Home Heath Billing Services

Overview

Home health services provide essential care to patients in the comfort of their homes, including skilled nursing, physical therapy, and personal care assistance. Billing for home health services is intricate due to the unique documentation requirements, payer-specific regulations, and the need to justify medical necessity. Hello MDS offers comprehensive home health billing solutions to ensure timely reimbursements, compliance, and a seamless revenue cycle.

Our Home Health Billing Services Include

Verification of patient insurance coverage and benefits for home health care.
Accurate coding for skilled nursing visits, therapy sessions, and home health supplies.
Claim submission with complete and compliant documentation to avoid denials.
Appeals and denial management for rejected claims.
Comprehensive financial reporting to monitor billing performance and cash flow.

Key Challenges in Home Health Billing

Adhering to payer guidelines for medical necessity and certification.
Managing claims for bundled services under the Prospective Payment System (PPS).
Addressing denials related to incomplete or outdated documentation.

Why Choose Hello MDS for Home Health Billing?

Familiarity with Medicare and commercial insurance requirements.
Adherence to HIPAA and CMS guidelines.
Reduction in claim denials and delays.
Tailored billing services for home health agencies of all sizes.
Commonly Used CPT Codes
G0151 Services performed by a qualified physical therapist.
G0156 Services performed by a home health aide.
G0162 Skilled services for managing and evaluating a patient care plan.
G0179 Physician recertification for Medicare-covered home health services.
G0180 Physician certification for home health care.
99501 Home visit for postpartum care.
99601 Home infusion/specialty drug administration.

Contact Us

Trust Hello MDS to manage your home health billing needs. Our experienced team ensures accurate coding, compliance with payer requirements, and efficient revenue cycle management to help your agency succeed. Contact us today to learn more about our home health billing services and how we can support your practice!

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