Medicare Billing Specialist

Medicare Billing Specialist, Inc. is a leading provider of home health and hospice billing services. With over 10 years of experience, our expert team of billers has the knowledge and expertise to navigate the complex world of Medicare billing. From complete billing audits to on-time claim submissions, we take the stress out of billing so that you can focus on providing top-quality care to your patients. Our goal is to provide a cost-effective solution that maximizes your revenue while minimizing your headaches. Let us show you how we can help you with our complimentary billing audit.

With over 10 years of experience

Home Health & Hospice Billing Made Easy

Our master biller has 17 years of home health and hospice operational/administration and billing experience.

We do a complete billing audit before claim submission in order to make sure that our client has all conditions of payment and is compliant with CMS.

Home Health Billing with PDGM is a Complicated task.

Correct use of:
● Occurrence codes
● Admission source and timings
● Clinical Grouping
● Functional Impairment Level
● Comorbidity Adjustment
● Let us take your billing and cashflow worries.

We will send reminders and on-time claim submission is our promise.

All Major Insurances

01.

Medicaid

A jointly funded state and federal program that provides healthcare coverage to low-income individuals and families, including children, pregnant women, and people with disabilities.

02.

Medicare

A federally funded health insurance program for people who are 65 or older, certain younger people with disabilities, and people with end-stage renal disease. It covers a wide range of medical services and treatments.

03.

Workers' Compensation

a state-mandated insurance program that provides benefits to employees who suffer job-related injuries or illnesses. It covers medical expenses, lost wages, and rehabilitation services for injured workers.

04.

Medicare Advantage (HMO)

A health insurance option offered by private companies approved by Medicare. It provides all of the benefits of Original Medicare, plus additional benefits such as prescription drug coverage and vision or dental services, through an HMO network of healthcare providers.

05.

Medicare Secondary Payer (MSP)

A set of rules that require certain entities, such as group health plans and insurance companies, to pay for healthcare services before Medicare does. This helps ensure that Medicare is only paying for services that it is legally responsible for covering.

06.

Private & Commercial Insurance

Commercial health insurance, also called private health insurance, is coverage issued by a private company or entity. It is not from government-issued insurance like Medicare or Medicaid. Commercial health insurance companies