenue.” She further illustrated its impact by saying, “If I had to estimate how many orders WorldView has facilitated since we began using it, it would easily be around 700 orders.” The clear shift from a negative billing cycle to a positive influx of completed orders underscores the transformative power of WorldView in stabilizing CenterCare's financial health.
Managing Physician Orders
WorldView manages the chaos surrounding the submission and management of physician orders. Amy and her team could use it to auto-send orders and store electronic records in a single location. When she arrived at CenterCare, Amy found a disjointed method of processing these orders. The team manually faxed orders, processed orders over the phone, or emailed documents, which resulted in multiple paper trails.
This sort of order management system is not only ineffective but also runs the risk of compromising security if someone makes a mistake and uses the wrong system to submit an order. As with billing processes, WorldView’s solution made the process of managing physician orders more efficient.
With this tool, physicians could sign all orders with a wet signature and send them. Since WorldView lets Amy and her team receive these documents digitally, they can easily track paperwork and note when a physician has signed an order.
Amy said, “WorldView allows us to be more organized because it lists orders per patient, so attaching them to the EMR is easier.” When she started, Amy’s team had to manually attach each hand-signed order to a patient’s records. And when a physician returned bulk orders of 100 or more, CenterCare staff had to sort them and track down the right patient record to attach the order.
WorldView automatically separates these orders and matches them to the right patients. A process that used to take hours and multiple team members could now be done in seconds. Staff members who used to spend their time sorting through bulk orders now have time to coordinate resources for patients and do other tasks that help caregivers do their jobs more effectively.
Keeping in Compliance
Since CenterCare accepts Medicaid and Medicare, the facility is routinely audited by the State to help ensure compliance with industry rules and regulations. The agency performs routine internal audits but hasn’t been formally audited by the State since Amy started. She hasn’t gone through an audit yet, but she feels confident that the agency will be prepared for an audit when the time comes.
“WorldView has given us records of when every order is sent in, when it gets signed, and when it is attached to a patient file. We definitely have thorough records now.” WorldView also helps CenterCare stay in compliance with visit utilization rates for Medicare and Medicaid patients. The system will automatically notify a physician if a patient misses their visit.
WorldView is also available on mobile devices, which is crucial in home health care. If the home health team goes to a patient’s house and the patient isn’t home, they are required to report it as a missed visit. With WorldView’s electronic content management, the care team can make notes using their mobile device and automatically send a notification to the patient’s physician.
Prior to implementing WorldView, this process required members of the management team to manually write up a missed visit order and fax it to a physician, and CenterCare experiences between 60 and 80 missed visits per month. Agencies must notify physicians when their patient misses a visit or risk having their reimbursements lowered by CMS. Amy noted that this process took a lot of time before WorldView, but it’s easier to track now, and there is a paper trail to prove that the agency notified physicians of missed visits.
CMS also requires detailed health documentation before approving patients for home health or hospice. WorldView allows CenterCare to store these documents in a single location and easily attach orders, referrals, patient care notes, and other documents to the correct patient file. Members of a patient’s care team can instantly access notes from a home health visit and decide if they need to revise the care plan. As a result, patients get better quality care.
Better Referral Processing
WorldView makes it easy to run multiple processes more efficiently, including referrals.
Amy says, “WorldView has made our intake person’s life so much easier because they don’t have to track multiple pieces of paper.” Before WorldView, CenterCare processed referrals & orders using a fax machine. Any referrals sent over on Friday would not be processed before Monday morning.
Now that everything is routed through an electronic system, the management team can keep track of referrals they receive over the weekend. When CenterCare was tracking orders & referrals via fax, management team members occasionally had to drive into the office over the weekend to make sure they weren’t missing anything.
Once the team gets a referral, they can add it to the system and link it to a patient's record quickly, making it faster for Amy and her team to handle referrals.
Better Together with WorldView
Amy and her team worked with Audra, their customer success manager at WorldView, to train on the system. Amy said, “Audra has been amazing. She has been so much help, even with the littlest of questions. She responds so timely and takes the time to make sure we understand what we're looking at and why it’s important. You don’t always get that with technology vendors, so customer support has been a huge asset.”
Since adopting WorldView, CenterCare has streamlined its operations, freeing up the care team to concentrate more on their patients. This efficiency has led to a notable improvement in patient care. Importantly, with WorldView, there's a clear confidence in the accuracy of referrals and orders being correctly matched to patient files, reducing potential errors. This system ensures they always work with consistent and accurate data, enhancing the quality of care plans.
Beyond improving patient care, WorldView has significantly benefited CenterCare's financial health. With its help, Amy and her team have been able to run the agency more smoothly, reducing the time it takes to complete revenue cycles. This efficiency has not only simplified tasks for the management team but also improved the agency's overall earnings. With their finances in a better state and streamlined processes, the team can concentrate more on providing quality patient care.
“WorldView has definitely brought consistency to our revenue. It has given us records of when every order is sent in, when it gets signed, and when it is
attached to a patient file. We have way more thorough records now”
Amy Fife
Operational RN