Home Health Billing

Eligibility Verification & Prior Authorization

We verify patient eligibility under their insurance policy and obtain prior authorization for services when required.

Demographics & Charge Entry

We capture all relevant demographic, insurance, and encounter-specific details to generate claims and process charges.

Home Health Coding & OASIS Review

We perform multi-level coding and review clinical documentation as per your needs.

Billing & Claims Submission

We handle no-pay RAPs and End of Episode (EOE) claims and submit both paper and electronic claims.

Payment Posting

Our team reviews and posts all payments, including electronic, manual, patient, and denial payments.

Accounts Receivable Management

We follow up with payers, track payment status, investigate unpaid claims, address rejections, and reprocess claims when necessary.

Denial Management

We identify, categorize, and resolve denials, resubmit corrected claims, and take proactive measures to prevent future denials.

Credit Balance Resolution

We analyze credit balances, identify overpayments, resolve errors, and issue refund letters for unresolved accounts.

Report Generation

We provide customized reporting tailored to your specific requirements.