For Home Health & Hospice Agencies
A dedicated home health biller files your NOAs, submits final claims for each 30-day period, posts payments and works RTPs, denials and A/R, all inside your agency’s EMR.
We also recruit the back-office roles billing depends on: OASIS QA reviewers, intake coordinators and schedulers. Each person works full-time for your agency at one flat monthly rate. We handle recruiting, payroll and HR.
Zero Risk: You don’t pay if you don’t hire
The Integrated Hire Difference:
Medicare home health billing runs on deadlines and documentation. Your biller owns both.
Files the Notice of Admission after each start of care and submits the final claim for every 30-day period once visits, orders and the OASIS are complete.
Matches each claim against signed orders, visit notes and the OASIS before it goes out, so problems are fixed before Medicare finds them.
Corrects returned-to-provider claims, appeals denials and sends ADR responses with the right records, then tracks each one to payment.
Posts Medicare, Medicaid and commercial remits and flags short payments and adjustments.
Bills Medicaid, Medicare Advantage and commercial plans by their own rules, including authorizations and EVV visit data where your state requires it.
Works unpaid claims by payer and age, and keeps your aging report current so you always know what’s outstanding.
Every admission runs through the same checkpoints. A dedicated biller, working with your intake and QA staff, keeps each one on schedule.
Before admission
Intake verifies coverage, checks for an open period with another agency and requests authorization where the payer needs one.
Start of care
QA reviews the start-of-care OASIS against the visit note and plan of care, so coding and documentation agree before anything is billed.
Within 5 calendar days
Your biller files the NOA. Medicare cuts the payment for every day it’s late, so this step runs on a calendar, not a to-do list.
During each period
Signed physician orders and completed visit notes are tracked as they come in, so nothing is missing when the claim is due.
End of each 30-day period
Your biller runs a pre-bill check and submits the claim. Mismatched dates or unsigned orders get fixed before it goes out.
After submission
Remits are posted, returned claims corrected and ADR packets sent, then the claim is tracked until it’s paid.
Counts are applicants with 2+ years in home health or hospice who list each system. Tell us yours and we’ll screen for it.
150+ applicants. Billing, OASIS, intake and scheduling.
50+ applicants. Home health and hospice.
20+ applicants.
10+ applicants.
10+ applicants.
10+ applicants. Eligibility, authorizations and commercial claims.
5+ applicants.
Based on our applicant pipeline as of October 2026.
Billing only runs smoothly when the work upstream is done right. We recruit for these roles too, from the same pipeline.
110+ applicants with 2+ yrs
Reviews assessments and visit notes for accuracy and consistency before they affect payment or your next survey. Many come from nursing backgrounds.
80+ applicants with 2+ yrs
Turns referrals into admissions without leaving gaps for billing to find later.
Same intake & scheduling pool
Keeps visits staffed and on time, so the plan of care is delivered as ordered.
Counts are applicants with 2+ years in the role at U.S. home health or hospice agencies. Intake and scheduling are counted together. Pipeline as of October 2026.
Anonymized summaries of applicants with U.S. home health and hospice experience. Every search is new, so you’ll meet people matched to your EMR and payer mix.
NOE and NOTR filing, final claims, RTP corrections, denials and A/R follow-up for California agencies.
OASIS, plan of care and visit note audits, QAPI and survey readiness under PDGM.
Non-clinical intake: referrals, eligibility, prior authorizations, physician and DME orders, and scheduling.
Summaries are anonymized. Availability changes week to week.
Billing companies usually charge a share of what you collect and work your claims alongside other agencies’. A dedicated biller works only your census, at a flat rate.
| Dedicated biller (Integrated Hire) | Home health billing company | Local in-house biller | |
|---|---|---|---|
| How you pay | One flat monthly rate, all-inclusive | Usually a percentage of collections | Salary plus payroll taxes and benefits |
| Who works your claims | One person who knows your census | A team shared across agencies | Your employee |
| Link to intake and QA | Works with them daily, in your EMR | Often outside your clinical workflow | Works with them daily |
| Who sets priorities | You do | The billing company | You do |
| Time to start | Meet your top 3 in ~14 days | Depends on their onboarding | Often 2–3+ months to hire |
| Commitment | No long-term contract. 2 weeks’ notice | Set by your contract | Employment obligations |
Enter your monthly collections and the percentage your billing company charges, or has quoted you.
At these numbers, a dedicated hire costs $5,250 less per month.
Example figures only, so enter your own. Your biller’s rate depends on experience, and we confirm it on your first call. A billing company may also include coding, OASIS review or software that one biller doesn’t.
A billing company makes sense if you’re a new agency without a steady census, you want coding and OASIS review bundled in, or you’d rather not manage billing at all.
A dedicated biller makes sense if:
One role or several. We recruit, vet and run payroll. You choose who joins your agency.
Tell us your EMR, payer mix, census and where claims get stuck. We define the role, or roles, together.
We screen 500+ applicants for U.S. home health experience in your EMR and present your top 3 for each role.
Interview your finalists and give each a test case, like correcting a returned claim or reviewing a mock OASIS.
Your new hire completes HIPAA training and works under logins you control. We run payroll and HR, and replace them at no cost if it doesn’t work out.
They file NOAs, submit final claims for each 30-day period, post payments and work RTPs, denials, ADRs and A/R. With Integrated Hire, your biller works full-time for your agency only, inside your EMR and billing portals.
Yes. They work under logins you create in WellSky (Kinnser), Axxess, HCHB or whatever you run. We screen for your system, so training is about your agency’s process, not the software.
Yes. Applicants in our pipeline have billed Medicaid, Medicare Advantage and commercial plans as well as traditional Medicare. Tell us your payer mix on the discovery call and we’ll screen for it.
Yes. Many applicants in our home health pipeline also have hospice experience, including NOE filing and hospice claims. Tell us if you run both lines.
For a small agency it can work, but they’re different skills. QA reviewers usually come from nursing, billers from revenue cycle. We’ll tell you on the call whether one hire covers your census or you need two.
Every healthcare team member we place completes HIPAA training before they start. They work only inside your systems, under logins you control, and patient data stays there. We can share a short explainer of how the arrangement is structured, plus a workforce acknowledgment your team member signs with you directly.
Often, once your collections pass a certain level. A percentage fee grows with your census, while a dedicated biller costs the same every month. Use the calculator above with your own numbers.
Tell us and we’ll find a replacement within 14 days at no cost. There’s no long-term contract, and we ask for 2 weeks’ notice if you want to stop.
Book a short call with our team. Tell us your EMR, payer mix and census, and which roles you need, from billing to OASIS QA, intake or scheduling. We’ll outline exactly who we’d recruit.
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