Home Health and Hospice Medical Billing Built for Episode-Based Care

Admission and Election Notice Deadlines

Notices of admission and election must be filed within a strict window. Late filing reduces payment for every day of delay and is not appealable.

Assessment Accuracy

The patient assessment drives the payment group for the entire period. Errors and inconsistencies change reimbursement and invite review.

Face to Face Encounter Requirements

Certification requires a documented face to face encounter within defined timeframes, tied to the reason for care. Missing it invalidates the claim.

Visit Thresholds and Episode Structure

Periods with visits below the threshold are paid per visit rather than as a full period. Tracking visit counts protects episode revenue.

Home Health and Hospice Medical Billing

Complete billing management built specifically for home health agencies, hospice programs, and in-home care providers.

• Charge entry and claim scrubbing
• Electronic and paper claim submission
• ERA/EOB posting and reconciliation
• Denial management and appeals
• Patient statement and balance collections

Home Health and Hospice Medical Coding

Certified coders with deep home health and hospice coding expertise capture every procedure at the correct, compliant level.

• Primary diagnosis selection driving the payment group
• Assessment review for accuracy and consistency
• Admission and election notice preparation and timing
• Face to face encounter documentation verification
• Visit threshold monitoring and episode reconciliation

Healthcare Credentialing

Fast payer enrollment and re-credentialing so you never miss a payment because of a lapsed credential.

• Insurance enrollment and re-credentialing
• CAQH profile management
• Medicare and Medicaid enrollment
• Payer contracting and fee schedule review
• Ongoing status tracking and follow-up

Virtual Medical Assistant

Dedicated remote assistants to absorb your front-desk workload so your staff stays focused on patients.

• Prior authorizations and referrals
• Appointment scheduling and reminders
• Insurance eligibility verification
• Patient follow-up calls
• EHR data entry and documentation support

Accounts Receivable Management

Dedicated AR follow-up to recover outstanding claims and pull down aging balances across every payer.

• Aging AR review and prioritization
• Payer follow-up and escalation
• Patient balance collections
• Write-off and adjustment analysis
• Monthly AR performance reporting

Revenue Cycle Audit

A thorough audit of your home health and hospice billing to surface revenue leakage and compliance risk before it escalates.

• Billing workflow assessment
• Coding accuracy and payer policy audit
• Denial pattern analysis
• Payer contract review
• Custom revenue improvement roadmap

Late Admission Notices

Payment reduced for every day a notice is filed late, with no appeal available. We file inside the window every time.

Assessment Errors

Inaccurate assessments change the payment group for the whole period. We review for accuracy and internal consistency before submission.

Missing Face to Face Documentation

Claims invalidated because the required encounter was not documented or not tied to the reason for care. We verify before billing.

Visit Threshold Shortfalls

Periods paid per visit instead of as a full period because visit counts fell short. We monitor counts during the period, not after.

Certification and Order Gaps

Missing or unsigned physician orders and certifications invalidate otherwise correct claims. We track signatures actively.

Recertification Timing Errors

Recertifications completed late break the continuity of billing. We manage the calendar so periods do not lapse.

Slow Reimbursements

Episode claims stall when documentation is incomplete. We work them until each period is fully resolved.

Audit and Review Exposure

Home health and hospice face heavy medical review. We keep documentation aligned so reviews do not become recoupments.

Independent Agencies

Hospice and Palliative Programs

Hospice organizations managing election notices, levels of care, and interdisciplinary documentation requirements.

• Hospice Programs
• Palliative Care
• Levels of Care
• Bereavement Services

Health System Home Care

Health system home care divisions requiring enterprise reporting, audit readiness, and multi-site consistency.

• Health Systems
• Multi-Site Agencies
• Post-Acute Networks
• Home Infusion