Home Health Medical Billing Built For Complex Revenue Cycles
Home health billing runs on episodes, OASIS data, and deadlines that forfeit revenue by the day. KansasMedBill manages PDGM, notices of admission, and certification timing for Kansas agencies.
Why Home Health billing is financially complex
PDGM prices 30-day periods off OASIS data and diagnosis grouping; the Notice of Admission carries a five-day deadline that forfeits revenue daily when missed.
PDGM grouping mechanics
Payment derives from admission source, timing, clinical grouping, functional level, and comorbidities.
OASIS-to-payment coupling
Functional scores set payment levels directly. Inaccurate OASIS answers misprice care in either direction.
NOA and timely-filing clocks
Late Notices of Admission forfeit payment for every late day — a uniquely punitive rule.
Medicare/KanCare duality
Agencies serving both Medicare episodes and KanCare HCBS authorizations run two billing systems in parallel.
Our home health billing workflow
Referral verification, payer-class routing, and NOA submission inside five days.
Eligibility & Authorization
Referral verification, payer-class routing (Medicare vs KanCare HCBS), and NOA submission inside five days.
Specialty Coding Accuracy
Diagnosis and OASIS review for grouping accuracy before the period bills.
Claim Scrubbing & Submission
Period claims scrubbed for grouping consistency and visit-data alignment.
Payer-Specific Optimization
Medicare PDGM and KanCare MCO edits maintained as parallel systems.
Ready to fix this for your practice?
A revenue assessment is a working session, not a sales call \u2014 we review your numbers and hand you the findings either way.