Home Health
Billing Services
Medicotechllc handles your home health billing so you can focus on providing smooth, door-to-door services to your patients. While you deliver quality care, we manage all your administrative burdens, including credentialing, coding, and complete revenue cycle management.
What Is Home Health Billing?
Home health billing is the process of submitting and following up on claims for medical services provided to patients in their homes. It involves coding diagnoses, verifying insurance eligibility, and ensuring compliance with payer rules. The goal is to secure timely reimbursement from Medicare, Medicaid, and private insurance for skilled nursing, therapy, and other services.
Home Health Care Billing Process – How It Works?
- Patient Intake And Verification: Patient information and insurance eligibility are gathered and verified.
- Care Plan And Documentation: A physician's care plan is created and all services are meticulously documented.
- Coding And Claim Submission: Services are coded with specific diagnoses and procedures, and the claim is sent to the payer.
- Follow-Up And Reimbursement: The claim is tracked, and any denials are appealed to ensure payment is received.
Home Health With Billing Medicotechllc
Home Health Credentialing
Medicotechllc makes credentialing seamless, not a waiting game. With a clear, step-by-step approach, providers can fast-track network participation, improving patient access and revenue.
Home Health Medical Billing
Our specialized Home Health Medical Billing expertise focuses on the unique requirements of your agency, from meticulous OASIS reviews to timely RFA processing, guaranteeing optimal reimbursement.
Home Health Coding
Our expert coders are AAPC- & CCA-certified and meticulously trained in OASIS and PDGM guidelines, ensuring every diagnosis is accurately captured for a smooth revenue stream.
Home Health Revenue Cycle Management
We provide end-to-end home health RCM, from ensuring accurate patient registration upon intake to meticulous claims adjudication and accounts receivable follow-up, ensuring every dollar is recovered.
Claim Rejection Handling
Medicotechllc’s billing solutions can be a perfect fit if your practice has a denial rate higher than 10%. We don’t just handle denials with accuracy and timely resubmissions; our experts work to prevent them from the very first day.
Insurance Eligibility Check
We streamline your workflow and secure payments with instant, accurate patient benefits checks and prior-authorization. Our solutions are designed for home health agencies, with tailored options for different payers.
Helping Providers With Review Choice Demonstration (RCD)
The Review Choice Demonstration (RCD) is a program from the Centers for Medicare & Medicaid Services (CMS) for home health services. It requires agencies in certain states to choose between pre-claim review, post-payment review, or a minimal review option. The program’s goal is to reduce improper payments, prevent fraud, and ensure compliance with Medicare requirements. This is operational in Florida, Oklahoma, North Carolina, Texas, Ohio, and Illinois. What Medicotechllc does is accurately handle all your billing and documentation so you can receive complete reimbursements.
Over 10 Years Of Industry Experience & Expertise
It isn’t just our experience that keeps us going; it’s the continuous training we provide to our home health billing and coding staff. By optimizing your billing under the Patient-Driven Groupings Model (PDGM), we get faster approvals from payers. This results in less administrative burden for you and better care for your patients.
Patient Payment Collections
Medicotechllc generates clear and easy-to-understand payment statements for patients. This clarity improves collections, thereby increasing the total revenue for the home health agency. By simplifying the billing process, the company reduces patient confusion and the administrative burden on staff. This efficiency leads to faster payments and a significant reduction in outstanding balances.
HIPAA Compliance & Data Security
Patient data is the lifeblood of home health. We handle your sensitive information with an unbreakable commitment to HIPAA compliance, ensuring that both patient and provider data are secure. Our medical billing and coding services are built on a foundation of trust and unmatched data security. We are also fully PCI DSS compliant, protecting all payment and financial transactions with the highest security standards.
Custom Reporting & Analytics With One Month Free Billing Audit
Data is power. We put it in your hands with custom analytics and reporting, so you can finally see what’s happening behind the scenes of your home health care billing. And to prove it, we’re giving you a free one-month billing audit sign up now! Think of it as a financial health check-up that spots missing revenue and streamlines your operations instantly.
Frequently Asked Questions
How to bill medicare for home health services?
To bill Medicare for home health services, a home health agency must submit a claim using the CMS-485 form (Plan of Care) and a Request for Anticipated Payment (RAP) to the local Medicare Administrative Contractor (MAC). The final claim is then submitted after all services have been rendered.
Why choose Medicotechllc for billing services?
Medicotechllc offers expert billing services that optimize revenue cycle management, ensuring accuracy and efficiency. Their specialized focus on medical technology allows them to provide tailored solutions that maximize reimbursements for healthcare providers.
Does home health billing include coding?
Yes, home health billing includes coding. Medical coders use specific codes like ICD-10 and HCPCS to describe diagnoses, services, and supplies provided to the patient.
What reports matter most for a home health agency?
Financial reports like the balance sheet and income statement are crucial for tracking profitability. Clinical reports, such as OASIS assessments and visit notes, are essential for compliance and quality of care.
Can Medicotechllc handle multi-state billing requirements?
Yes, Medicotechllc handles multi-state billing requirements. They offer nationwide medical and insurance credentialing services to help providers navigate various state-specific regulations.
Why are prior authorizations important in home health?
Prior authorizations ensure services are medically necessary and covered by a patient’s insurance plan, which prevents claim denials. They also help manage healthcare costs and facilitate better care coordination between providers and payers.