Skilled & Non-Skilled Home Care Agencies
We bill for all types of home care agencies including hourly non-skilled billing. We also help with Medicare’s Patient-Driven Groupings Model (PDGM). We will bill directly through your software. If you are not using a software, we can still bill with our own software. We will accelerate payments with electronic billing where possible. We have a built-in scrubbing system to clean claims to ensure a high first-time pass rate. We also submit paper claims.
Aged AR Recovery
Unlike many large billing companies, we work on Aged AR that typically require more diligence and expertise. Working through these claims usually point to need for Operational changes like payor set up and claim formatting, denial management weaknesses, vulnerabilities in eligibility verification and the insurance authorization process which help agencies long term.
Cash Payment Application
We will post all payments to ensure most current AR reports are available to clients.
Daily Billing
We bill claims daily to ensure quickest and maximum cash flow. We monitor daily Medicare T-Status & ADRs.
Actionable Reporting
We send reports with targeted actions to enable faster and higher recovery for our clients. Health Analysis of your agency will determine the common trending of your billing, cash flow and clinical sides issues.
Billing Nationwide for All Payors
We work with more than 500 payors across all states including Medicare PPS, Medicare Advantage Plans, Commercial & Private Insurance Payors, Veteran Administration Plans, State Medicaid Programs, Waivers, Workers Compensation, and other Episodic Payors.
Insurance Payor Electronic Payment Set up and Software Billing Support
We add all payor rules to your home care software, as well as setup procedure codes, and modifiers. We make calls to software on any issues that affect billing claims.
Denial Management and Rejections
We ensure that we bill all the claims at the correct amounts and analyze all claims that were not paid in full or denied. We will follow up and rebill all the unpaid or partially paid claims. We follow up with all payors on the reasons for payment discrepancies and address any potential issues so our clients can receive full payments for services rendered.
EDI Applications for All Payors
When it comes to submitting claims electronically, most insurance companies require agencies to fill out applications. We will do that for all your payors at no extra cost.
Medicare Eligibility Checks
We can do all of your Medicare eligibility inquiries and review them with you to ensure patients are truly eligible for home care services.
Support
We will provide dedicated Account Manager and Billing Team. Ongoing support will be provided for Medicare and Commercial Insurances billing that allow Agencies to better understand bottom-line and cash flow issues.