Home Health & Hospice Billing Directory
Home health billing is fundamentally different from office-based medical billing. It operates under the Patient-Driven Groupings Model (PDGM) for Medicare, requires OASIS assessments that directly aff...
52
Companies
36
Nationwide
80.6
Avg Score
Home health billing is fundamentally different from office-based medical billing. It operates under the Patient-Driven Groupings Model (PDGM) for Medicare, requires OASIS assessments that directly affect reimbursement, and involves episode-based payment rather than fee-for-service billing. A billing company without home health experience will not understand how clinical documentation drives payment under PDGM.
Our directory includes 52 billing companies with verified home health billing experience, serving home health agencies, hospice providers, and in-home care organizations. Each company has been evaluated for specialty expertise, OASIS-related capabilities, and data quality.
Showing 20 of 49 companies
MedCare MSO provides AI-driven medical billing, practice management, and EHR solutions to optimize revenue and streamline operations for healthcare providers.
AnnexMed is a trusted ABA billing company for therapy practices, clinics, and multi-site providers.
Medical Billers and Coders (MBC) provides home health billing services, specializing in managing the complexities of coding and billing for in-home patient care.
Plutus Health offers revenue cycle management services that maximize revenue and decrease administrative burdens for healthcare providers.
BellMedEx is a US-based medical billing company offering a wide range of services, including medical billing and coding, revenue cycle management, and credentialing, with a specialization in ABA therapy billing.
Practolytics offers medical billing services for home health agencies, including patient intake and verification, OASIS documentation, coding and claim submission, and payment and reimbursement.
Global Healthcare Resource is a full-service healthcare solutions firm focused on maximizing ROI for medical care facilities, including home health and post-acute care providers.
Medheave is a US-based home health billing company excelling in offering tailored solutions for practices dealing with chronic care and remote patient monitoring.
Outsource Strategies International (OSI) provides efficient dental AR management services to reduce outstanding claims and improve cash flow.
Encompassing 15 years of progressive experience, our California-based company delivers medical billing and coding services to physicians and healthcare facilities all over the USA.
Aegis provides expert home health medical billing and coding services to streamline operations, maximize revenue potential, and minimize errors.
iMagnum is a leading provider of healthcare business process and technology solutions, offering end-to-end RCM services to optimize revenue cycles for healthcare providers.
HealthRev Partners provides revenue cycle management services for home health, hospice, and palliative care agencies.
Code Credentia offers specialized medical billing services for home health agencies, focusing on regulatory compliance, OASIS accuracy, and revenue optimization.
Advanced RevCycle offers top-tier home health, hospice, and palliative care billing services.
Superior Medical Billing and Technologies LLC was founded in 2020 to provide reliable, efficient, and accurate billing solutions to healthcare providers.
Sunknowledge is a medical billing company that provides comprehensive home health billing services, including patient eligibility verification, coding, prior authorization, claim submission, denial management, and accounts receivable management.
HMS is a comprehensive healthcare management services company dedicated to serving healthcare providers across the USA.
Credex Healthcare is a leading credentialing, billing, and licensing company that simplifies your practice management.
SimiTree provides billing services for home health care, helping agencies get paid faster and maximize profits.
Home health billing under Medicare uses the Patient-Driven Groupings Model (PDGM), which replaced the Prospective Payment System (PPS) in 2020. Under PDGM, payment is determined by clinical grouping, functional impairment level, comorbidity adjustment, and whether the episode is early or late in the patient's care. This means that OASIS assessment accuracy directly determines reimbursement — making clinical documentation review a critical billing function.
Unlike office-based billing where each visit generates a separate claim, home health billing is episode-based. A 30-day episode includes multiple visits across disciplines (nursing, PT, OT, SLP, social work, home health aide), and the agency receives a single episode payment. Managing the Request for Anticipated Payment (RAP) and final claim submission requires specialized knowledge.
Home health billing requires deep knowledge of PDGM, OASIS, and episode-based payment — capabilities that most general billing companies lack entirely.
The billing company should review OASIS assessments for accuracy and completeness before submission, since OASIS data directly determines PDGM payment grouping. Ask whether they have certified OASIS specialists on staff.
The company must understand how clinical grouping, functional impairment, comorbidity adjustments, and admission source affect episode payment. Ask them to explain how they optimize PDGM grouping through documentation improvement.
Home health billing involves managing 30-day episodes, including timely RAP submission, final claim filing, and handling episode splits and transfers. Evaluate their episode tracking and deadline management process.
If you provide hospice services, confirm the company handles hospice-specific billing including per-diem rates, levels of care, election statements, and the hospice cap calculation.
Home health agencies face frequent Medicare audits (ADRs, TPE reviews). Your billing company should support audit response, maintain documentation standards, and help reduce audit risk.
Home health agencies need billing services that address episode-based payment, OASIS documentation, and Medicare compliance.
Submitting RAPs and final claims for 30-day episodes with correct HIPPS codes derived from OASIS assessments.
Reviewing OASIS assessments for accuracy, completeness, and optimal PDGM grouping before submission.
Appealing denied home health claims, particularly for medical necessity, face-to-face encounter documentation, and OASIS-related issues.
Verifying Medicare eligibility, homebound status documentation, and managed care authorization requirements.
Supporting Medicare conditions of participation compliance, audit response, and documentation standards.
Enrolling home health agencies with Medicare, Medicaid, and managed care organizations.
Use our filters to narrow down companies by the services, coverage, and practice size that matter most to your home health practice.