Medicare
PDGM and hospice claims, NOAs, NOEs and Review Choice Demonstration.
Home health & hospice billing that gets you paid in full.
We audit every claim before it goes out, file your NOAs and NOEs on time, and bill every payer, so your agency collects what it earned and your staff gets back to patient care.
- Visit documentedNotes and orders signed
- NOA filed in 5 daysNo late-filing cuts
- Claim auditedChecked against the chart
- Paid in fullBilled to every payer
17years in home health and hospice
5 daysto file your NOAs and NOEs
100%of claims audited before submission
6payer types billed under one roof
Insurances we bill
All major insurances. One billing team.
Billed correctly the first time, in the right order, by people who know each payer's rules.
Names are trademarks of their owners. Their use does not imply endorsement.
Medicare Advantage
Plan checks and authorizations through the right vendor.
Medicaid
State and managed-care claims and authorizations.
Private & commercial
Benefit checks, authorizations and follow-up.
Workers' compensation
Adjuster contact, authorization and follow-up.
Medicare Secondary Payer
We make sure the primary payer is billed first, which helps prevent claim rejections.
Works inside your EMR.
We bill from the platforms your agency already runs on.
- and other EMRs
Out-of-network patient? Don't turn the referral away. We bill out-of-network claims so you can take the patient and still get paid.
Ask about out-of-networkA "paid" claim isn't always a fully paid claim.
Under PDGM, Medicare prices every 30-day period from the codes on your claim. Miss one and you're paid less, and the remittance never tells you.
Office worker with paperwork
Underpaid periods
Codes that don't match the chart drop the patient into a lower payment group.
Late-filing penalties
An NOA filed after day 5 cuts your payment for every day it's late.
Denials and take-backs
Unsigned orders, missing notes and the wrong payer turn earned revenue into rework.
Home Health & Hospice Billing Made Easy
Our master biller brings 17 years of home health and hospice operations and billing. Here's what comes off your desk.
- Every claim audited before it's submitted
- NOAs filed within 5 days so there's no daily payment cut
- LUPA alerts while there's still time to adjust the plan of care
- Review Choice Demonstration support Texas is an RCD state
- Denials, ADRs and appeals worked until resolved
- NOEs within 5 days plus revocations, transfers and discharges
- The correct level of care billed for every day
- Certification and face-to-face reminders before each benefit period
- Hospice cap monitoring so year-end holds no surprises
- Denials, ADRs and appeals handled for you
Home health visit
Hospice care
Every code right. Every dollar collected.
All five factors that set your PDGM payment are checked against the chart on every claim. We code only what your documentation supports, and we catch over-coding too.
- Timing
- Admission source
- Clinical group
- Functional level
- Comorbidities
We'll show you what we find on a sample of your recent claims. You keep the report either way.
Book my free audit
Billing specialist at work
Billers who have run an agency.
We know a week in your office: scheduling gaps, physicians who don't sign, notes that come in late. So we do more than submit claims.
We audit before we bill
Every claim checked for conditions of payment and CMS compliance.
We chase deadlines for you
Reminders for clinical notes and unsigned orders go out early.
We work with your staff
Intake gets help finding the right payer and authorization.
We cover the daily work too
Scheduling, patient supplies, MD orders and note completion.
Switching billers is easier than living with underpaid claims.
Three steps, and the first one is free.
Book your free audit
Send us your details below and we'll reach out to set a time that suits your office.
We review your claims
After signing a Business Associate Agreement, we check a sample of recent claims and show you in writing what was missed. You keep the report either way.
We take over billing
We connect to your EMR and payer portals. You get regular reports on what's billed, paid and pending.
What stays with youPatient care, clinical documentation and physician relationships.
What moves to usEverything between a finished chart and money in your account.
Recommendations on LinkedIn
Read them on LinkedIn
In their own words.
Ms N Ali Thank You for your knowledge and dedication to our agency. If we would have known you would do this good of a job for us we would of used your company sooner. Thank
Jorge SalazarRetired Healthcare Professional / Entrepreneur
Very knowledgeable and hardworking young lady with an appetite to learn and zest to implement.
Atif FattahDirector of Business Relations, Fortune HealthCare Inc.
Nafisa is an extraordinary person with a passion to excel.
Her ability to quickly learn and get to the bottom of issues are an asset that she clearly has.
She works well with her team mates.
Nafisa is a no nonsense individual and in sincere to any employer she works for.
Mohammad A. MillwalaCEO, DM Clinical Research
Questions agencies ask first.
Don't see yours? Call 832-426-2951 or ask on your audit call.
No. We code only what the clinical record supports, and our audit catches over-coding too, which protects you from repayment demands.
Nothing, and there's no obligation. You keep the written report whether or not you hire us.
We'll go over fees with you on your free audit call.
We work with WellSky, Axxess, Careficient, Hospice Tools, Waystar and other EMRs, and connect to your payer portals during setup. Tell us which system you use and we'll confirm it on your audit call.
Often, if they're still inside the timely filing window. The audit shows which ones qualify.
Yes. We set up billing correctly from the first claim.
Find out what your agency is leaving unpaid.
Book a call and we'll set up your Revenue Audit and tell you what we find. No cost, no obligation.
- We reach out to set a time that suits your office.
- We review a sample of recent claims after a signed BAA.
- You get a written summary of what we find.
Book your free audit call
Tell us about your agency and we'll be in touch to set up your audit.