BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 Home Health Billing Services
Efficient Billing for Sensitive Care: Home Health Billing Services
Our home health billing solutions experience the confluence of efficiency and empathy.
Schedule a Call9,250
Total Visits Billed
8.2%
Medicare Claim Denial Rate
$4.5M
Total Claims Submitted
Overview
Make Your Home Care Business Financially Successful
ASP‑RCM Solutions customizes home care billing for Medicare, Medicaid, and private payers—tailored to your agency’s unique workflows. Trust our certified experts for complex coding (ICD‑10, PDGM, OASIS) and HIPAA compliance, ensuring accurate claims and optimal reimbursements.
Accelerate Your Home Health Billing
By collaborating with ASP‑RCM, agencies can expect to: • Increase Revenue by up to 12% through optimized coding and fewer claim rejections. • Get Paid Faster (up to 33% improvement) via efficient RCM workflows and electronic claims. • Reduce Overhead by ~5% with streamlined operations and minimized manual entries.
Our Expertise in Home Health Billing
With years of experience in PDGM billing, we support a wide range of billing formats, including: • HCFA 1500, UB‑04, and HIPAA‑compliant electronic 837I or 837P submissions. • Fee‑For‑Service entry and consolidated data reporting. • Compliance with Medicare, Medicaid, HMOs, and private pay guidelines. • We ensure timely payment, accurate statistics, and thorough analysis of your home health agency billing
Key Services for Home Health Billing
• Insurance Verification for coverage and co-pays. • Billing Analysis for PDGM and OASIS. • AR Aftercare for overdue/denied claims. • Denial Analysis for coding gaps. • Credentialing for payment compliance.
Distinctive Features That Set Us Apart
• 20% fewer denials with proactive coding. • Reduced errors, improved RCM efficiency. • Refunds & payments boost cash flow. • Tailored solutions with dedicated support. • Advanced tech for accurate coding & analytics. • Scalable services for growth.
Ensuring Compliance & Quality
Our processes are designed around: • HIPAA & PHI security. • Coding audits, ICD-10 & PDGM updates. • Clean claims. • OASIS data integration for accurate billing.
Operations
Home Health Billing Operations: Streamlined from Start to Finish
Our operational framework covers everything from initial eligibility checks to final claim settlement, ensuring you remain compliant and profitable. We combine advanced technology with specialized home health expertise to deliver consistent results and adaptability in an ever‑changing reimbursement landscape.
Patient Onboarding & Eligibility
We verify insurance coverage and benefits for new home health admissions, ensuring accurate payer information and reducing claim rejections later in the process
Coding & Documentation
Certified home health coders proficient in ICD‑10, HCPCS codes, and PDGM guidelines meticulously document each patient encounter, enhancing claim accuracy and timeliness
Claims Submission & Tracking
We submit claims electronically using 837I/837P or UB‑04 as required, then track their progress. Our system flags any denial trends, enabling swift resolutions and fewer payment delays
AR Management & Denial Resolution
Our AR aftercare teams aggressively follow up on overdue or underpaid claims, analyzing common denial causes to refine coding and documentation, further decreasing front‑end denials
Payment Posting & Refund Adjustments
We ensure correct posting of all insurer and patient payments, reconciling accounts in real time. Any overpayments or adjustments are quickly processed to maintain positive cash flow
Performance Analytics & Continuous Improvement
We generate detailed RCM and billing reports, highlighting metrics like clean claim rate, denial percentage, and days in AR. By analyzing these insights, we make iterative improvements to your home health billing process and keep you ahead of evolving industry regulations
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
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Ready To Get Started
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