Managing Home Health Billing Efficiently and Accurately
Home health billing consists of services provided to patients in the home and entails that all claims must be substantiated and supported by the appropriate clinical documentation, visit logs, and a plan of care. Billing includes, but is not limited to, nursing assessments, wound care, therapy sessions, medical social services, and caregiver respite. Additionally, OASIS-related requirements that impact reimbursement are handled by home healthcare providers. Strict oversight, recertification tracking, and eligibility checks are applied to every episode. To avoid delays, claims must be submitted with correct revenue codes (042x, 055x) and HCPCS codes (G0151–G0163, E/M codes 99500 series). In order to guarantee that each visit is properly billed, BCS helps providers with all of these problems.
Our Expertise in Home Health Billing
- ✔Experienced Professionals: Our team comprises experts with extensive experience in home health billing and coding.
- ✔Comprehensive Training: We provide ongoing education for our staff to stay abreast of regulatory changes.
- ✔Customized Solutions: We tailor our billing services to meet the specific needs of home health agencies.
- ✔Audit Support: Our experts assist with audits to ensure compliance and accuracy in billing.
- ✔Maximized Reimbursements: We focus on optimizing claims to secure maximum reimbursements for our clients.
Optimized Revenue Performance for Home Health Providers
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Home Health Billing Services
At every stage of the revenue cycle, we have structured our home health billing solutions to be a source of comfort to the agencies. Operations involving money are kept accurate, prompt, and in line with the law through our services that have been tailored to facilitate documentation, make coding more efficient, and claims go smoothly. They are also enabled to reduce their errors and denials and thus, increase their reimbursements to the maximum. We do this by not only thoroughly examining clinical records but also being very active in the tracking of patient episodes, eligibility verification, and payer authorizations. In this way, agencies are able to maintain a steady flow of money coming in and be in good financial health.
Moreover, our strategy is based on home health care providers being in compliance with the regulatory standards. We ensure they are following the payers’ guidelines and are always prepared by continuous monitoring, which means that they can concentrate on providing high-quality care to their patients while we take over the intricacies of billing and reimbursement management.
OASIS and Documentation Review
We review OASIS data and clinical notes to keep coding accurate, support clean claims, and help your agency stay fully compliant.
Episode Management and Tracking
We manage each patient episode with careful tracking so all visits, timelines, and requirements stay updated for correct billing and reimbursement.
Eligibility and Authorization Management
We confirm patient coverage, handle payer rules, and secure authorizations in advance so your agency avoids delays and protects revenue flow.
Timely Claim Processing
We prepare, submit, and monitor claims quickly, reducing bottlenecks and keeping your agency on schedule for steady and predictable reimbursements.
Denial Prevention and Appeals
We find coding or documentation issues early, correct them fast, and guide appeals to help your agency recover lost revenue efficiently.
ACOG and Medicare Compliance
We keep your billing aligned with current ACOG and Medicare rules, helping your practice avoid errors and maintain long term compliance.
Why Choose Our
Home Health Billing Solutions
Your agency gains cleaner claims, fewer denials, and smoother reimbursement cycles, helping you deliver quality home care with full financial confidence.
Home Health Billing Support Across the U.S.
A billing system that is efficient and effective is what your home health organization needs in order to be able to overcome the challenges that come with the treatment of patients at home. We, the specialists, take care of the complications that arise during the submission of claims, the tracking of reimbursements, and the fulfillment of compliance requirements so that your team can be financially stable and at the same time organized.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Home Health Billing FAQ's
Initial home health visits are coded with 99304-99306, these codes cover patient examination, history taking, care planning, and recording which provides an accurate account of new patient services in the home.
In-home skilled nursing services are coded with 99500 or 99501. The services must include IV therapy, wound care, medication administration, and patient education in order to meet clinical and payer documentation requirements.
Charges for physical therapy visits are made under 97110 or 97112. The covered services are therapeutic exercises, functional mobility training, and neuromuscular re-education, which are performed at the patient’s home to promote the treatment results.
Occupational therapy visits at home are paid via 97530 or 97535. The services include ADL training, upper extremity rehabilitation, and adaptive techniques for regaining the independence of daily living activities.
Speech therapy patients in home health are billed using 92507 or 92523. The services consist of the evaluation and the treatment of speech, language, or swallowing disorders according to the payer guidelines and documentation standards.
Home health aide visits are billed through the usage of G0154, which is a code that indicates the assistance with personal care, hygiene, mobility, and other activities of daily living, which were part of the home visit done by certified aides.
Medical social services are recorded through 90882 or G0151 that include counseling, care coordination, and psychosocial support for patients and families as a means to fulfill clinical and payer documentation requirements.
Follow-up visits are recorded via the use of 99307-99310, which depends on the patient's condition, changes in therapy, and clinical progress monitoring, thus enabling the payer documentation rules to be complied with and prompt reimbursement to be carried out.
Home health telehealth visits are assigned the code 99421-99423. These codes stand for remote evaluation, management, and patient communication. Besides that, they also ensure that the proper documentation is done for payer compliance and the accurate submission of claims.
Care coordination is documented on a bill through the use of 99600 which is a code that denotes activities such as interdisciplinary team planning, communication, and full documentation of patient care in the home to meet the clinical and payer standards.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”