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Home Health Billing Services

Not anymore! With our professional payment posting services, you get real-time error detection across your revenue cycle, automated ERA/EOB posting, and instant reconciliation. Our experts maintain your revenue consistent, transparent, and optimized by reconciling every claim without delay.
Supported Payer Types:
  • Traditional Medicare (PPS/PDGM)
  • Medicaid (including waiver programs)
  • Workers' Compensation and VA programs
  • Medicare Advantage
  • Commercial and private insurance
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Driving Measurable Results For Your Home Health Agency

Our home health billing services are built to strengthen the KPIs that matter most to your agency. We improve claim acceptance rates, reduce days in A/R, lower denial percentages, and support consistent cash flow by managing PDGM and OASIS-E1 coding with precision and ensuring every claim is submitted on time.

Collection Ratio
93 %+
Reduction in AR
40 %
First Pass Clean Claims Rate
95 %+
Revenue Increase
Up to 20 %
Denial Rate
≤ 4 %
Turnaround Time
7- 14 Days

Your Partner in PDGM-Compliant Home Health Revenue Cycle Management

We manage every step of the revenue cycle using payer-specific workflows, updated billing logic, and EMR-integrated tools.

Patient Intake & Eligibility

Verify insurance coverage in real time using ANSI 270/271 before the start of care.

Authorization Management

Initiate and track prior authorizations according to each payer's requirements.

Plan of Care & 485 Alignment

Ensure all care plans are physician-signed and coded accurately to match billed services.

UTN Management (For RCD States)

Handle Pre-Claim Review (PCR) submissions and manage UTN tracking for RCD-compliant billing.

Claims Creation & Submission

Generate HIPAA-compliant 837I claims using accurate PDGM units and LUPA indicators.

Remittance Posting & Reconciliation

Post 835 remits and reconcile payments with expected reimbursements.

Denial Management

Resolve denials based on 835 codes by correcting errors in documentation, coding, or billing.

A/R Follow-Up

Use both manual review and automated 276/277 workflows to follow up on unpaid claims.

Performance Reporting & KPIs

Track Days in A/R, Clean Claim Rate, NOA timeliness, and A/R over 90 days to keep your revenue cycle on target.

Who We Serve

Dastify’s home health billing solutions are built to support agencies of all sizes and specialties:

Startups & Small Practices

Fast onboarding, credentialing, and daily claims processing support

Mid-Size Agencies

Automated workflows, KPI reporting, and team training

Enterprise Networks

Dedicated billing teams, payer-specific escalation protocols, and audit risk controls

Worried About CMS 2025 Home Health Billing Changes?

Our home health billing services combine technical expertise and automation to keep your agency compliant with new CMS rules, reduce denials, and maximize timely payments.

PDGM Case-Mix & Therapy Management

We automate precise case-mix assignment to the updated 432 PDGM clinical groups, including functional impairment scoring and comorbidity adjustments. Our real-time therapy tracking prevents low-utilization payment adjustments (LUPA) by applying the latest 2025 thresholds and therapy add-ons.

Face-to-Face and Telehealth Billing Compliance

We ensure accurate billing of HCPCS codes G0466–G0470 for physician face-to-face visits and G2025 for telehealth services through September 30, 2025. This guarantees audit-ready claims aligned with CMS requirements.

OASIS-E1 Documentation & Coding

Effective January 1, 2025, we support OASIS-E1 assessments with certified coders and NLP automation for precise ICD-10 coding. Your documentation meets QAPI, CoPs, and HHVBP standards, helping avoid the 2% QRP penalty.

NOA Filing & Accounts Receivable Optimization

We guarantee 100% compliance with CMS’s 1-day Notice of Admission filing rule using real-time ANSI X12 276/277 tracking. AI-driven bots segment and resolve aging A/R buckets to keep Days in A/R ≤ 30 and >90-day A/R under 15%.

Need Help Managing RCD? We Make It Simple and Compliant

If your agency operates in an RCD state, you understand the importance of obtaining accurate documentation before billing. Review Choice Demonstration (RCD) requires agencies to submit claims for CMS approval either before or after services are delivered, depending on your selected review option.

We help your team stay compliant and avoid payment delays by managing the complete RCD process from start to finish.

Our RCD Support Services Include:

  • Submitting accurate, timely Pre-Claim Reviews (PCRs)
  • Ensuring documentation meets Medicare medical necessity
  • Coaching staff on OASIS-E1 coding and PDGM compliance
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Illinois

Ohio

Texas

North Carolina

Florida

Billing Software Built with Your Specialty in Mind
Your agency’s billing software should make your life easier, not more complicated. That’s why we work directly within the EMR and billing systems you already use—whether it’s Axxess, WellSky, HCHB, Alora, MatrixCare, or another platform.
Looking to Transition to a Better Billing System?

If your current system isn’t meeting your agency’s needs, we also offer a streamlined transition to our purpose-built home care agency billing software. Key features include:

AI-driven denial management to keep denial rates under 1.2%.

UiPath RPA bots automating prior authorizations, status checks, and payment follow-ups.

HIPAA-compliant patient portals enable patients to access their medical records, review billing statements, and submit payments.

Regular KPI reporting with benchmarks against NAHC, VNAA, MGMA, and HCAF standards.

Best of all, this transition requires no installation changes and is designed for a smooth switch, ensuring your operations continue without disruption.
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What Makes Us the Best Home Health Billing Company

With over a decade of experience in home health revenue cycle management, our expert team of AAPC and AHIMA-certified coders ensures accurate billing that helps you get paid faster and maximize reimbursements.

Get Support Whenever You Need It
24/7 dedicated customer support and account managers ensure your billing questions get quick, expert answers anytime.
Eliminate the cost and hassle of hiring, training, and retaining billing staff by relying on our specialized home health billing team.
Whether you are expanding locally or across states, our scalable services adjust to your volume and specialty needs effortlessly.
Our outsourcing model helps reduce your overhead expenses with clear pricing and no surprise fees, improving your bottom line.
We handle diverse payer requirements, so you get paid fully and on time from all sources.

Our Satisfied Clients

Discover how physician groups thrive with us.

Dastify Solutions has been a huge help with all of our surgical prior authorizations. They are reliable, efficient, and make the process so much easier. We can always count on them, which allows us to focus on providing the best care for our patients. Highly recommend!

Harlee Mallin - Utah

Dastify is awesome! They have assisted our company every step of the way. They are easy to work with and are always responsive and professional. I would recommend them for all of your billing needs!

Steen - New Mexico

Very happy with Dastify’s services for our practice. We highly recommend them! They are very thorough and professional.

Chelsey Murrel - Utah

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Frequently Asked Questions

How does Dastify Solutions charge for home health billing services?
We offer flexible pricing based on your agency’s needs. Our most common model is percentage-based, where we charge a fair percentage of the revenue we help you collect. This aligns our success with yours and covers all essential services like PDGM billing, NOA filing, denial management, and A/R follow-up.
In 2025, CMS updated how each 30-day billing period (called an episode) is classified into one of 432 clinical groups. These groups are based on the patient’s main diagnosis (using ICD-10 codes), their level of functional ability, and other health conditions (comorbidities). This recalibration changes how much your agency is paid, so accurate coding and documentation are essential to receive full payment.
Functional scoring measures a patient’s ability to perform daily activities and is captured through the OASIS-E1 assessment. This score affects the “case-mix weight” — basically, how complex or resource-intensive a patient’s care is considered. A higher functional impairment score means the agency gets reimbursed more for the care provided during that 30-day episode.
LUPA stands for Low Utilization Payment Adjustment. It’s a reduced payment that applies if a patient receives fewer therapy visits than CMS’s set minimum threshold. In 2025, these minimum visit numbers (thresholds) have changed depending on the patient’s clinical group. If therapy visits fall below these new thresholds, the agency gets paid less. We use accurate tracking and documentation of therapy visits to help avoid losing revenue due to LUPA penalties.
OASIS-E1 adds new questions about social factors that affect health (Social Determinants of Health or SDOH), such as living conditions or access to transportation. It also changes how some answers translate into billing codes, which can affect how Medicare calculates payments. Our AAPC-certified team properly documents and codes these new items to avoid penalties and ensure accurate reimbursement.
NOA means Notice of Admission. CMS requires that this notice be submitted electronically within one calendar day of a patient’s admission to your agency. If it’s late or missing, Medicare will not pay for the services during that episode, which results in lost revenue and claim denials. Dastify Solutions utilizes automated tracking tools and adheres strictly to submission rules to avoid this costly mistake.
Yes. Medicare allows billing telehealth visits under PDGM using specific HCPCS codes (like G2025) through September 30, 2025. This means agencies can get reimbursed for remote patient visits, provided they comply with the state parity laws and document the visits correctly.
Comorbidities are additional health conditions a patient has alongside their primary diagnosis. CMS recognizes that patients with more or more severe comorbidities require more care, so it increases payments through comorbidity adjustments. If your coding accurately captures these secondary diagnoses, your agency could see up to a 20% increase in reimbursement per episode.
Our AI-driven tools check claims for errors before submission, catching issues that often cause denials. This means over 98.5% of claims are clean on the first try, denial rates stay below 1.2%, and payments come in faster without extra work.
Our home health billing solutions make sure your agency follows the 2025 PDGM updates, including the new 432 clinical groups and comorbidity adjustments. We use precise ICD-10 coding and advanced billing tools to match each 30-day episode correctly, helping you get the full Medicare and Medicare Advantage payments you deserve.

Ready to turn your billing headaches into hassle-free payments?

Let’s make 2025 your most profitable year yet. Connect with Dastify Solutions today and see the difference expert home health billing services can make.
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