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Synergy Consulting provides Home Health Billing Services

We assist Administration by providing a global picture on billing activities with our monthly management reports.

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Home Health and Hospice Billing

Revenue Cycle Management

Your Outsourced Home Health  and Hospice Billing Services

PDGM Billing Services

Synergy Consulting Services is on top of the changes that are coming with PDGM. New Medicare billing periods will be 60 days and will be billed in two 30-day periods if the services are greater than 31 days. There are also new updates to Coding and reimbursement.

How Synergy Consulting Supports Billing Efficiency

Our staff is specialized in a full range of billing formats and works with a variety of payor sources, including Medicare, Medicaid, HMOs, Commercial Insurance Plans, Managed Care Plans, and Private Pay. Synergy Consulting Services staff is experienced in all standard billing forms and formats, including PPS, HCFA 1500, UB04, and HIPAA-compliant electronic 837I or 837P filing. In addition, Synergy Consulting Services staff is trained in all aspects of supporting billing functions such as OASIS entry, DDE research and entry, RAP and FINAL bill requirements, Medicaid billing, and processing of Medicaid VOIDS. We also support hospice billing services nationwide in Miami, Florida, bringing our expertise to providers who require reliable and compliant billing solutions across geographic regions.

Synergy Consulting Services is familiar with all Home Health Software systems. Below is a list of some of the Software Systems being used, but it does not include all.

Wellsky (Formerly Kinnser), Axxess, Homecare Homebase, Brighttree, Alaya Care, KanTime, Igea, Continulink, Carevoyant, Alora Plus, Visitrax, Riversoft, Savii, Perfect Notified, Matrix Care, Datalogic, Cradel MRX, HHA Exchange, Tellus Portal Healthcare First, Optima Hospice, Devero, Healthcare Synergy, Suncoast, Procura, Tynet, PPS Plus, Waystar Formerly Zirmed, Esolutions, and Availity.

Many States with Medicaid are including EVV (Electronic Verification of Visits) to submit Billing and reimbursement. Synergy Consulting is involved in the Billing with EVV, as we will duplicate the billing from your practice management software and also bill out of the EVV system. There are several EVV vendors currently in the market. We are familiar with Tellus, HHA Exchange, and SanData.

Managing Complex Billing Requirements with Expertise

Synergy is very familiar with using multiple Tellus Versions and HHA Exchange. We will improve your cash flow when using EVV Systems with Medicaid in each State.

Synergy Consulting provides home health billing and hospice services to Home Health Agencies throughout the country. Synergy provides home health Medicare billing to all Fiscal intermediaries, including Palmetto GBA, National Government Services (NGS), and CGS.

Frequently Asked Questions

The following frequently asked questions provide clarity on common concerns about home health and hospice billing, helping healthcare providers navigate this complex area with confidence.

What is PDGM, and how does it affect billing?
PDGM stands for Patient-Driven Groupings Model, which changes the way Medicare home health services are billed by splitting 60-day periods into two 30-day billing cycles when care exceeds 31 days.
Which billing forms are commonly used in home health and hospice billing?
Standard forms include PPS, HCFA 1500, UB04, and HIPAA-compliant electronic submissions such as 837I for institutional claims and 837P for professional claims.
What payor sources does home health billing typically involve?
Billing often involves Medicare, Medicaid, HMOs, commercial insurance plans, managed care plans, and private pay clients.
How does accurate OASIS entry impact billing?
Proper OASIS entry ensures patient assessment data aligns with billing claims, which helps prevent denials and supports appropriate reimbursement.
What steps are taken when Medicaid billing errors occur?
Medicaid void processing allows correction of billing errors to avoid claim denials and ensure compliance with state Medicaid requirements.

Move Forward with Clarity and Insight

Whether you’re refining operations or improving compliance, our team is here to guide your next move. Reach out today to discuss solutions that support real results.