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Home Health Billing

Comprehensive Home Health Billing Services for Improved Revenue Cycle Management

Managing home health billing is a challenge for agencies seeking to provide the best care while ensuring timely reimbursements. At Cliniqon, we don’t just offer standard home health billing services, we utilize a tailored approach to streamline your entire revenue cycle. By automating tedious administrative tasks and offering proactive support, we help you achieve faster, more accurate reimbursements while allowing your team to focus on patient care.

homrbilling

End-to-End Home Health Billing Services

Our specialized home health medical billing outsourcing services cover the entire billing process, from Front-end to Back-end billing. With our home health billing experts, we guarantee accuracy, compliance, and maximized revenue for your agency.

ser one

Pre-registration and Registration 

Our home health and hospice billing specialists accurately start the billing process by gathering patient demographic and insurance information during registration. We maintain standard operating procedures for patient registration to minimize errors and enhance the quality of patient data.

ser two

Point of Service Collections

We determine patient financial responsibilities based on verified benefit information. We collect copays, deductibles, coinsurance, or balances due. This enhances revenue, minimizes debt and write-offs, and reduces administrative burden. Additionally, this improves cash flow and operational efficiency and lowers billing disputes.

ser three

Insurance Eligibility Verification 

Our skilled staff verifies insurance eligibility, ensuring the patient’s health plan covers the home health services required. We confirm effective dates, patient responsibilities (coinsurance, copays, deductibles), and plan benefits specific to the service’s specialty and location. In addition, we obtain the necessary preauthorization that insurers often require.

Encounter Form Generation

We generate encounter forms, which include patient demographics and medical codes, to facilitate efficient communication about the type and number of services provided to the patient.

ser four
ser five

Checkout

Our staff assists in scheduling follow-up appointments when necessary, ensuring the completion of encounter forms by providers.

ser six

Charge Entry

We translate encounter forms into accurate charge entries, capturing services rendered and associated payments.

ser seven

Claim Generation

Our home health billing experts generate claims by accurately creating claim numbers for all charges and grouping them into batches, as stated in the Home Health Billing Options.

Claim Scrubbing

To further ensure accuracy and maximum reimbursement, we utilize claim scrubbing tools to review each claim before submission. This helps identify potential errors, inconsistencies, and missing data in claims. By ensuring any potential issues are addressed before submission, your claim denials rate is reduced while simultaneously increasing your reimbursement rate.

ser eight

Claims Submission

Our Home Health Billing Solutions revolutionize claims submission, streamlining the path to revenue optimization. Our core service seamlessly integrates with your EMR system, pulling patient visit details and relevant data into standardized claim forms to submit to the insurance provider.

ser nine

Claims Tracking

We diligently track claim statuses daily, ensuring transparency in the adjudication process. With clear insights, we act promptly to address any discrepancies or queries.

ser ten

Payment Posting

We post the payments received by insurance companies to our patient accounts. Our staff matches expenses to the respective patient accounts, rectifying whether payments are made according to their claim and confirming data to match payments.

ser eleven

Denial Management and Appeals

We diligently track claim statuses daily, ensuring transparency in the adjudication process. With clear insights, we act promptly to address any discrepancies or queries.

ser twevel

Patient Collections 

Our specialists perform the timely mailing out of home health bills and meticulously follow up with overdue accounts, ensuring that patient financial responsibilities are met within the designated timeframe. After payments are successfully collected, our integration with accounts receivable (A/R) management provides accurate tracking and posting of revenue.

ser thirteen

Credit Balance Resolutions

Credit balances are a substantial risk for home healthcare providers, which is why our billers also identify credit balances and promptly facilitate refunds where necessary. Our diligent approach prevents legal and financial repercussions, ensuring compliance and financial stability.

ser one

Pre-registration and Registration 

Our home health and hospice billing specialists accurately start the billing process by gathering patient demographic and insurance information during registration. We maintain standard operating procedures for patient registration to minimize errors and enhance the quality of patient data.

ser two

Point of Service Collections

We determine patient financial responsibilities based on verified benefit information. We collect copays, deductibles, coinsurance, or balances due. This enhances revenue, minimizes debt and write-offs, and reduces administrative burden. Additionally, this improves cash flow and operational efficiency and lowers billing disputes.

ser three

Insurance Eligibility Verification 

Our skilled staff verifies insurance eligibility, ensuring the patient’s health plan covers the home health services required. We confirm effective dates, patient responsibilities (coinsurance, copays, deductibles), and plan benefits specific to the service’s specialty and location. In addition, we obtain the necessary preauthorization that insurers often require.

Encounter Form Generation

We generate encounter forms, which include patient demographics and medical codes, to facilitate efficient communication about the type and number of services provided to the patient.

ser four

ser five

Checkout

Our staff assists in scheduling follow-up appointments when necessary, ensuring the completion of encounter forms by providers.

ser six

Charge Entry

We translate encounter forms into accurate charge entries, capturing services rendered and associated payments.

ser seven

Claim Generation

Our home health billing experts generate claims by accurately creating claim numbers for all charges and grouping them into batches, as stated in the Home Health Billing Options.

Claim Scrubbing

To further ensure accuracy and maximum reimbursement, we utilize claim scrubbing tools to review each claim before submission. This helps identify potential errors, inconsistencies, and missing data in claims. By ensuring any potential issues are addressed before submission, your claim denials rate is reduced while simultaneously increasing your reimbursement rate.

ser eight

Claims Submission

Our Home Health Billing Solutions revolutionize claims submission, streamlining the path to revenue optimization. Our core service seamlessly integrates with your EMR system, pulling patient visit details and relevant data into standardized claim forms to submit to the insurance provider.

ser nine

Claims Tracking

We diligently track claim statuses daily, ensuring transparency in the adjudication process. With clear insights, we act promptly to address any discrepancies or queries.

ser ten

Payment Posting

We post the payments received by insurance companies to our patient accounts. Our staff matches expenses to the respective patient accounts, rectifying whether payments are made according to their claim and confirming data to match payments.

ser eleven

Denial Management and Appeals

We diligently track claim statuses daily, ensuring transparency in the adjudication process. With clear insights, we act promptly to address any discrepancies or queries.

ser twevel

Patient Collections 

Our specialists perform the timely mailing out of home health bills and meticulously follow up with overdue accounts, ensuring that patient financial responsibilities are met within the designated timeframe. After payments are successfully collected, our integration with accounts receivable (A/R) management provides accurate tracking and posting of revenue.

ser thirteen

Credit Balance Resolutions

Credit balances are a substantial risk for home healthcare providers, which is why our billers also identify credit balances and promptly facilitate refunds where necessary. Our diligent approach prevents legal and financial repercussions, ensuring compliance and financial stability.

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Why Choose Cliniqon's Home Health Billing Services?

increased
Increased Work Efficiency

Filing claims and invoices or managing an in-house billing team can take up much of home health providers’ time, which they can spend directly on patient care. Our home health billing solutions streamline your operations, boosting efficiency and eliminating distractions from time-consuming administrative tasks.

accuracy
Enhanced Accuracy

Our specialists use advanced claim scrubbing tools, ensuring that your billing is always accurate and compliant. This proactive approach sets us apart from other home health medical billing outsourcing services by reducing errors, denials, and payment delays.

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Cost-savings

We cut unnecessary overhead costs by eliminating the need for in-house billing teams, infrastructure, and software investments. In addition, our incredible accuracy during the home health billing process reduces costly claim rework, giving you peace of mind without the added expense.

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Faster Claims Processing 

Partnering with Cliniqon accelerates claims processing through streamlined processes and advanced technology. Our skilled home health billing experts systematically deal with large volumes of records proficiently. Our efficient approach guarantees faster claims processing, helping you get reimbursements quicker.

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Increased Patient Satisfaction

Our expertise in the timely processing of claims expedites insurance reimbursements, resulting in quicker resolutions and easing patients' concerns about prolonged payment delays.

patient
Secured Patient Data

Our home health care billing services safeguard patient information at every step. We utilize robust data security measures and up-to-date software that adhere to industry standards and compliance regulations to prevent potential data breaches and data loss. Moreover, our staff are trained on HIPAA compliance protocols.