Home health billing runs on episodes, not visits. Each 30-day period of care gets one payment determined by the patient’s clinical grouping, functional level, and comorbidities — which means the OASIS assessment has to be right, the episode has to be opened and closed correctly, and every visit has to be documented to support the claim. Fast Billing Solutions provides home health billing services in Long Island, NY for home health agencies across Nassau and Suffolk counties from our office at 68 South Service Road in Melville, NY.
Episodes, OASIS, and face-to-face documentation are the details that make home health billing work. We handle the details. Let’s talk about your agency.
Home Health Billing Built Around Episodes Done Right
The foundation of home health billing is the episode: the start-of-care OASIS drives the payment grouping, the Request for Anticipated Payment (RAP) or Notice of Admission opens the claim, and the final claim closes it. Miss the OASIS timing, code the diagnoses wrong, or skip the face-to-face documentation and the whole episode pays wrong — or not at all. Our billing team manages the full episode lifecycle, from admission through final claim, with documentation review built in.
Common Home Health Billing Problems We Solve
- OASIS errors dragging payment down — assessments reviewed so episodes land in the right payment grouping.
- Missing face-to-face documentation — physician encounter documentation tracked and chased before claims go out.
- Episode timing mistakes — RAPs, NOAs, and final claims sequenced correctly within payer deadlines.
- Non-covered visit denials — visits that don’t meet coverage criteria caught before billing, not after.
- Medicaid waiver billing confusion — waiver and managed Medicaid claims handled alongside Medicare episodes.
Full Revenue Cycle Management for Home Health Agencies
Our revenue cycle management for home health covers skilled nursing, therapy, aide, and social work services:
- Insurance eligibility and benefits verification
- OASIS review and episode payment grouping
- RAP/NOA and final claim submission
- Home health coding and charge entry
- Claim scrubbing and clean submission
- Payment posting and reconciliation
- Denial management and appeals
- AR follow-up on unpaid and aging claims
- Patient statements and balance follow-up
- Agency credentialing and re-credentialing
- Monthly reporting in plain English
We Bill the Full Range of Home Health Services
Skilled nursing visits, physical therapy, occupational therapy, speech therapy, home health aide services, medical social work, and wound care in the home. If your agency serves Medicare, Medicaid, managed care, and private-pay patients, we keep each payer’s rules straight.
Serving Home Health Agencies Across Long Island
From 68 South Service Road, Melville, NY 11747, we support home health agencies throughout Nassau County and Suffolk County. Local, reachable, and familiar with the payers your patients carry. Explore our medical billing services across Long Island.
Why Long Island Home Health Agencies Choose Fast Billing Solutions
- Home health billing specialists — episodes, OASIS, and RAP/final claims handled by experts.
- Documentation review built in — we flag gaps before they become denials.
- Denials worked daily — rejected claims reviewed, corrected, and resubmitted or appealed.
- One dedicated contact — a real person who knows your agency and your census.
- Transparent monthly reporting — billed, paid, denied, and collected, by payer and episode.
Frequently Asked Questions
How does home health episode billing work?
Each 30-day period of care is paid a single episode rate based on the patient’s clinical grouping, functional impairment, and comorbidities from the OASIS assessment. The episode is opened with a RAP or Notice of Admission and closed with a final claim.
What is the face-to-face requirement?
Medicare requires a face-to-face encounter with the certifying physician (or allowed non-physician practitioner) related to the reason for home health, documented within specific timeframes. Missing documentation is one of the most common reasons home health claims deny — we track it for every admission.
Do you bill Medicaid and managed care too?
Yes. We bill Medicare episodes alongside Medicaid fee-for-service, managed Medicaid, waiver programs, and commercial payers — each under its own rules.
What does home health billing cost?
Typically a percentage of collections, based on your census and payer mix. Get an instant quote for pricing specific to your agency.
How quickly can you take over?
Most agencies transition within a few weeks. We learn your EMR, your OASIS workflow, and your payer contracts, then start clean billing while working down any backlog.
Ready for Home Health Billing That Handles Episodes Right?
Episodes, OASIS, documentation — all managed, all followed up. Talk to a home health billing team on Long Island.
