Home Health Medical Billing & Revenue Cycle Services
Home health runs on a clock all its own. Episode-based PDGM billing, OASIS-aligned documentation, Notice of Admission (NOA) timely-filing windows and Medicare Advantage authorization workflows each carry rules that generic billers simply don't track. Afiablee's home-health-fluent team works these claims daily, so every 30-day period is grouped, coded and filed for full payment.
Schedule a ConsultationHome Health Revenue Is Won or Lost in the Details
A mis-grouped PDGM period or a late NOA can quietly erase an entire episode's payment. Generic billers miss the timing; home-health-specialized coders don't.
- Accurate PDGM episode billing tied to the OASIS and primary diagnosis
- NOA filed on time to avoid timely-filing penalties
- Medicare Advantage authorization workflows handled before care begins
- Coders fluent in PDGM, OASIS, LUPA and home-health documentation
Billing Challenges We Solve Every Day
The exact failure points that drain home health revenue — handled by a team that knows them cold.
PDGM Episode Grouping & Diagnosis Coding
Each 30-day period must land in the right clinical group, admission source and timing category. We validate every HIPPS code against the OASIS and primary diagnosis so the episode pays in full.
Notice of Admission (NOA) Timely Filing
A late NOA triggers per-day payment reductions that compound fast. We track filing windows and submit on time, protecting reimbursement from avoidable timely-filing penalties.
OASIS-Aligned Diagnosis Sequencing
Primary diagnosis sequencing drives clinical grouping and comorbidity adjustment. We align coding to the OASIS so the episode reflects the patient's true acuity and earns the correct payment.
Medicare Advantage Authorizations & LUPA Management
MA plans impose prior authorization that traditional Medicare doesn't, and low visit counts risk LUPA downcoding. We secure authorizations early and monitor visit thresholds to protect episode revenue.
End-to-End Home Health RCM
Every stage of the revenue cycle, run by people who understand home health.
Home Health Billing Questions
Do you handle PDGM episode billing?
Yes. We manage the full PDGM workflow — clinical grouping, admission source, timing category and comorbidity adjustment — validating every HIPPS code against the OASIS and primary diagnosis before each 30-day period is submitted.
Can you manage NOA timely filing?
We track every Notice of Admission filing window and submit on time, preventing the per-day payment reductions that late NOAs trigger and protecting your reimbursement from avoidable penalties.
Do you handle Medicare Advantage authorizations?
Yes. We secure prior authorization for Medicare Advantage home health episodes before care begins, and we monitor visit thresholds to manage LUPA risk across the period.
Will you work in our EHR?
Yes. We integrate with your existing home health EHR and practice-management platform as an extension of your team — there is no system migration required.
Related Care Settings
Discuss Your Home Health Billing Needs
Speak with a specialist about how our RCM workflows adapt to home health revenue cycle management.
Schedule a Consultation