{"id":11856,"date":"2015-11-19T17:03:46","date_gmt":"2015-11-19T22:03:46","guid":{"rendered":"http:\/\/www.poweryourpractice.com\/?p=11856"},"modified":"2025-10-27T11:16:02","modified_gmt":"2025-10-27T11:16:02","slug":"can-house-calls-increase-your-revenue-in-2016-and-beyond","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/can-house-calls-increase-your-revenue-in-2016-and-beyond\/","title":{"rendered":"Can House Calls Increase Your Revenue in 2016 and Beyond?"},"content":{"rendered":"

Madelyn Young contributed to this post<\/i><\/p>\n

If you\u2019re looking to bring more cash into your primary care practice, leading-edge solutions like telemedicine may look appealing to you as a way to earn extra revenue. Although telemedicine looks to play a larger role in the future, the payment details, licensing requirements across state lines, and other important issues remain to be worked out.<\/p>\n

What can you do in the meantime? Perhaps your income booster doesn\u2019t lie in the forward-thinking medical services of tomorrow. In fact, maybe you should look to the past for a\u00a0revenue-enhancing care delivery model<\/strong>.<\/p>\n

House calls may be the retro solution to some very current problems \u2013 low reimbursements for primary care services and poor access to care for the elderly.<\/p>\n

Financial Incentives<\/h4>\n

Medicare provides a\u00a0higher reimbursement for home visits\u00a0than it does for in-office encounters. If your practice is hurting financially and you typically see a wealth of Medicare patients on a given day, consider setting aside one day per week in which you solely offer house calls.<\/p>\n

Sure, many doctors argue that the incrementally\u00a0increased payment rate for house calls<\/strong>\u00a0isn\u2019t high enough to motivate them to see patients outside the office.<\/p>\n

\u201cAlthough demand for the service is building, the number of family physicians making house calls is shrinking,\u201d Beth Loney Oller, M.D. points out in a June 2015 post for the American Academy of Family Physicians. She adds that, <\/em>in a 2010 survey of AAFP members, 19% said they made at least one house call a week.<\/a> By 2013, the number had fallen to 13%, and only 3% of respondents said they made more than two house calls a week.<\/p>\n

How much more money you collect for a house call depends on the services you provide. In 2010, a new-patient visit performed in-office earned a doctor about $37 from Medicare. The same visit rendered at a home nets the doctor around $54 \u2013 just $17 more. But while the\u00a0highest-level Medicare visit\u00a0typically reimburses a physician around $131, if it\u2019s performed in a patient\u2019s home it\u2019s reimbursed for about $165 \u2013 $34 more.<\/p>\n

Potential Pluses and Minuses<\/h4>\n

As such, a well-planned day of house calls can certainly earn a physician more cash than a day of Medicare visits in the office. If that doc can additionally\u00a0lower overhead expenses<\/strong>\u00a0by paying fewer staffers to work in the office on \u201chouse call day,\u201d the income impact can be even more significant.<\/p>\n

Then again, seeing patients at their homes does require that you invest in portable medical equipment and pay the costs of transportation.\u00a0But becoming comfortable with those expenses may now make you better prepared to earn significant house-call payments later.<\/p>\n

A provision of the Affordable Care Act law mandated the creation of the Independence at Home (IAH) project, which CMS launched in 2012. The project goal is to look at \u201cthe effectiveness of\u00a0delivering comprehensive primary care services at home<\/strong>\u201d and determining if those efforts \u201cimprove care for Medicare beneficiaries with multiple chronic conditions.\u201d<\/p>\n

Not unimportantly, the IAH program offers incentives to participating healthcare providers who prove that they are providing quality care that\u00a0reduces costs for Medicare. Practitioners who meet the CMS\u2019 quality and patient satisfaction standards will be eligible to receive a portion of the money they help save Medicare through reduced numbers of hospitalizations, ER visits and tests. Results released in 2015 for the first year show of the practices who earned an incentive payment, the amounts ranged from $275,000 to $2.9 million.<\/a><\/p>\n

The IAH estimates that\u00a0Medicare spending could be reduced at least $15 billion a year<\/strong>\u00a0\u2013 more than $150 billion over ten years \u2013 if the\u00a0Independence at Home program<\/em> were fully implemented across the country.<\/p>\n

A New Subspecialty?<\/h4>\n

Believe it or not, the IAH may turn out to be a Medicare program that boosts payment, improves patient care and lowers costs. Even before the IAH leaves the demonstration phase, you may find that home visits are beneficial for your practice and your patients, thanks to those increased rates and increased demand discussed above.<\/p>\n

Home care medicine is becoming a specialty, of sorts, within primary care<\/strong>, Steven H. Landers, MD, MPH, told Medical Economics<\/em>. Especially regarding the care of homebound elderly patients, the future of home care looks bright. Increased Medicare payments, the overall aging of the U.S. population, mobile technology and data showing patients prefer home care could each contribute to the resurgence of the house call, says Dr. Landers, president and chief executive officer of VNA Health Group in New Jersey.<\/p>\n

Map out your business plan and run some numbers to find out if house calls are right for you \u2013 you may discover that their higher Medicare reimbursements can boost your bottom line.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Madelyn Young contributed to this post If you\u2019re looking to bring more cash into your primary care practice, leading-edge solutions like telemedicine may look appealing to you as a way to earn extra revenue. Although telemedicine looks to play a larger role in the future, the payment details, licensing requirements across state lines, and other […]<\/p>\n","protected":false},"author":1,"featured_media":43755,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,69],"tags":[39],"class_list":["post-11856","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-revenue","category-show","tag-revenue"],"yoast_head":"\nCan House Calls Boost Revenue? \u2013 CareCloud<\/title>\n<meta name=\"description\" content=\"Primary care doctors who make house calls typically get reimbursed more from Medicare, plus most consumers like home care visits. 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