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Home Health Billing Services

Get home health billing revenue cycle management services powered by an advanced AI-powered home health billing company. A2z Medical Billing Solutions helps healthcare providers manage challenges that damage their practice’s earnings. We help physicians with timely and error-free billing and coding, improving efficiency to stop revenue leakages.

About A2Z Home Health Billing Company

A2Z medical billing experts offer the best home health billing solutions in New York and across the US. We have been serving the home health practices for the last 10+ years, resulting in maximum collections, timely Medicaid submissions and payment posting, shorter turnaround times, and fewer claim denials. 

Our home health revenue cycle management team understands the nature of challenges a medical practice faces every day in the US. For a streamlined medical billing process, you require specialized knowledge and constant updates that only we can offer reliably and economically. We help healthcare organizations, including clinics, hospitals, and labs, to reduce in-house billing errors and improve their quality-driven work by two-fold. Over 400 home health agencies across the US trust our teams in optimizing their revenue with minimal disruptions to their cash flow. 

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What Are Home Health Billing Services?

Home health billing services involve the process of generating claims and submitting them to insurance payers for medical care offered by home health agencies to patients at their homes. The billing process for such medical care services is complex, involving multiple steps, including the OASIS assessment, eligibility checks, generating Medicare claims according to payer policies, timely submissions, and collecting patient payments. 

Due to the complexities of home health coding and billing, as well as the lengthy steps involved in verifying benefits eligibility from Medicare’s HETS database, outsourcing enables healthcare providers to submit Medicare claims in accordance with payer requirements and minimize the number of unbilled claims.

Why Outsource Home Health Billing?

Patient Care

We streamline the billing process for home health agencies and practices, freeing providers to focus solely on patient care and improving quality of life.

Operational Efficiency

Outsourcing increases operational efficiency by double, allowing better denial management, error-free home health billings, and Medicaid submissions.

Common Challenges in Home Health Billing

Home health billing offers unique and complex challenges at every step, and overcoming them is essential for lowering claim denials. The common challenges home healthcare providers face are

Regulatory Compliance

Home health agencies have to tackle various regulations and payer-specific requirements, especially Medicare and state-specific Medicaid rules. Non-compliance results in penalties and fines for providers in the US.

Documentation Accuracy

Inconsistent or missing documentation results in front-end denials and increasing aging account receivable cases. A new or untrained in-house clinical team increases documentation mistakes, directly affecting your revenue cycle

Coding Complexity

Complex coding for home health medical services requires complete knowledge of ICD-10-CM, CPT, and HCPCS codes. Using invalid or outdated home health codings increases claim denials.

Timely Filing Deadlines

Understanding of claim filing deadlines is important to prevent late submissions. The majority of Medicare claims are rejected due to non-compliance with time and format requirements.

End-to-End Billing & Credentialing Solutions

Besides offering the industry’s most advanced home health billing solutions, we also provide help to healthcare practices in getting credentialed and enrolling with government and commercial insurers. Our comprehensive home health revenue cycle management services include:

Insurance Eligibility Verification Services

Prompt and comprehensive eligibility verification of patients to determine home health benefits they are eligible for, and taking prior authorization if required by the payers in advance to enhance cash flow and shorten the turnaround time

Home Health Agency Billing and Coding

We offer accurate and compliant coding and billing solutions to home health agencies with electronic claim submissions. Each patient’s file data is thoroughly analyzed, including provider notes, diagnostic reports, and accurate ICD, CPT code is applied.

AR Follow-Up Services

Our medical billing team diligently pursues aging ARs to recover the owed amount from patients and insurance payers. All past dues are categorised, and various communication channels are used, like email, mail, calls, and texts, to recover reimbursement.

Providers Credentialing Services

We help new and established medical practices with credentialing and provider enrollment programs. We thoroughly assist healthcare providers in CAQH profile maintenance, payer setup, patient payments, to signing contracts for in-network and out-of-network enrollment selections.

Billing & Collections Excellence

At AR home health billing company, we offer state-of-the-art medical billing services across all 50 states of the US. By hiring our RCM experts, medical practices may achieve the following results:

Over 95% claim first pass rate

50% Faster reimbursement

Collection ratio +98%

Increased revenue by 45-60%

Medical billing for 50+ specialties

Front-end denials less than 5%

Reduction in AR by 45%

Up to 60% reduced operational costs

Compliance & Audit Support

HIPAA-compliant billing

Zero regulatory fines and penalties

AI-powered billing and coding audit

ICD-10, CPT, and HCPCS-based coding

AHIMA and AAPC-certified medical coders

Secure cloud-based billing software

Multi-Payer Expertise

Our home health revenue cycle management team has expertise in working with different commercial and government payers, including:

Medicare

Kaiser Permanente

Cigna

Elevance Health

Medicaid

UnitedHealth Group

Humana

Medicare Advantage plans

CVS Health (Aetna)

Blue Cross Blue Shield

Financial Reporting & Insights

We provide periodic financial performance reporting and analytics to ensure best practices are followed across all healthcare organizations. Our proactive approach helps providers in:

Making informed decisions

Improve patient care

Prevent claim denials

Evaluate the patient's payment status

Timely detection of revenue leakages

Technology-Driven Billing Services

Our AI-powered medical billing software allows claim automation, freeing your team from time-consuming work to improve patient care with ease. We offer easy integration with the existing EHR/EMR system you’re using, with real-time access to digital workflows, amplifying the effect of claim submissions and strengthening financial health. We have a good command of various billing software, including:

Kareo EHR and EMR
AdvancedMD EHR
DrChrono
CureMD
CareCloud
AthenaHealth
CollaborateMD
eClinicalWorks/ECW
Nexus
AthenaOne

Nationwide Coverage

Trusted by 400+ home health agencies and practices
Dedicated denial management ensures fewer denials
100+ AHIMA & AAPC-certified home health coding experts
Certified professional billing specialists ensure error-free billing
US-based staff, well-versed in payer-specific policies
30% Economical services than the rest of the industry
Trained and experienced staff ensuring minimum disruption
Easy in-network and out-of-network provider enrollment
Faster claim processing and patient payment collections
Easy EHR/EMR integration and payer setup

Hire The Industry’s Leading Home Health Billing Experts To Free Yourself From Billing Hassles

Frequently Asked Questions(FAQs)

What are home health billing services?

Home health billing services are a part of patient medical billing services, where providers offer various medical care to patients at their homes. These services ensure patients who have physical mobility issues receive proper care and attention from their providers. The billing process for such services is complicated, with varying policies between different payers, and reimbursement rates depend on the type of patient care received.

How does outsourcing reduce claim denials?

Outsourcing home health billing solutions to a professional revenue cycle management company offers the services of trained and experienced staff in reducing billing errors, improving accounts receivable, and better denial management. All of these benefits lead to timely claim submissions and reduce claim denials significantly to improve the revenue cycle.

Do you handle Medicare, Medicaid, and private insurance?

Yes, our home health revenue cycle staff handles the government insurance plan billing, like Medicaid, Medicare, and different commercial payers, efficiently. Our team knows the latest payer policies of all US-based payer types, allowing them to generate error-free Medicare claims and timely Medicaid submissions.

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