Our Services

We specialize in delivering high-quality billing and consulting services, specifically designed to meet the unique needs of each home health agency.

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Ensure accurate claims submission, faster reimbursements, and seamless financial management for your agency.

Review of Final Claims:
- Assessment of the readiness of RAP (Request for Anticipated Payment) and Final Claims before processing to avoid denials and errors.
Processing Claims:
- Submission of claims after a meticulous review to ensure accuracy and compliance with payer requirements.
Claims Tracking for Medicare/Private Insurances:
- Ongoing monitoring of claims to track status and address any delays or issues.
Payment Posting in Respective Software:
- Accurate posting of payments and adjustments in your agency’s billing software to keep financial records up-to-date.
Projections:
- Creation of financial projections based on processed claims to help forecast upcoming revenue and improve financial planning.
Claims Recovery:
- Retrieval of lost revenue by salvaging claims that were sent to corrections, rejections, or denials. Claim adjustments are processed as needed.
A/R Report:
- Comprehensive accounts receivable reports created upon agency request to monitor outstanding balances and improve cash flow.
Credit Balance Report:
- Creation of credit balance reports (CB reports) to comply with Medicare’s requirements for proper reporting and reconciliation.
Patient Eligibility:
- Processing of HIQH (Health Insurance Query for Home Health) requests to verify patient eligibility and coverage before services are rendered.

Ensure compliance, improve patient care, and maintain high operational standards.

OASIS Review and Coding:
- Detailed review and accurate coding of OASIS (Outcome and Assessment Information Set) data to ensure compliance with CMS regulations and improve reimbursement accuracy.
OASIS Export:
- Seamless export of OASIS data to ensure timely submission and compliance with regulatory requirements.
Creation and Review of Plan of Care:
- Development and thorough review of patient Plans of Care to ensure they are comprehensive, accurate, and in compliance with agency and regulatory guidelines.
Review of All Submitted Visit Documentation:
- Detailed examination of all visit documentation to confirm accuracy, completeness, and alignment with the Plan of Care.
End of Episode Review:
- Comprehensive review at the end of each care episode to ensure proper documentation, compliance, and readiness for final claims submission.

Our team of dedicated nurses and therapists (PT/OT) bring expertise to every step of the quality assurance process, helping agencies provide better patient outcomes and maintain regulatory compliance.

Ensure accurate patient data collection and timely service initiation.

Referral Review:
- Screening and filtering referrals based on the client agency’s bandwidth and availability to ensure patients receive timely and appropriate care.
Insurance and Eligibility Review:
- Conducting a thorough review of patient insurance coverage to verify eligibility and ensure that all services provided are covered or reimbursable.
Patient Data Entry:
- Creation of patient charts after reviewing coverage, eligibility, and the agency’s capacity to meet the patient’s care needs, ensuring accurate and efficient record management.
Email and Fax Management:
- Handling incoming documents via email and fax, with prompt routing to the appropriate departments or individuals within the organization for further action.

Our intake services are designed to enhance operational efficiency, reduce errors, and ensure a seamless transition from referral to patient care.

Ensure your agency is fully staffed and ready to meet patient care needs efficiently and reliably.

Recruitment of Potential Caregivers:
- Comprehensive candidate search across various platforms, conducting initial interviews, and managing the collection and filing of HR documents to ensure a smooth hiring process.
Caregiver and Client Coordination
- Assigning caregivers based on client needs, preferences, and availability. Scheduling is arranged to optimize care delivery, with ongoing follow-ups to ensure client satisfaction and quality service.
Receptionist Services
- Managing incoming calls and routing them to the appropriate departments within the organization to improve communication and operational efficiency.

With our recruitment and scheduling services, your agency can reduce staffing gaps, improve patient care, and maintain a well-coordinated caregiving team.

Ensure optimal staff allocation and continuous patient care across all service areas.

Staff and Schedule Management:
- Reviewing referral locations and assigning appropriate clinicians to each case based on availability, specialty, and proximity. We also coordinate with contract companies for out-of-service coverage areas to ensure uninterrupted care and seamless service delivery
Receptionist Services
- Managing incoming calls and routing them to the appropriate departments within the organization to improve communication and operational efficiency.

Our staffing and scheduling solutions help home health agencies ensure proper staffing levels, improve patient satisfaction, and maintain continuity of care across all service areas.

Ensure seamless communication, timely care delivery, and comprehensive patient tracking from admission to discharge.

Patient Tracking:
- Confirming all patient visits, assigning and reviewing necessary paperwork, and ensuring timely completion by clinicians throughout the entire episode of care. Continuous monitoring for changes in patient condition, hospitalizations, infections, and updates to the plan of care to ensure quality and continuity of care.
Care Coordination:
- Arranging laboratory and imaging services, coordinating durable medical equipment (DME) needs and supply provisions, managing physician record requests, and handling the sending and receiving of physician orders to streamline clinical processes.
Therapy Coordination:
- Coordination with dedicated therapists (PT/OT) and both in-house and contract therapy companies to ensure all therapy services are completed accurately, documented properly, and ready for billing.

With our clinical care coordination services, your agency can improve communication, enhance patient outcomes, and maintain operational efficiency for a smooth and compliant care experience.

Our Virtual Physician Assistant Services are designed to support home health agencies with clinical and administrative tasks, improving efficiency and reducing the workload on in-house staff.

Arranging Patient Consult Schedules:
- Coordinating and managing patient consultations to ensure timely scheduling and reduce missed appointments.
Scrubbing and Review of Physician Progress Notes and HPI Statements:
- Conducting thorough reviews of physician progress notes and History of Present Illness (HPI) statements to ensure accuracy and completeness before final documentation.
Medication Reconciliation:
- Reviewing and reconciling patient medication lists to ensure accurate records and prevent medication errors.
Receptionist Services:
- Managing incoming calls and routing them to the appropriate departments or staff to ensure smooth communication within the agency.
Arranging Laboratory and Imaging Services:
- Coordinating the scheduling and management of lab tests and imaging services to ensure prompt and accurate diagnostics.
Sending Prescriptions/Refills to Pharmacy:
- Handling prescription orders and refills, ensuring they are sent accurately and promptly to the pharmacy for patient convenience.

Our virtual physician assistant services provide critical clinical support, helping home health agencies enhance patient care, improve documentation accuracy, and streamline administrative processes.