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HMO Watch
Patient Eligibility Management Software

Predatory HMO Marketing

HMOs are targeting home care patients in record numbers. When a region is under HMO siege, patients are slammed with a battery of coordinated television, radio, direct mail, and telemarketing.

These tactics are working. Last year HMO enrollees grew by 40% nationally! Often patients are not even aware that they have elected HMO coverage, nor that their choice may limit their home care benefits. 

It Gets Worse

By the time agencies learn that a patient has enrolled in an HMO, often the patient’s window to revert back to Medicare home health coverage has expired. Worse, agencies are finding that in cases where the HMO has no, or limited, home health benefits, they may have already provided months of care that will never be reimbursed. Agencies have already lost hundreds of thousands of dollars due to unnoticed changes in patient eligibility.

Fight Back with HMO Watch

HMO Watch is a daily reporting service that notifies you as soon as the information that a patient has elected HMO coverage enters the CMS system. This advance notice allows you to implement patient education strategies to return the patient to Medicare home health. More importantly, armed with the reports from HMO Watch you can make adjustments to keep from providing care that will not be reimbursed.

HMO Watch is very affordable and often pays for itself in the first few weeks of use. Protect your hard work with HMO Watch.

See for yourself

Click on the thumbnail below to see the sample HMO Watch Reports.

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