Credentialing & Billing for Home Health Agencies
Let Fortify RCM handle the back-end — so you can focus on patient care, compliance, and timely visits.
Who We Help
Medicare-Certified Home Health Agencies
Full support for billing under Medicare Part A and Medicaid.
Private Duty Nursing & Non-Medical Home Care
Support with hourly and per-visit billing, including long-term care insurance.
Multi-Location Home Health Groups
Scalable billing and credentialing solutions for agencies with multiple branches.
Telehealth + Remote Monitoring Services
Compliance billing for RPM (Remote Patient Monitoring) and virtual care models.
What We Do for Home Health Agencies
Credentialing
Commercial, Medicare, Medicaid — from CAQH to contracting to revalidation.
Revenue Cycle Management
Complete back-office support from eligibility to AR follow-up.
Denial Management
We fix broken claims — fast resubmissions & appeal handling.
EDI/ERA/EFT Setup
Payer connections made easy — fast & paperless.
Eligibility & Benefits Verification
Avoid denials by checking before you submit.
Claims Submission & Payment Posting
Clean claims + accurate payments = healthy revenue
Why Home Health Agencies Trust Fortify RCM
We understand the complexities of home health billing, from RAPs/NOAs to telehealth. Fortify RCM ensures accuracy, compliance, and faster reimbursements — tailored for your agency’s growth. Learn more on CMS site.
☑ Expertise in Medicare episodic & per-visit billing
☑ Proactive denial and AR follow-up
☑ Scalable for multi-location agencies
☑ HIPAA-compliant and audit-ready processes
☑ Personalized support for clinical and admin teams
Results from Our Work
100%
Claim Acceptance Rate
100%
Timely Filing Compliance
6–8 Weeks
Credentialing Turnaround Time
30%
Avg. Monthly Revenue Growth
Frequently Asked Questions
How can Home Health Agencies bill Medicare for services?
We ensure compliance with Medicare’s Home Health Prospective Payment System (HH PPS), correct OASIS submission, and accurate use of HCPCS codes like G0154, G0163, and G0156.
Can you help with Medicaid credentialing for home health?
Yes. We support enrollment with Medicaid and MCOs in all 50 states, including revalidations and CAQH updates.
What’s the difference between billing per visit and episodic for HHAs?
Episodic billing covers a 30-day period (PDGM), while per-visit billing charges each service separately. We handle both depending on your payer.
How do I reduce denials for home health claims?
Our team checks eligibility, authorization, OASIS compliance, and documentation before submission to catch issues early.
Can you handle billing for multiple agency locations?
Absolutely. We scale with you and provide location-specific reporting and payer management.
How long does credentialing for a Home Health Agency take?
Credentialing typically takes 30–90 days depending on the payer. We handle all follow-ups and missing documentation to speed up the process.
Do you handle both skilled and non-skilled home health billing?
Yes. We bill for skilled nursing, therapy, and aide services, as well as non-skilled care when covered by insurance.
Do you offer recredentialing and contract updates for Home Health Agencies?
Yes. We track recredentialing deadlines, update CAQH, and negotiate contracts when possible to improve reimbursement rates.
Let Fortify RCM Power Your Home Health Billing
From credentialing to clean claim submission, we help agencies like yours simplify operations and maximize revenue.