Home health agencies provide an important and critical role in the healthcare community.  We provide your agency with expert, efficient home health care billing services and collection services.

Your agency is continually under pressure from every direction. Let’s make sure your cash flow isn’t under that pressure anymore.

Home health care billing services are a skill not everyone understands.  Home health care billing require a learning process that takes years to understand. Home health care billing also requires up to date continuing education.

As Medicare continues to reduce reimbursements and private insurances gain more ground, a home health care billing service as your partner is essential.  Your home health agency’s future depends on efficient, accurate billing. Your agency can’t afford to not collect every single penny it is due.

Optima Billing works with your home health agency on a daily basis to ensure every claim available is ready to be transmitted.  We aren’t just pushing and clicking buttons — we take billing and collections for your home health agency seriously.

Pre-billing audit to ensure clean claims that process the first time.
This step ensures that claims accepted are processed during the first transmission to improve your agency’s cash flow.

Electronic Submission of Claims
Medicare, Medicaid and private insurance claims are sent to payers electronically utilizing FISS DDE, state portals, ZirMed and insurance portals.

Follow Up and Collection
Tracking your money – from start to finish. We pick up the phone, work claims electronically – we do what we need to in order to get your agency the reimbursement it is entitled to! We’re not afraid to work to get every penny your agency has earned.

Cash Posting
Accurate outstanding claims aging are important and so is the accuracy of your reports. We post remittances and adjustments directly into your EMR so that your accountant and finance department can produce your financial statements. Cash posting also allows you to have real time access and information on what is happening with your agency’s accounts receivables.

Medicare Credit Balance Reports
Most home health agencies do not have credit balances owed to CMS. The law still requires these reports to be filed quarterly. We prepare the reports and email them to you each quarter so all you have to do is print, sign and fax to your fiscal intermediary.

Reports for You and Your Agency

Your agency deserves to know what happens with billing, reimbursement and cash collections.  We provide your agency reports on how much has been billed by payer source, when it was billed and how much has been collected.  Reporting can be in batches or based on individual patients depending on the agency’s needs.

Utilize your EMR and Policies and Procedures

You have systems in place and we work with them to seamlessly integrate with your agency.  We work with you rather than against you to achieve a common goal: collecting every cent your agency is entitled to.  Information is always in the control of your agency so you have full and complete medical records with billing histories. Your staff won’t have to learn new software. Every home health agency is different – we want you to keep using the software that works best for you. The EMRs we can work with include:

ClearCare, MatrixCare, Alora, Homecare Homebase, Netsmart DeVero, WellSky (Kinnser), KanTime, Axxess AgencyCore, firstHOMECARE, Thornberry NDoc, HAS, Igea, HealthWyse (Casamba), Waystar / ZirMed

All product and company names mentioned herein are the property/trademarks of their respective owners.