Home Health Medical Billing Services
Home health billing is a different world — PDGM reimbursement is driven by clinical grouping and OASIS accuracy, not visit counts. A single coding error can shift an episode into a lower payment group. Atlas brings deep home health billing expertise to help your agency capture every dollar.
Get An Expert TakeNo Two Home Health Clinics Are The Same...
...but many deal with similar issues. We bring our experience from working with many other home health groups to help you navigate the key questions for your practice.
How do I improve my OASIS accuracy?
OASIS drives everything under PDGM — your clinical grouping, functional impairment level, and comorbidity adjustments all flow from it. Under-scoring functional items or missing secondary diagnoses can cost an agency 5-15% of potential revenue. The difference between good and great OASIS coding is often hundreds of thousands of dollars a year.
Should I expand into hospice?
Hospice is a natural extension for home health agencies — you already have the referral pipeline, the clinical staff, and the community relationships. But hospice billing is entirely different: per diem rates instead of episodes, four levels of care, and the agency becomes financially responsible for all medications and DME related to the terminal diagnosis.
How do I solve my staffing model?
Contract vs. employed clinicians creates real billing implications — W-2 employees allow incident-to billing in some states, while 1099 contractors may limit your service coding options and introduce compliance risk. The right mix depends on your volume, payer mix, and state rules.
What We Do For Your Practice
Claims & Coding
Accurate submissions with optimized coding to maximize reimbursement on every visit.
Denial Management
Aggressive follow-up and appeals on every denied claim — we don't write off revenue.
Payer Contract Negotiation
We negotiate directly with payers to improve your fee schedules and reimbursement rates.
Technology Transitions
Sourcing vendors, migrating data, negotiating fees — we help in each part of finding the best technology.
Accounting
Real-time visibility into the full business of your clinic — not just the revenue cycle.
Practice Growth Strategy
We help you identify and stand up new lines of medicine — from feasibility to launch.
We Work With Your EMR
Atlas integrates with every major electronic medical records system. No switching required — we meet you where you are.
Frequently Asked Questions
How does Atlas handle PDGM billing for home health agencies? +
We ensure every episode is coded to reflect the correct clinical grouping, functional level, and comorbidity adjustment under PDGM. Our coders verify OASIS assessments align with diagnosis coding so your agency receives accurate reimbursement for the acuity of care delivered.
How long does the transition take? +
Most agencies are fully transitioned within 30 days. We run in parallel with your current billing operation during the overlap period so there is zero disruption to your cash flow and no episodes fall through the cracks.
Do you provide a dedicated billing manager? +
Yes. Every Atlas client gets a dedicated billing manager with a direct phone number you can call or text anytime. Your billing manager knows your payer mix, your fee schedules, and your agency inside and out.
Are there long-term contracts? +
No. We work on month-to-month agreements because we believe you should stay with us because of results, not because of a contract. Most of our clients have been with us for years.