Home Health Billing Experts

End-to-End Billing for Skilled Nursing, Therapy & Home Visits

From RAP to final claims, we manage every stage of the home health billing cycle. Our certified coders and HHA billing experts ensure compliance with PDGM guidelines, accurate OASIS alignment, and faster reimbursements.

Trusted by Home Health Agencies Nationwide
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About Us

Home Health Billing Built Around Patient-Centered Care

RCM firms provides specialized billing support for home health agencies, skilled nursing services, and in-home therapy providers. We align claims with OASIS data, manage PDGM cycles, and help reduce LUPA risks while keeping your agency audit-ready.

Whether you're a start-up or a multi-location agency, we integrate with your EMR and match your documentation workflow. Our billing team stays current with CMS guidelines, RAP timelines, and Medicare Advantage requirements.

What Sets Us Apart

  • PDGM-Compliant Billing & Coding
  • RAP & Final Claim Submission
  • OASIS Review & Alignment
  • Timely Medicare Compliance
  • EMR Integration with Kinnser, Homecare Homebase
Home Health Billing Process

Mission Statement

We help home health agencies stay profitable by reducing claim delays, improving documentation accuracy, and ensuring full PDGM compliance—so your clinicians can stay focused on care delivery.

Why Agencies Choose RCM firms

Home health billing isn’t just about codes—it’s about aligning care plans, visits, and documentation for full reimbursement. We bring deep HHA knowledge to reduce denials and maximize collection per episode.

PDGM Coding Support

We ensure diagnosis coding is accurate and matches OASIS to prevent payment adjustments or audits.

Faster Medicare Payments

Our billing cycle is optimized for clean RAP and final claim submission with minimal rejections.

Dedicated HHA Teams

Account managers trained in home health policies, including LUPA, RAP timing, and compliance risks.

HIPAA & CMS Compliance

We follow strict protocols to ensure your claims meet CMS standards and patient data is protected.

Pricing

Flexible Billing for Home Health Agencies

We support HHAs of all sizes with straightforward pricing, no long-term lock-ins, and performance-based incentives. Let’s customize a plan that fits your census and monthly revenue goals.

Small Agencies

For HHAs billing under $25,000/month.

6% of collections
How it works

Efficient & Compliant Home Health Billing Process

From patient admissions and face-to-face certifications to OASIS coding and RAP/NOA submissions, our home health billing workflow is built to reduce rejections and speed up reimbursements. Onboarding is simple, secure, and fast.

Step 1 Arch Line
1

Initial Call & Evaluation

We assess your patient volume, billing pain points, and current workflow to tailor a home health billing plan.

Step 2 Arch Line
2

EHR Setup & Payer Enrollment

We connect with your EHR, set up secure data exchange, and begin any necessary NOA/RAP or Medicare credentialing.

Step 3 Arch Line
3

Coding & Claim Submission

We ensure accurate OASIS, HHRG/HIPPS code capture and submit claims within 24 hours of receiving visit data.

4

Follow-Up & Reporting

We manage payer responses, handle rejections or audits, and deliver easy-to-read performance reports monthly.

0%

Home Health Claim Accuracy

0 Days

Average Payment Turnaround

0%+

Revenue Growth with Clean Claims

Our Services

Home Health Billing Services That Ensure Timely Payments

Whether you're billing Medicare, Medicaid, or commercial payers, our home health billing team ensures complete, compliant claims—maximizing revenue and reducing denials.

HIPPS/OASIS Coding

Accurate HHRG and HIPPS coding based on your OASIS assessments, ensuring proper reimbursement from day one.

NOA & RAP Submissions

Timely Notice of Admission and RAP filings to prevent payment delays and avoid CMS penalties.

24-Hour Claim Turnaround

We submit clean claims within 24 hours of receiving visit notes—no delays, no missed reimbursements.

Denial Management

Appeal rejected claims due to physician signature issues, incorrect episode timing, or invalid OASIS links.

Patient Inquiries & Support

Clarify balances, verify coverage, and communicate payment expectations with patients and caregivers.

Detailed Financial Analytics

Track billing by discipline, episode, and provider to improve efficiency and grow your home health business.

FAQ

Frequently Asked Questions

Common questions about our home health billing services, including NOA/RAP filing, coding accuracy, compliance, and payment turnaround.

We offer full-cycle home health billing services, including OASIS/HIPPS coding, NOA & RAP submission, claim processing, denial management, and reporting. Our services are compliant with Medicare, Medicaid, and commercial payer rules.

Yes. Our coders are certified and trained in home health coding, including OASIS data review, accurate assignment of HHRG/HIPPS codes, and proper alignment with PDGM guidelines.

Absolutely. We submit NOA (Notice of Admission), RAP (Request for Anticipated Payment), and final claims promptly to avoid penalties and ensure timely reimbursement.

Yes. We bill across multiple payer types—Medicare, Medicaid, Medicare Advantage, and commercial insurers. Our team understands each payer’s specific documentation and coding requirements.

We stay updated with CMS guidelines including PDGM rules, LUPA thresholds, visit timing, and documentation requirements. Our team ensures every claim meets medical necessity and is supported by proper records.

We monitor denials in real time, categorize them (e.g., missing documentation, eligibility, authorization), and take action within 24–48 hours. Rejected claims are corrected and re-submitted promptly, and we handle appeals when necessary.

Yes. We integrate with leading home health platforms like WellSky, Homecare Homebase, Axxess, Alora, and Kinnser. This allows us to process claims efficiently using your existing workflow.
Contact

Get in Touch with Our Home Health Billing Experts

From intake to episode completion, we simplify home health billing so you can focus on delivering patient care. Let us help you improve revenue cycle efficiency, reduce denials, and get paid faster. Talk to our billing experts today.

Emailinfo@rcmfirms.com
Address
123 Main Street Apt 4B Springfield,
IL 62701 United States
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