Home Health Billing Services Company

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Home Health Billing Services Company
Why choose Capital Med Solution For Medical Billing services

If you’re a home health agency, outsourcing your home health billing services is essential to ensure accurate reimbursements and maintain compliance with payer and CMS regulations. Home health billing involves specific documentation, multiple visit types, and strict OASIS and PDGM requirements—making it more complex than traditional medical billing.

This is why partnering with CapitalMed Solutions can transform your billing process. Our specialized billing experts understand the nuances of home health claims, including RAP and NOA submissions, HIPPS coding, visit utilization, and payer-specific requirements. From eligibility verification to payment posting, we handle every stage of your revenue cycle to keep your agency’s finances healthy and compliant.

How We Can Assist in Home Health Billing Services

With years of experience in healthcare billing, CapitalMed Solutions provides complete end-to-end RCM support for home health agencies across the United States. We manage your claims workflow—ensuring on-time submissions, accurate coding, and reduced denials for both Medicare and commercial insurance payers.

Our home health billing team works closely with agencies to track every claim from the initial assessment to final payment, ensuring compliance with CMS timelines and PDGM rules. With our expertise, your agency can focus on delivering compassionate care while we handle the financial side efficiently.

Home Health Billing Services We Offer

We offer a complete suite of home health billing and coding services designed to maximize revenue and reduce administrative workload for agencies of all sizes. Here’s what we provide:

We confirm patient eligibility and coverage before services begin to avoid claim denials. Our verification process ensures proper authorization and coordination with Medicare, Medicaid, and commercial plans.

We accurately enter patient demographics, visit details, and service charges, ensuring all claim data aligns with OASIS and physician orders for clean, payable claims.

Our certified coders assign the correct HIPPS codes and diagnosis codes based on OASIS documentation. We manage NOA and final claims submissions to ensure timely payments and compliance with PDGM.

We monitor all pending and unpaid claims, follow up with payers, resolve denials quickly, and ensure faster reimbursements for your agency.

Our billing experts analyze every denied claim, correct errors, and resubmit promptly. We identify trends and implement prevention strategies to keep denials minimal.

We reconcile payments and remittances with accuracy, ensuring your records remain transparent and up to date.

We handle credentialing for new and existing providers in your agency, ensuring proper enrollment with payers and avoiding delays in reimbursement.

Our Software Expertise for Home Health Billing Services

Our team works seamlessly with your agency’s EMR/EHR or billing software to deliver efficient, compliant, and accurate billing operations. We specialize in software integration, data accuracy, and HIPAA-compliant workflows for home health billing.


We work with industry-leading platforms such as:

PrognoCIS by Bizmatics

InSync

Kareo

Athena Health

ZOLL Billing

eClinicalWorks

Office Ally

CollaborateMD by Ever Health

AdvancedMD

CureMD

Why Choose CapitalMed Solutions for Home Health Billing Services

At CapitalMed Solutions, we understand that home health billing requires precision, timely submissions, and compliance with ever-changing regulations. Our tailored solutions help agencies reduce administrative stress, accelerate cash flow, and maintain compliance with PDGM and CMS requirements.

PDGM Expertise

Specialized knowledge in HIPPS coding, OASIS documentation, and CMS home health guidelines.

Clean Claims & Faster Payments

Reduced denials and improved turnaround times through proactive claims management.

Dedicated Account Managers

One-on-one support for every agency, ensuring smooth communication and real-time updates.

Compliance-Driven Processes

Complete adherence to PDGM, NOA, and RAP submission timelines.

Scalable Support

Whether you manage a small agency or multiple branches, we adapt to your operational needs.

Comprehensive Reporting

Transparent revenue reports, denial tracking, and performance analytics for better decision-making.

Get in Touch with CapitalMed Solutions

Our home health billing specialists are here to support your agency with accuracy, compliance, and care. Whether you handle skilled nursing, therapy, or personal care visits, CapitalMed Solutions ensures your billing runs smoothly and your reimbursements arrive on time.

Call Us

800-851-2860

Email Address

info@capitalmedsolutions.com

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar land, TX 77478

Providing Home Health Billing Services Across the United States

We provide home health medical billing services to agencies across the nation, ensuring efficient revenue cycle management and compliance with all CMS and payer guidelines. Our services extend to providers in: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Virginia, Utah, Washington, West Virginia, Wisconsin, and Wyoming.