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Home health billing requires deep knowledge of OASIS documentation, PDGM payment models, episode-based billing, and payer-specific regulations. A minor error can lead to claim denials, delayed payments, or audits.
At Code Credentia, our certified billing professionals specialize exclusively in Home Health Medical Billing Services, ensuring your claims are coded correctly, submitted cleanly, and reimbursed at the highest allowable rate.
Accurate coding is the foundation of successful Home Health Revenue Cycle Management. Our certified coders ensure:
Our proactive coding audits help protect your agency while maximizing reimbursement.
Our end-to-end Home Health Billing & Coding Services include:
We manage your entire home health revenue cycle from intake to payment.
Denied claims are one of the biggest revenue leaks for home health agencies. At Code Credentia, we focus on denial prevention first, not just denial correction.
Our approach includes:
This results in clean claims, improved cash flow, and reduced days in A/R.
Access advanced tools and expert support to streamline complex Home health billing, maximizing claim accuracy and accelerating your reimbursements.
AI-powered code scrubbing detects and corrects errors before claims are submitted, ensuring accurate, clean billing for complex home health treatments and reducing the risk of rejections.
Tailored fee schedules for home health services help ensure precise billing and maximize reimbursement rates for sustained financial health.
Partner with billing specialists who understand the nuances of home health, offering personalized assistance and rapid issue resolution to keep your revenue cycle efficient and uninterrupted.
Direct integration with home health EHRs streamlines patient data transfer, minimizes duplicate entry, reduces errors, and creates a smoother, more efficient billing workflow.
Whether running a solo home health practice or a multi-location service, our billing solutions scale to meet your needs, providing adaptable support that grows with your practice for long-term success.
Precise mapping of home health procedures and diagnoses ensures accurate coding, full compliance, and optimized reimbursements.
Our Home Health Medical Billing Services are tailored for:
Whether you serve skilled nursing, therapy, or medical social services we have you covered.
If you are looking for a reliable partner to manage your Home Health Medical Billing Services, Code Credentia is here to help you increase revenue, maintain compliance, and reduce administrative burden.
Schedule a Free Consultation, Contact Us Today
Let Code Credentia handle your home health billing so you can focus on patient care.
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Home Health medical billing involves submitting and managing insurance claims for healthcare services provided to patients in their homes. These services may include skilled nursing, physical therapy, occupational therapy, speech therapy, and medical social services.
We support billing and coding for skilled nursing, physical therapy, occupational therapy, speech-language pathology, medical social work, and home health aide services, ensuring compliance with CMS and payer-specific guidelines.
Yes. We manage complete provider credentialing and payer enrollment for Home Health agencies, including Medicare, Medicaid, and commercial insurers, ensuring providers are properly authorized to bill and receive reimbursements.
Our certified coding and billing specialists stay up to date with CMS guidelines, PDGM requirements, HIPAA regulations, and payer-specific rules to ensure accurate coding, compliant billing, and reduced audit risk.
Absolutely. We proactively identify billing errors, verify documentation, ensure accurate coding, and follow payer guidelines to minimize denials. We also manage appeals and resubmissions to recover lost revenue.
Yes. Our certified coders accurately assign ICD-10-CM diagnosis codes and appropriate HCPCS/CPT codes in compliance with Home Health and PDGM requirements to ensure optimal reimbursement.
We specialize in Medicare Home Health billing, including PDGM case-mix coding, RAPs (if applicable), final claims, OASIS review support, and compliance with CMS documentation standards.
Outsourcing allows Home Health agencies to focus on patient care while improving cash flow, reducing administrative burden, increasing claim accuracy, ensuring regulatory compliance, and maximizing reimbursements.
