You should get every dollar you deserve for the vital services you provide. For many of you, DODD reimbursements for waiver services are your primary source of revenue—so making sure you are billing correctly and completely is essential.
Here are a few key areas to review that could impact your bottom line:
Day Services: Are You Billing the Correct Acuity Level?
DODD will reimburse at the lower of the rule rate or the rate you bill. If you’re billing an “A” acuity rate for an individual who has been assessed at a “B” level, you’re leaving money on the table. Make sure your billing matches the assessed acuity levels to capture the full amount you’re entitled to.
Residential: Add-Ons Matter
- Behavioral, Medical, and Complex Care Add-Ons: If you’re not billing for applicable add-ons, you’re missing out on additional funding. Take time to reassess your individuals’ support needs and ensure all eligible add-ons are being utilized.
- Competency Add-On: Do your staff qualify? If they have the experience, consider investing in the training hours they need to qualify. This one-time investment could yield long-term revenue gains.
Every missed opportunity in billing is a lost opportunity for more revenue—revenue that can support better staffing, better services, and better outcomes.
For details, see Frequently Asked Questions, or reach out to us!
If you have questions, please Email Our Service Team.
