Expert Services Supported
Our expert team delivers comprehensive, end-to-end Revenue Cycle Management services tailored for home health and therapy providers. From intake and eligibility verification to accurate coding, claims submission, denial management, and final payment posting—we handle every stage with precision and compliance. Supported by real-time tracking, custom scrubbing, and responsive client support, we help you reduce denials, accelerate cash flow, and achieve long-term financial stability. Let us manage the revenue, so you can focus on the care.
Complete Revenue Cycle Oversight
From intake to final payment, we manage every aspect of your billing process with expert oversight and dedicated support—ensuring a healthy cash flow.
Eligibility & Benefit Verification
Confirm coverage before care begins. We verify insurance benefits, co-pays, deductibles, and authorizations—reducing denials and setting a clean foundation for billing.
Clean Claims Submission
We submit accurate, fully scrubbed claims to Medicare, Medicaid, and commercial payers—speeding up payments and reducing rejections.
Prior Authorization Management
Avoid delays and denials. Our team obtains timely payer authorizations so services are approved and reimbursable from day one.
Payment Posting & Reconciliation
All payments, including EOBs and EFTs, are posted promptly and accurately, with discrepancies flagged for follow-up to ensure full payment capture.
ICD-10 Coding & PDGM Optimization
Certified coders ensure accurate, compliant coding aligned with PDGM rules—maximizing reimbursement and minimizing audit risk.
Denial Management & Appeals
Every denied claim is investigated, corrected, and resubmitted. We track trends and apply solutions to prevent recurring issues.
AR Follow-Up & Collections
Our team actively follows up on unpaid claims, aging balances, and payer delays to keep your revenue moving and minimize bad debt.
Custom Claim Scrubbing
Tailored scrubbing rules catch errors and compliance risks specific to your agency before claims go out—improving first-pass acceptance rates.
Patient Billing & Statement Services
We generate and send clear, easy-to-understand patient statements, handle billing questions, and offer courteous follow-up to increase collections.
Weekly Denial Summary Emails
Receive weekly email reports summarizing denials, root causes, and corrective actions—keeping you informed and proactive.
Credentialing & Enrollment
We manage provider enrollment with Medicare, Medicaid, and commercial payers—ensuring you’re credentialed correctly and able to bill on time.
Real-Time Reporting Dashboard
Monitor claims, payments, denials, and AR in real-time. Custom reports give you full visibility and actionable insights at every step.