Home Health & Hospice Billing Directory
Home health billing is fundamentally different from office-based medical billing in almost every respect. It operates under the Patient-Driven Groupings Model (PDGM) for Medicare — a payment system wh...
52
Companies
36
Nationwide
80.6
Avg Score
Home health billing is fundamentally different from office-based medical billing in almost every respect. It operates under the Patient-Driven Groupings Model (PDGM) for Medicare — a payment system where reimbursement is determined not by the number of visits, but by a combination of clinical grouping, functional impairment level, comorbidity adjustment, admission source, and episode timing. This means that the accuracy of the OASIS assessment directly determines how much the agency gets paid for a 30-day episode, making clinical documentation review an essential billing function rather than a back-office task.
Episode-based payment management is the operational backbone of home health billing. A single 30-day episode may include visits from nursing, physical therapy, occupational therapy, speech-language pathology, medical social work, and home health aides — all of which must be coordinated into a single episode claim. Managing the Request for Anticipated Payment (RAP), tracking visit completion, and submitting the final claim on time requires a billing company with dedicated home health workflows, not a general medical billing operation that handles home health as a side service.
Hospice billing adds another distinct layer of complexity for agencies that provide end-of-life care. Hospice operates on per-diem payment rates across four levels of care — routine home care, continuous home care, respite care, and general inpatient care — with specific election statement requirements, hospice cap calculations, and Medicare conditions of participation that must be maintained. Not all home health billing companies have genuine hospice expertise; it is worth asking specifically about hospice billing experience and volume.
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.
Small home health agencies (under 50 patients per month) and independent agencies entering the Medicare market benefit most from billing companies that offer OASIS review support alongside claims submission. For smaller agencies, OASIS accuracy is especially critical because even a single miscoded assessment can significantly affect episode payment. Look for billing companies that have certified OASIS specialists on staff and that offer proactive documentation feedback to clinical staff. Agencies that are newly Medicare-certified also need billing companies with experience in initial enrollment, RAP submission workflows, and the documentation standards required to pass Medicare audits in the early years of operation.
Large home health organizations, multi-branch agencies, and home health networks operating across multiple states need billing companies with enterprise-grade capabilities: high-volume episode management, consolidated financial reporting across branches, multi-state Medicaid billing experience, and robust audit defense support. Medicare audits — including Additional Documentation Requests (ADRs), Targeted Probe and Educate (TPE) reviews, and Recovery Audit Contractor (RAC) audits — are a persistent reality for larger agencies, and your billing company must have a structured audit response process. Enterprise home health billing companies typically offer dedicated account teams, real-time census and revenue dashboards, and the capacity to manage complex payer mixes including Medicare Advantage, Medicaid waiver programs, and managed care organizations.
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.
Showing 20 of 50 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.
MZ Medical Billing is a Florida-based outsourced medical billing and revenue cycle management company serving healthcare providers across all 50 states.
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.
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.
Home-based PT is a core discipline within home health agencies, and many home health billing companies have deep PT billing expertise.
Browse DirectoryIn-home psychiatric and behavioral health services are a growing segment of home health, requiring billing companies that bridge both specialties.
Browse DirectoryIn-home ABA therapy for children with autism is often delivered alongside home health services, making cross-specialty billing expertise valuable.
Browse DirectoryUse our filters to narrow down companies by the services, coverage, and practice size that matter most to your home health practice.