Home Health Billing Services for Episodic Care Claims
Trusted by urgent care centers and multi-site groups.
98.1%
Clean claim rate
● The Real Cost of Generic Billing
Home health billing breaks in ways general billers never catch
Late-filed Notices of Admission
Missing the NOA filing window reduces the episode payment for every day late — a silent revenue leak on nearly every start of care.
OASIS & PDGM mismatches
Billers unfamiliar with home health miscode OASIS items that don't map correctly to the PDGM case-mix group, undervaluing the episode.
RAP/EOE sequencing errors
Requests for Anticipated Payment and End of Episode claims submitted out of order or unmatched trigger holds and delayed payment.
Eligibility skipped at intake
Fast-moving referrals mean HETS eligibility and secondary payer coordination aren't checked before start of care — denials surface weeks later.
Compliance blind spots
Homebound documentation, physician certification/recertification timing, and shifting CMS home health rules create exposure for billing teams that aren't tracking them.
Staffing that can't flex with census
Referral swings and multi-branch growth overwhelm in-house billers, creating backlogs that turn into unworked, aging AR.
● How We Fix It
On-time NOA & episode filing
● Full-Service RCM
Every stage of home health revenue cycle management
Insurance Verification
HETS eligibility checks and secondary payer coordination confirmed before or at start of care.
OASIS & PDGM Coding
Every episode coded to match OASIS assessment data with the correct PDGM case-mix group — by home health specialists.
NOA & Claim Submission
Notices of Admission, RAPs, and EOE claims filed on time and in the correct sequence — fewer holds, faster payment.
Payment Posting
ERA/EOB reconciliation posted daily so your AR reports always reflect what's actually been collected.
Denial Management
Every denial and RTP claim is diagnosed, corrected, and resubmitted with the documentation Medicare requires.
AR Management & Patient Billing
Aging episodes worked back to payment, plus clear, timely patient statements that improve self-pay collections.
We speak fluent OASIS and PDGM for every visit discipline you provide
What actually changes when Claim Click Solutions takes over
● The Bottom Line
What specialized home health billing does for your agency
No learning curve, no generic templates — just billers who already know the codes your center uses every single shift.
● Case Study
How a 3-branch home health group recovered $612K in stalled episode revenue
● Common Questions
Home health billing FAQ
What makes home health billing different from general medical billing?
Do you file Notices of Admission (NOA) on time?
Yes. Every NOA is filed within the required window from start of care, so your episode payment is never reduced for late filing.