Data Verification
- Patient Registration
- Prior Eligibility & Benefits Check
- HIPAA compliance
- Daily schedule analysis
- Eligibility & insurance checking
- HIPAA compatibility analysis
- Outstanding balance collection
- Prior authorization
Home Health Billing Services
Home Health Billing Built for PDGM and Episodic Payment
Home health billing services manage PDGM claims, OASIS-driven payment accuracy, and Medicare episodic billing so agencies are paid fully and reliably. Perform Practice Solutions submits claims daily and gives you full visibility into every claim from submission to payment.
Why Outsource
Why Outsource Home Health Billing Services?
Outsourcing home health billing gives your agency specialists who understand PDGM payment groupings, NOA submission deadlines, OASIS coding accuracy, and the face-to-face documentation Medicare requires before paying anything. Home health billing runs on deadlines, and a late NOA alone reduces payment for every day it slips.
Between LUPA thresholds, managed Medicaid variations, and episode reconciliation, agency billing has become a specialty of its own. Perform Practice Solutions bills daily, protects every deadline, and shows you where every dollar stands.
We are on your team, and we want you to get paid.
Transparent billing
See where every dollar stands, including claims, A/R, denials, and episode status.
Intake partnership
We coach your team so clean referral and OASIS data goes out and clean payments come back.
Automated Regulatory & Coding Compliance
External billing partners stay up-to-date with complex, constantly changing billing codes (e.g., ICD-10, CPT updates) and healthcare regulations like HIPAA, transferring compliance responsibility to experts.
Our Process
We Take Care of Your Medical Billing Process Until Your Claims Gets Paid!
We know that it is not just about compiling claims and sending them over to insurance companies. It's more than that! Your claim can fall under the accounts receivable category and it is a crucial part of it. And, finding the root cause of denials and rectifying issues is what our team of experts does.
Billing Process
- Healthcare provider enrollment
- Medical coding
- Claim submission & tracking
- Medical coding
- Claim compilation
- Claim attachments
- Claim submission & clearinghouse tracking
Accounts Receivable Management
- Rejection & Denial management
- Payment posting
- Appeal processing
- AR management
- Payment posting
- Appeal processing
- Secondary billing
Preferred by Leading EMR Systems
What You Get
Home Health Billing Services, Done Right
Full-service home health billing built for cleaner claims, faster reimbursement, and clearer reporting.
- Full revenue cycle management for home health agencies
- PDGM claim submission and payment grouping accuracy
- Notice of Admission tracking and deadline protection
- OASIS review support for payment-impacting accuracy
- LUPA threshold monitoring and visit utilization alerts
- Face-to-face and physician order documentation tracking
- Medicare, Medicare Advantage, and managed Medicaid billing
- Monthly report reviews and quarterly deep analysis
Free Billing Analysis
Free home health billing service analysis
Want to see how your current biller rates? Request a free billing service analysis and get an honest look at your denials, deadline losses, and recoverable revenue.
How It Works
How Our Home Health Billing Services Work
Connect and audit
We review your current claims, NOA timeliness, and episode management to find where revenue is leaking.
Bill daily with precision
Claims are scrubbed against PDGM rules and payer requirements, then submitted on schedule every time.
Recover and report
We chase unpaid claims, resolve episode holds, and review performance with you every month.
New home health billing clients
Get three months of free Front Desk 101 Coaching and Training when you switch your home health billing to Perform Practice Solutions.
FAQs
Home health billing questions we hear most
Home health billing is the process of submitting claims under Medicare's Patient-Driven Groupings Model, which pays agencies in 30 day episodes based on clinical characteristics captured in OASIS assessments. It requires meeting strict Notice of Admission deadlines and tracking LUPA visit thresholds.
Outsourcing home health billing gives your agency specialists in PDGM, NOA deadlines, and Medicare documentation requirements. Agencies that outsource stop losing revenue to missed deadlines and payment grouping errors, and their clinical staff spend time on patients instead of claim rework.
Home health billing services typically charge a percentage of monthly collections or a per-episode rate. Because late NOAs and OASIS coding errors directly and permanently reduce payment, recovered revenue from deadline protection alone often exceeds the fee. Request a free billing analysis to see what your agency could recover.
The Notice of Admission must be submitted within a set number of days after a patient's admission, and payment is reduced for each day the deadline is missed with no way to recover that reduction later. Deadline tracking has to be a daily workflow, not a month-end task.
OASIS assessment responses directly determine the payment grouping under PDGM, so coding inaccuracies change reimbursement even when the clinical care delivered was identical. Reviewing payment-impacting OASIS items before claims go out protects both revenue and audit readiness.
A Low Utilization Payment Adjustment occurs when an episode's visit count falls below a payer-set threshold, dropping payment from the full episode rate to a lower per-visit rate. Monitoring utilization against LUPA thresholds in real time lets agencies make informed scheduling decisions before revenue is lost.
Ready for steady, protected revenue across every episode?
Let's map a billing strategy around your home health agency for cleaner claims, faster cash flow, and less admin stress.
Book a Strategy SessionLet’s Chat
Take the first step
Talk with us about billing, eligibility, credentialing, or how we can support your practice ownership goals.
Call us
(833) 764-0178
(833) 764-0178
Office
1050 East Flamingo Rd, Suite 107-2470 Las Vegas, NV 89119
1050 East Flamingo Rd, Suite 107-2470 Las Vegas, NV 89119
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