Home Specialities Home Health
Home health runs on OASIS assessments and episodic payment rules demanding precise timing. Errors delay or deny entire episodes, and coordinating notes with windows is a constant struggle.
OASIS: Assessment data aligned with episode submissions to prevent costly delays.
Episodes: Documentation tracked across each period so claims aren't held up.
Reimbursement: Denials worked before filing deadlines close on extended timelines.
Home health runs on OASIS assessments and episodic payment rules demanding precise timing. Errors delay or deny entire episodes, and coordinating notes with windows is a constant struggle.
OASIS: Assessment data aligned with episode submissions to prevent costly delays.
Episodes: Documentation tracked across each period so claims aren't held up.
Reimbursement: Denials worked before filing deadlines close on extended timelines.
Accurate billing. Faster reimbursements. Stronger revenue cycle management for cardiology practices focused on exceptional patient care.
Our mission is to simplify cardiology billing workflows, reduce denials, improve collections, and maximize reimbursements while supporting better heart care.
Cardiology Practices Trust Us
Reduce denials and speed up approvals.
Improve cash flow and reimbursement cycles.
Secure and compliant cardiology billing process.
Home health billing operates under a completely different framework than clinic or hospital billing. PDGM changed everything in 2020 and most general billing services never caught up. Our team ensures every claim is accurate, compliant, and submitted with the documentation needed to protect your reimbursement.
We confirm home health benefits, homebound status requirements, physician order validity, and coverage eligibility before every episode opens.
OASIS clinical data reviewed and cross-referenced with ICD-10 coding to ensure diagnosis accuracy and PDGM grouper alignment on every episode.
Request for Anticipated Payment submissions managed timely, with complete documentation supporting every episode claim
Clinical groupings, comorbidity adjustments, and functional impairment scores applied accurately to support appropriate PDGM reimbursement
Visit utilization tracked against LUPA thresholds so agencies can make informed scheduling decisions that protect episode payment integrity.
Aging home health accounts identified and worked systematically with transparent financial reporting delivered to your agency regularly.
Our billing process manages every episode from admission through final payment so your agency never short-collects on a period it already worked.
OASIS assessments, visit records, and physician orders are securely submitted through our platform at the start of every episode.
Our specialists review clinical groupings, diagnosis coding, and PDGM adjustments against episode documentation before any claim is transmitted.
RAP and final claims are electronically transmitted to CMS within required timelines to protect episode payment and avoid interest penalties.
We monitor every episode through adjudication and contact payers directly when processing delays or additional documentation requests arise.
Denied episodes get reviewed with full clinical record support and resubmitted through the appropriate appeal channel without delay.
Episode payments get reconciled against expected PDGM reimbursement and posted accurately, with regular financial reports delivered to your agency.
The right billing support for every home health setup.
Agencies billing Medicare fee-for-service and Medicare Advantage plans that need accurate PDGM episode management, RAP submission, and OASIS-linked coding on every claim.
Agencies billing Medicare fee-for-service and Medicare Advantage plans that need accurate PDGM episode management, RAP submission, and OASIS-linked coding on every claim.
Providers managing Medicaid-enrolled home health billing and private payer claims who need consistent documentation review and payer-specific compliance applied across all claim types.
Providers managing Medicaid-enrolled home health billing and private payer claims who need consistent documentation review and payer-specific compliance applied across all claim types.
Specialized providers with unique documentation and coding requirements who need a billing team familiar with their payer mix and program-level billing rules.
Specialized providers with unique documentation and coding requirements who need a billing team familiar with their payer mix and program-level billing rules.
Private duty agencies managing visit-based billing across multiple payers who need accurate charge capture, authorization tracking, and consistent follow-up on unpaid claims.
Private duty agencies managing visit-based billing across multiple payers who need accurate charge capture, authorization tracking, and consistent follow-up on unpaid claims.
Home health billing depends on precise documentation, eligibility verification, and regulatory compliance. Below is a comparison of common billing challenges and the solutions our team applies.
Our home health billing process improves episode reimbursement accuracy, supports documentation compliance, and reduces delays caused by eligibility and authorization issues.
Healthcare providers across the country rely on OneMed Billing to manage their revenue cycle with accuracy, consistency, and specialty-specific expertise. Here is what some of them have to say.
“We kept getting hit with LUPA adjustments our previous billing company never flagged, and it was quietly draining our revenue every episode. OneMed identified the gaps in our PDGM groupings within the first month and our reimbursement per episode improved in a way we could actually measure.”
“Our face-to-face documentation denials were out of control and no one could tell us why they kept happening. OneMed found the issue, worked with our clinical team to fix it, and those denials stopped almost entirely within 60 days.”
“We were missing RAP submission timelines regularly and it was directly hitting our cash flow every cycle. Since OneMed took over, submissions go out on time, our A/R has tightened considerably, and I am no longer spending half my week chasing billing issues.”
We review OASIS documentation and ensure diagnosis coding is properly sequenced and aligned to PDGM groupings before every claim goes out.
Yes. We handle Medicare fee-for-service, Medicare Advantage, Medicaid, and private payer claims for home health agencies across the US.
Yes. We work with most major home health platforms and can integrate with your existing workflow without requiring a system change.
Absolutely. You receive regular reporting and have full access to your billing data at all times.
We identify the documentation gap, coordinate with your clinical team to resolve it, and resubmit the claim with the corrected record within our standard turnaround window.
