Medicare practices
Take Medicare without taking on the paperwork.
HealthSpark handles every Medicare rule: plans of care certified, secondaries billed, KX added, Medicare Advantage caught before you bill.
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Plan of care created
Faxed to the physician
Signed and returned
Certification active
PLAN OF CARE · P.01
X
Physician signature
CERTIFIED
How it worksMedicare requirements, remembered for you
Home health episodes caught before every visit, not just at intake
HealthSpark checks Medicare's record before every visit and keeps the proof, so a late-posted episode gets appealed, not written off.
Home health check
Aug 26 · visit 5No episode
Aug 29 · visit 6No episode
Sep 2 · visit 7No episode
!Sep 5 · visit 8Episode open
Visit 8 heldEpisode opened Sep 3
Nobody chases the physician signature
We fax the plan of care for signature, match the signed copy when it comes back, and track the recert and progress note dates.
Coming due
Plan of care certifiedSigned Jun 14
!Progress noteDue next visit
!RecertificationDue Sep 12
The other 20% gets billed on its own
Medicare pays 80%. We bill the secondary as soon as Medicare pays, and charge the card on file for whatever is left.
With a supplement
Medicare paid 80%$118.56
Supplement paid the rest$29.64Nothing to collect$0.00
With a commercial secondary
Medicare paid 80%$118.56
Aetna paid part of it$24.40Balance to the card on file$5.24
Never lose a line to a missing KX modifier
We track every Medicare patient's therapy total and add KX the visit they cross.
Therapy this year
$2,318of $2,410
KX added to this visit97110 · KX
One platformMore than a back office
Insurance verificationAI scribeIntelligent faxingVirtual addressPlans of carePhysician finderSelf-booking & intakeSchedulingPatient managementPatient portalStart accepting insurancePayment trackingIn-network billingOut-of-network billingIn-clinic practicesMobile & in-home practicesTelehealth practices