Home Healthcare Billing

Sep 22, 2020

Knowledge and Access to information play a very critical role in the Home Healthcare Billing due to number of activities involved before the Final bill is submitted to the payers. Documentation of Information and making sure all the pieces of data being collected, stored and shared speaking the same lines of treatment for the patient is crucial not only for reimbursement but also to ensure compliance and Quality. With Clarus you get a reliable business affiliate who understands the billing needs of your agency by apt billing assessments, has the ability to identify issues, propose solutions and fix them by effective implementation techniques. 

We achieve timely and accurate reimbursements by:

  • Validating Patient Status

  • Adopting Electronic Billing Methods

  • Address Denials within 72 hours

  • Monitor T-Status and ADRs as a daily routine

  • Providing Coding inputs

  • Assessing quality of the Charts

  • Ensuring availability of Physician Orders

  • Orders Management

  • Making sure the RAP is active

  • OASIS are Accepted. 

The teams skillset enables us to Bill Medicare/Medicare Advantage Plans/Medicaid and Commercial payers. And in some cases Workers Compensation as well. We understand that each payer would require a specific claim type and revenues codes billed, which could drain away the resources time if not dealt with correctly and would hamper the cash flow due to rejections and denials. The team ensures:

  • Recording the nuances payer wise

  • Diligently follows up for claims statuses

  • Submits claims timely and works rejections to avoid denials

  • Track the progress on Appeals

  • Ensure improvements on the FPR

  • Reduce Billing errors

  • Improve Billing Compliance

Follow ups can get tricky and complicated if not done right the first time. Accuracy of information, Quality of Documentation and Agility in follows ups pave way for Compliant and apt reimbursements on Home Health Claims

Do connect with us to know more!

Phani Ram