- OASIS & Documentation Integrity
- End-to-End Billing Workflow
- Denial & AR Management
Comprehensive Billing for Home Care Agencies
Whether you are a home-care provider, therapy agency, or nursing service — our home health billing solutions handle your full revenue lifecycle. From patient intake and eligibility checks to claims filing and payment reconciliation, we ensure timely reimbursement while you focus on delivering care.
Our Home Health Billing Services
Eligibility Verification & Prior Authorization
Confirm patient insurance coverage and benefits before services to avoid denials.
Demographics & Charge Entry
Accurate capture of patient, insurance, and encounter details for clean claims.
Home Health Coding & OASIS Review
Thorough coding and documentation review to comply with home-health regulatory standards and ensure reimbursement.
Claims & RAP / EOE Submission
Submit RAPs (Request for Anticipated Payment) and end-of-episode claims via paper or electronic submission.
Payment Posting & Reconciliation
Post and reconcile electronic and manual payments, patient payments, and handle remittance advice.
Accounts Receivable & Denial Management
Follow up on unpaid claims, research denials, resubmit corrected claims, and manage appeals.
Credit Balance Resolution
Identify overpayments or credit issues, correct discrepancies, and prepare refunds or adjustments.
Custom Reporting & Analytics
Receive tailored reports and dashboards to track revenue, claims status, denial rates, and financial performance.
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Our Billing Process
Our streamlined workflow ensures accurate documentation, clean claim submission, timely payment posting, and proactive denial follow-up — reducing revenue leakage and improving cash flow for your home health agency.
Patient Intake & Eligibility Verification
Capture demographics, insurance details, and check coverage and benefits before care begins.
Order & Documentation Collection
Gather physician orders, care plans, OASIS assessments, and face-to-face encounter confirmations.
Coding & Charge Entry
Assign appropriate codes and enter charges for all services rendered, ensuring compliance with home health billing rules.
Claims / RAP / EOE Submission
Submit claims — including Request for Anticipated Payment (RAP) or final end-of-episode claims — via electronic or paper submission per payer guidelines.
Payment Posting & Reconciliation
Post payments received, reconcile electronic remittance advices (ERA), patient payments and adjustments.
Accounts Receivable & Denial Management
Monitor outstanding claims, follow up with payers, identify denials or underpayments, and resubmit corrected claims or appeal if necessary.
Reporting & Analytics
Provide regular financial reports, denial patterns, claim turnaround, and revenue cycle performance dashboards for your agency review.
Speak With an Expert
Improve Your Operational Outcomes. Connect with us today for a no-charge in-depth Consultation before we begin optimizing your operations.
