Home Health Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Getting Started

At Gedeihen Healthcare, our Home Health billing solutions are expertly crafted to meet the unique operational and financial needs of providers delivering in-home medical care. We handle the intricate coding and billing for a wide range of services—including skilled nursing, medication administration, physical and occupational therapy, infusion care, chronic disease support, mobility assistance, and palliative care.

Home Health Billing Services

Maximizing claim efficiency and compliance for superior revenue management

Home healthcare providers encounter unique billing complexities, ranging from stringent documentation standards and evolving regulatory mandates to rigorous payer policies. We excel in addressing these challenges through meticulous coding, streamlined claims management, proactive denial mitigation strategies and ensures accurate reimbursement for services such as skilled nursing, physical therapy, and chronic disease management. 

killed nursing services play a vital role in home healthcare, encompassing wound care, medication administration, IV therapy, and more. Additionally, physical, occupational, and speech therapy broaden the spectrum of care, supporting patients in regaining mobility, independence, and communication skills. 

Effective claims strategies include thorough documentation review, timely submission, and proactive follow-up to prevent denials and reduce claim rejections. Accurate coding using the correct CPT and ICD-10 codes is essential to properly represent the care delivered and optimize reimbursement.


Effective management of chronic illnesses such as diabetes, cardiovascular disease, and respiratory conditions requires continuous monitoring and coordinated care. Similarly, post-operative care focuses on overseeing patient recovery, minimizing complication risks, and providing essential rehabilitation services. Our skilled billing team excels in precise coding of these services while expertly handling complex regulatory standards and employs strategic approaches to navigate complex regulatory requirements and payer guidelines, ensuring smooth and compliant claims processing.

Wound care plays a critical role in home healthcare, particularly for patients recovering from surgery or managing chronic conditions. Services such as dressing changes, debridement, wound irrigation, and the use of related supplies must be documented with precision. Our billing specialists focus on accurate coding, proper modifier usage, and adherence to payer-specific protocols. We implement strategic processes to support claims for complex procedures—like sharp debridement or NPWT—while ensuring coordination with home health agencies to prevent duplicate billing and streamline claim approvals.

Home healthcare providers often deliver focused services such as hospice, palliative care, and telehealth consultations alongside routine care. These offerings require detailed documentation and precise billing practices to meet payer requirements. Our team applies strategic approaches to manage complex claims, including accurate coding for end-of-life care and adherence to Medicare telehealth billing guidelines. By staying aligned with evolving payer policies, we help ensure smooth claim processing and reliable support.

Mastering Every Code for Home Health Specialty

Our expertise spans the full code range, ensuring precision and compliance in every claim we process

Home Infusion Procedures and Services

99601

Home infusion therapy, administration of medications via intravenous route

99602

Home infusion therapy, monitoring, and management of infusion devices

Home Visit Services

99500

Home visit for assessment and management services

99600

Home visit, assessment, and care plan management

Skilled Nursing Services

99341-99350

Home or domiciliary visits for new or established patients (various levels based on complexity)

G0151

Services provided by a skilled nurse in the home

Up to

27%

More cash collected

Up to

23%

Outstanding A/R collection

Up to

29%

Patient collections

Up to

$80 M

Charges billed last year

Medical Billing At A Glance

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Claims Processing Metrics

96%

First Pass Resolution Rate

Percentage of claims paid on the first submission.

23-40 Days

Average Days to Payment

Average number of days it takes for claims to be paid.

First-Pass Claim Acceptance Rate (FAR):

We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.

Days in Accounts Receivable (AR):

Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.

Clean Claim Rate:

With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges that are collected.

30 Days

Average Denial Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

94%

Average Claims Submitted Per Month

Volume of claims submitted.

97%

Volume of claims submitted.

Claims processed per biller per day.

Aged A/R Clearance Rate:

Measures the percentage of aged receivables (especially over 90days or above)

Reflects the effectiveness of backlog reduction efforts.

A faster resolution time means improved collections and cleaner aging reports

Unbilled Claims Backlog:

Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.

Denial Resolution Rate:

Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.

Reach Us

Address

3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.

© 2023 Gedeihen Healthcare.