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Home health billing · Revenue cycle

Home health billing that stays ahead of the authorization.

Home health claims can fail before the first bill drops. We track notices, authorizations, visits and documentation so each period is ready to bill on time.

Works with your current systemScope and handoffs agreed upfrontBAA before PHI access
Billing specialist and clinician reviewing a claim workflow together

A clear scope. A consistent handoff.

Support designed around real practice work.

Home health work moves in periods of care, not single visits. We connect intake, the plan of care, visit counts and payer authorizations, then tell your agency what is holding each claim.

01

Before the period starts

Set up each admission so the claim has a clean start.

  • Eligibility and episode overlap checks
  • Notice of Admission submission
  • Managed care authorization tracking
  • Face-to-face and referral document follow-up
02

Before the claim drops

Hold claims only for reasons your team can see and fix.

  • Pre-bill review of visits and orders
  • Signed plan of care tracking
  • PDGM period and diagnosis checks
  • Authorized versus delivered visit review
03

After submission

Work payer responses until each period is resolved.

  • Medicare and Medicare Advantage claim follow-up
  • Denial review and appeal preparation
  • Payment posting and reconciliation
  • A/R reporting by payer and period

How we begin

A measured start before the work is handed over.

  1. 01

    Review the workflow

    We learn your payers, billing system, current backlog and where this work stalls today.

  2. 02

    Set the scope

    Agree on which queues we own, what stays with your staff and how exceptions come back to you.

  3. 03

    Start with secure access

    Document the handoff and sign a business associate agreement before any PHI is shared.

  4. 04

    Work and review

    We work the agreed queues, record each follow-up and review open items with your practice.

Questions

Before you get started.

We’ll use an initial conversation to understand the work, the current system and the boundaries your practice needs.

Do you handle Medicare Advantage home health plans?

Yes. We track each plan’s authorization requirements, visit limits and renewal dates separately from your traditional Medicare work.

Can you work in our home health software?

We work in your agency system once access and responsibilities are agreed, so your intake and clinical teams keep their current process.

Start with a conversation

Let’s talk about the work you want off your team’s plate.

We’ll discuss your workflow and what a practical service scope could look like. Please don’t share patient details on the call booking form or this website.

Or call (844) 874-2236