Home Health and Hospice billing and accounts receivable

Home health and hospice are paid in episodes and periods, not per visit, and almost everything that goes wrong is a certification or a date that was not obtained in time.

Where the money leaks in home health and hospice

These are the recurring denial reasons in this specialty. They are not exotic. They are the ordinary ones that go unworked because the person who could fix them is at the front desk answering a phone.

• Face-to-face encounter not documented inside the certification window
• Plan of care not signed by the certifying physician before billing
• Notice of election or benefit period dates wrong, so the whole period denies
• Services billed during a period covered by another provider's election
• Physician certification and recertification dates outside the permitted range

What a seat does about it

One trained person works your queue from the difficult end, from our office in Rawalpindi, Pakistan, logged into your own system on your hours. Every call is logged with the payer reference number and the outcome, so an appeal can quote what was said rather than start again. Denials are categorised, which is how the same reason stops coming back next month. On Friday you get it in writing. Some payer contracts and some state Medicaid programs restrict or require disclosure of offshore access — check yours before placing a restricted queue on this seat (more on /security/).

The roles that matter most in this specialty are AR calling and denials at $1,700, prior authorization at $1,900, and medical coding at $2,500, on request.

Questions