Home health agencies play a critical role in the healthcare community. Therefore, we provide your agency with expert and efficient home health care billing and collection services.

Your agency faces pressure from many directions. Consequently, let’s ensure your cash flow isn’t one of them.

Home health care billing is a specialized skill. It requires years to master and continuous education to stay updated. As Medicare reduces reimbursements and private insurances gain more influence, partnering with a proficient billing service becomes essential. Efficient, accurate billing is crucial for your agency’s future. Therefore, missing out on any payment is not an option.

Optima Billing collaborates with your home health agency daily to ensure every claim is ready for transmission. We take billing and collections for your agency seriously, not just pushing buttons.

Pre-billing Audit

Firstly, we ensure clean claims that process the first time, thereby enhancing your agency’s cash flow.

Electronic Submission of Claims

Next, Medicare, Medicaid, and private insurance claims are sent electronically using FISS DDE, state portals, ZirMed, and insurance portals.

Follow-Up and Collection

We then track your money from start to finish. We make calls and work claims electronically to ensure your agency receives the reimbursement it deserves.

Cash Posting

Additionally, we post remittances and adjustments directly into your EMR, ensuring accurate outstanding claims aging and reports. This gives you real-time access to your agency’s accounts receivables.

Medicare Credit Balance Reports

Even if your agency doesn’t owe credit balances to CMS, the law still requires quarterly reports. Therefore, we prepare these reports and email them to you for easy submission.

Reports for Your Agency

Furthermore, we provide detailed reports on billing, reimbursement, and cash collections. These reports can be batched or based on individual patients, depending on your needs.

Utilize Your EMR and Policies and Procedures

We work with your existing systems to seamlessly integrate with your agency. Consequently, you maintain control of your medical records and billing histories without needing to learn new software. Every home health agency is different; thus, we want you to keep using the software that works best for you. We work with various EMRs, including:

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

In conclusion, all product and company names mentioned are the property/trademarks of their respective owners.