Billing for home health agencies, timed to every 30-day period
Home health billing runs on strict deadlines and depends on clinical documentation. We keep Notices of Admission, final claims and authorizations on schedule, so your clinicians can focus on visits.
What makes home health billing different
These are the points where home health agencies most often lose revenue, and how we handle each one.
- 01
Notice of Admission timing
Medicare expects the NOA within five calendar days of the start of care. We track every admission so late-filing penalties don’t reduce your payment.
- 02
30-day period billing
We bill each period under PDGM and watch the visit count so periods don’t fall under the LUPA threshold without warning.
- 03
OASIS and coding alignment
We check that diagnosis codes on the claim match the OASIS assessment and the plan of care, since mismatches change payment.
- 04
Medicaid and Medicare Advantage
We track authorizations, visit limits and each plan’s billing rules alongside traditional Medicare.
How we support home health agencies
Each of our services adapts to how an agency operates.
- 1
Agency enrollment
Medicare enrollment on the CMS-855A, state Medicaid enrollment and managed care contracting for new and growing agencies.
- 2
Billing and collections
NOAs, final claims, Medicaid billing, payment posting and follow-up on every unpaid period.
- 3
HIPAA for field staff
Policies and training for clinicians who carry patient information on phones, tablets and laptops.
- 4
Free audit
A review of your late NOAs, LUPA periods and denials to show where payment is being lost.
Find out what your billing is missing
Request a free audit of your claims, denials and unpaid balances. We will show you, in writing, where revenue is getting stuck and what it takes to fix it.
- No cost and no obligation
- Covered by a business associate agreement
- Written findings you keep