Home Health Billing

Simplified Home Health Billing and collections is the key to financial health.

  • Electronic billing when possible to accelerate your payments.
  • Prompt claim denial management.
  • All payments validated for accuracy.
  • Daily Medicare T-Status and ADR monitoring.
  • Payer set up and maintenance in your software.
  • Alerts: we will call you if we see anything that needs your immediate attention.

Episodic Billing

Medicare RAP Billing

  • RAP is the initial claim submitted to Medicare to collect 50-60% of the patients care episode
  • RAP claims will be submitted once the OASIS is complete and pre-billing audit is done to ensure
  • Any RAP issues will be immediately troubleshooted and resolved
  • Follow up is key

Final Episode Billing

  • Final Episode Billing or End of Episode is submitted to Medicare once the patient is discharged and proper billing QA is completed on the file

Recertification

Billing Audits

  • Ensure smooth claims

Forecast Revenue

  • Lead analysis in understanding what is coming in the door

Denial Management

  • T-Status
  • Rejected Claims
  • Short pay resolutions

Prior Auth/Retro Auth Support

Hospice Billing

  • Forecast Revenue
  • NOE timely submission
  • Timely Claims Processing
  • Medicaid Room and Board
  • Additional Documentation Review

Consulting and Compliance

  • Revenue Cycle
  • Operations
  • Compliance with ADRs
  • Establish Contracts with insurance companies
  • Consulting Services (New Agency starting up, Operational, ADR Relief, JCAHO accreditation prep, DHS audits, and more)