Specialty billing

Home Health & Home Care billing services

Episode-based billing and clean claims for care delivered at home.

Home health billing follows strict payment-period and timing rules, while home care often relies on Medicaid programs and electronic visit verification. We manage the claim side of both.

What we handle

Billing built for
Home Health & Home Care practices.

Codes shown are common examples. Payer rules vary, and we apply the policy that applies to each claim.

01

Medicare home health billing

Notice of Admission and final claims across 30-day payment periods, following current CMS guidance.

02

Documentation alignment

Claims reconciled with assessment and visit documentation before submission.

03

Eligibility and authorizations

Coverage, plan rules and authorizations checked before care begins.

04

Medicaid and personal care billing

Program-specific claims, including electronic visit verification requirements.

05

Private pay and long-term care insurance

Invoicing and claim support for non-Medicare funding sources.

06

Denials and A/R follow-up

Rejected and unpaid claims investigated and worked until resolved.

How we work

Four steps.
Nothing left hanging.

  1. 01

    Verify

    Eligibility, benefits and authorizations are checked before the visit.

  2. 02

    Code & submit

    Encounters are coded from your documentation and claims are checked before they go out.

  3. 03

    Follow up

    Rejections, denials and unpaid claims are worked until they are resolved.

  4. 04

    Report

    You receive regular reporting on claims, denials and collections.

FAQ

Home Health & Home Care
billing questions.

Have a different question?

Talk to us
Do you bill both home health and non-medical home care?

Yes. The billing models differ, so we configure each agency by payer and funding source.

How do you handle electronic visit verification?

We help reconcile EVV data with billed visits where programs require it.

Do you follow Medicare changes?

Yes. We follow current CMS guidance and update billing workflows when requirements change.

Your next chapter starts here

More time for patients.
More potential for your practice.

Start with a free practice audit or a conversation about your Home Health & Home Care practice.

No patient information needed.