Streamlining Home Healthcare Finances: Expert RCM & Billing Solutions for Your Agency
Ensure financial peace of mind with specialized RCM and medical billing services for Home Health Agencies. From accurate OASIS coding to compliance with Medicare regulations, we empower your agency to focus on quality in-home patient care.
Comprehensive Home Health RCM & Billing Services
Skilled Nursing & HHA Billing Optimization
Streamlined billing for skilled nursing and home health aide (HHA) visits with accuracy, compliance, and faster payments.
- Skilled care documentation alignment
- Episode tracking and timely billing
- Reduces rejections and delays
OASIS Review & Plan of Care Compliance
Ensure accuracy and regulatory compliance in OASIS assessments and care planning for better patient outcomes and billing accuracy.
- QA review of OASIS submissions
- Plan of Care (POC) alignment
- Supports CMS audit-readiness
ICD-10 & CPT Coding for Home Health
Expert-level coding tailored to home health visits and documentation, supporting optimized reimbursements and accuracy.
- ICD-10 coding aligned with OASIS
- Compliance with CMS guidelines
- Minimizes billing errors
Medicare & Medicaid Billing Management
Seamless handling of Medicare and Medicaid claims with complete attention to guidelines and documentation rules.
- Timely claim submission
- State-specific billing expertise
- Appeals and denial resolution
PDGM Episode & RAP/Final Claim Handling
Efficient tracking and submission of RAP and final claims under PDGM for compliant and timely payments.
- Episode tracking for each 30-day period
- PDGM-compliant documentation
- RAP & final billing automation
Real-Time Eligibility & Benefits Verification
Check patient insurance eligibility and benefit coverage in real-time to avoid denials and delays in billing.
- Instant verification tools
- Patient responsibility insights
- Insurance plan validation
Remote Visit & Telehealth Billing Support
Enable billing for virtual visits and telehealth encounters with compliant codes and real-time charge capture.
- HIPAA-compliant telehealth coding
- Medicare & commercial payer support
- Real-time documentation review
Audit-Ready Documentation & QA Oversight
Maintain comprehensive and defensible records through QA checks and compliance reviews for peace of mind.
- Chart audits and QA workflows
- Pre-bill compliance checks
- CMS & payer documentation standards
Revenue Analytics & Payment Tracking
Track revenue cycle metrics in real-time and get paid faster with clear, custom reporting dashboards.
- Monitor cash flow trends
- A/R days and payer insights
- Track payments and denials
Full-Service Home Health RCM Solutions
From patient intake to final payment, we handle the complete revenue cycle for home health agencies with precision and care.
- End-to-end RCM support
- Expert team in home health domain
- Improved compliance & profitability
Common Challenges We Solve
Claim Rejections due to F2F Gaps
Issues stemming from missing or outdated face-to-face documentation.
LUPA Revenue Loss
Lower reimbursement triggered by limited visits under the LUPA threshold.
Incorrect OASIS Coding
Errors in OASIS assessments affecting reimbursement and compliance.
Therapy Cap Mismanagement
Missed opportunities or denials due to improper therapy cap tracking.
Missing EVV Data
Compliance risks from incomplete or missing electronic visit verification.
Incomplete Visit Notes
Delays in billing and compliance risks due to missing documentation.
Why Home Health Agencies Choose
ApexRev Care
Mastery of Medicare & Medicaid Guidelines
We navigate the complexities of government regulations to ensure timely and accurate reimbursements.
Precise OASIS-Based Coding
Our professional coders specialize in translating OASIS assessments into accurate claims that meet compliance and reimbursement standards.
Flexible Payment Model Management
Whether your agency uses fee-for-service, value-based care, or bundled payments, we adapt our billing strategy to optimize outcomes.
Thorough Documentation Compliance
We help ensure your records meet payer standards—supporting faster approvals and fewer denials.
Accurate Billing for Full Spectrum Services
From skilled nursing and therapy to home health aide support, we bill with precision for every service line.
Efficient Prior Authorization & Recertification Support
Avoid delays with our streamlined processes for approvals and renewals.
Insightful Reporting & Analytics
Gain transparency with customized reports on revenue, payer mix, denial trends, and more—tailored to home health KPIs.
Stop Leaving Revenue on the Table
Partner with ApexRev Care to streamline your Home Health billing and compliance—ensuring accurate reimbursements, reduced denials, and financial peace of mind.
FAQ's
Home health billing includes submitting accurate claims for in-home care services like nursing, therapy, and aide services. It requires compliance with CMS regulations and timely documentation.
We ensure all documentation meets CMS and payer requirements to avoid denials and delays. Our specialists guide your team on accurate and complete records.
OASIS assessments and ICD-10 coding directly impact reimbursement. We review OASIS data and ensure correct coding for maximum accuracy and revenue optimization.
We submit timely RAPs (Requests for Anticipated Payment) and final claims to ensure consistent cash flow and compliance with the PDGM billing cycle.
Yes, we verify insurance eligibility and obtain prior authorizations when needed, reducing denials and ensuring claims are accepted the first time.
Our denial management team identifies root causes, appeals rejections promptly, and updates processes to prevent recurring issues.
Yes, we are familiar with the unique billing rules of Medicare, Medicaid, and commercial payers, ensuring compliance and faster reimbursements.
We provide regular reports on aging, collections, denial trends, and KPIs to help your home health agency make informed financial decisions.
Enhance Your Home Health Billing with
ARC - ApexRev Care
Home health services require a delicate balance of compassionate care and operational efficiency. At ARC, we ensure that your billing processes are as personalized and seamless as the care you provide—so you can focus more on patients and less on paperwork.
Ready to Optimize Your Medical Billing?
Get expert Medical Billing solutions tailored to your practice's needs and maximize your revenue potential.
