Home Health Billing Services

Home health billing is one of the most regulated and detail-driven areas of medical billing. Between Medicare home health billing guidelines, PDGM rules, CPT and ICD-10 code selection, consolidated billing, and documentation audits, even experienced agencies struggle to stay compliant while keeping cash flow steady.

Info Hub Consultancy Services (ICS) provides end-to-end home health billing services for U.S. agencies, combining deep regulatory knowledge with a cost-effective offshore medical billing model from India. We help home health providers reduce denials, improve collections, and maintain full CMS compliance without increasing internal overhead.

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    What Is Home Health Billing?

    Home health billing refers to the process of submitting claims for skilled nursing, therapy, aide, and related services provided in a patient’s home.

    These services are primarily reimbursed through:

    • Medicare home health billing
    • Medicaid home health billing
    • Select commercial insurance plans

    Home health billing requires strict adherence to CMS rules, including eligibility, certification, plan of care oversight, face-to-face encounter documentation, and correct CPT and ICD-10 code usage.

    CPT Codes for Home Health Services

    Accurate CPT coding is critical for compliant home health billing.

    Our team manages:

    • CPT code for home health care
    • CPT codes for home health services
    • CPT code for home health aide and aide visits
    • CPT code for home health nurse and nursing visits
    • CPT code for home health skilled nursing
    • CPT code for home health physical therapy
    • CPT code for home health occupational therapy
    • CPT code for home health speech therapy
    • CPT code for initial home health evaluation
    • CPT code for home health certification and plan of care
    • CPT code for home health certification (Medicare and non-Medicare)

    We also track home health CPT codes by year, including 2023, 2024, and 2025 updates, to prevent outdated billing.

    ICD-10 Codes for Home Health Billing

    Diagnosis coding drives PDGM grouping, medical necessity, and reimbursement accuracy.

    We support:

    • ICD-10 code for home health care
    • ICD-10 code for home health evaluation
    • ICD-10 code for home health physical therapy
    • ICD-10 code for home health aide services
    • ICD-10 code for face-to-face encounter for home health
    • Common ICD-10 codes for home health
    • Most common ICD-10 codes for home health agencies

    We also manage historical records that reference ICD-9 codes for home health when required for audits or appeals.

    Medicare Home Health Billing & PDGM

    Medicare home health billing is governed by strict CMS guidelines and the Patient-Driven Groupings Model (PDGM).

    Our services include:

    • Medicare eligibility and benefit verification
    • PDGM clinical grouping validation
    • HIPPS code accuracy
    • Visit utilization monitoring
    • Compliance with the Medicare home health billing manual
    • Support for G codes and Q codes for home health

    We help agencies stay compliant while maximizing appropriate reimbursement.

    Medicaid & Commercial Home Health Billing

    In addition to Medicare, we manage:

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    Medicaid home health billing

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    State-specific Medicaid billing rules

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    Commercial payer billing for home health services

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    Authorization tracking and payer-specific CPT requirements

    Our team adapts workflows to each payer’s billing rules to reduce rejections.

    Home Health Consolidated Billing & Compliance

    Consolidated billing is a major compliance risk for home health agencies.

    We handle:

    • Home health consolidated billing list review
    • CMS consolidated billing exclusions
    • Therapy and supply billing validation
    • Coordination with outside providers

    This reduces audit exposure and repayment risk.

    Home Health Revenue Cycle Management (RCM)

    Our home health revenue cycle management services cover the full billing lifecycle:

    • Intake and eligibility verification
    • Coding review and charge capture
    • Claims submission and payer follow-up
    • Denial management and appeals
    • Payment posting and reconciliation
    • AR aging and performance reporting

    This structured RCM approach improves cash flow and reduces billing errors.

    Outsourced Home Health Billing (USA to India)

    Many U.S. agencies now outsource home health billing to India to manage rising administrative costs. ICS operates as a trusted offshore home health billing partner, offering:

    • Dedicated billing and coding teams in India
    • HIPAA-aligned security and access controls
    • Deep Medicare and CMS expertise
    • Scalable support for multi-location agencies

    Our offshore delivery model helps U.S. providers focus on patient care while we handle billing accuracy and compliance.

    Common Home Health Billing Challenges We Solve

    Home health agencies often face:

    We handle:

    • High denial rates due to documentation gaps
    • Incorrect CPT or ICD-10 code selection
    • PDGM grouping errors
    • Delayed certifications and recertifications
    • Medicare audits and billing reviews

    ICS proactively identifies and resolves these issues before they affect revenue.

    Why Choose ICS for Home Health Billing Services?

    Home health agencies partner with Info Hub Consultancy Services because we provide:

    • Specialized expertise in home health billing and coding
    • Strong command of Medicare, Medicaid, and PDGM rules
    • Reduced denials and faster reimbursements
    • Cost-effective offshore execution from India
    • Transparent communication and reporting

    We function as an extension of your internal billing team, not just a vendor.

    Why is Offshore Medical Billing Necessary to Drive Success?

    Offshore Medical Billing has become increasingly demanding for healthcare providers
    across the globe to drive steady success. Let’s dive in. Why?

    Significant Cost Reduction

    Endured Professionals

    Strong Security Measures

    More Results & Faster issues

    100 HIPAA biddable

    Lower Claim Denials in 48 hrs

    Flexible US Working Windows

    Schedule a Free Consultation

    Who We Are?

    Optimizing Revenue via Quality Medical Billing Services

    We’re a team of Indian grounded experts streamlining medical billing
    services to US-based healthcare professionals for more than 10 years. We strategise specialty-specific conditions and are available 24/7 throughout the year, offering customized services alongside enhancing your profit by at least 30%.

    Common Challenges in Medical Billing

    Understanding the Hidden Risks

    Medical Billing frequently faces various issues that may slow down the billing
    process. They include

    Regulatory Complexity

    Navigating to the continuously upgrading healthcare rules, payer programs, and rendering guidelines frequently leads to a chain in the medical billing process.

    High Denial Rates

    Incomplete patient information or late forms can lead to rejected claims, forcing time consuming fixes.

    Delayed Payments

    Missing information can delay remittances, disrupting cash inflow and day-to-day operations.

    Staffing Limitations

    Internal brigades might not have the technical knowledge to keep up with evolving regulations and payer conditions, which can lead to functional inefficiencies.

    Administrative Burden

    The redundant burden of billing liabilities can overload healthcare workers, reducing the time and focus available for patient care.

    Lack of  Transparency

    Lacking access to real-time data makes it difficult for providers to pinpoint backups or assess how well their profit cycle is performing.

    Our Custom Solutions

    Customized Offshore Solutions Built for You

    Our approach to these challenges involves substantiated, budget-friendly strategies.

    • Expert Team

      Hiring Infohub for medical billing can cut your billing and executive costs by up to 40% due
      to cheaper labor and more efficient processes.

    • Minimized Denials

      By enforcing quality checks throughout the process, we minimize rendering miscalculations and
      help prevent claim rejections. Our effective operation ensures optimal profit recovery.

    • Transparent Communication

      You will receive regular updates and substantiated account assistance. We ensure you stay
      streamlined throughout each phase of the billing process.

    • Clean Claims and Faster Payments

      We aim to file correct claims from day one. Our smooth system speeds up payments and reduces
      the need to follow up later.

    • Flawless Integration

      Our results seamlessly connect with EHR platforms similar to AdvancedMD, Athenahealth, Kareo,
      and others. We build our approach to fit your current workflows.


    Speak to our Experts on

    +1 888-502-0537

    End-to-End Medical Billing Services provider across entire US.

    GET IN TOUCH

    Benefits of Offshore Medical Billing Services with ICS

    Streamlining Your Revenue, Offshore and On-Point

    Outsourcing medical billing overseas, particularly to India, provides substantial benefits. Many US
    healthcare providers have found that partnering with Indian medical billing enterprises leads to
    successful outcomes, regardless of their practice size.

    Cost Savings

    Outsourcing medical billing to Infohub can reduce your billing and executive charges by as much as 40%. The combination of lower pool costs and streamlined procedures makes medical billing in India a cost-effective option.

    Skilled Professionals

    We boast a large pool of certified billing professionals who retain in-depth knowledge of U.S. healthcare regulations, rendering norms, and insurance procedures.

    Cost Savings

    Outsourcing medical billing to Infohub can reduce your billing and executive charges by as much as 40%. The combination of lower pool costs and streamlined procedures makes medical billing in India a cost-effective option.

    Why Choose Us?

    Experience the ICS Advantage

    We’re one of the leading medical billing enterprises, delivering reliable and HIPAA-compliant services
    customized for healthcare providers across the United States. That’s what makes us the favored choice
    for many practioners.

    Schedule a Free Consultation

    HIPAA Security

    HIPAA Security

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              Specialties We Serve

              We offer medical billing services that feed to different types of medical practices.

              Ambulance

              Cardiology

              Radiology

              Family Practice

              Ophthalmology






                 

                Whether you operate as an individual practitioner or manage a healthcare association with multiple sites, we offer a solution tailored to your requirements.

                States We Serve

                With over a decade of experience serving diverse specialties and provider groups across the U.S., we ensure you get local-quality support, regardless of location.

                • Trusted by 140+ Providers in All 50 States
                • HIPAA-Compliant Offshore Billing Experts
                • Specialized Teams for State-Specific Billing Needs

                Select your location below to learn how we support practices like yours.






                   

                  Tools and Technology We Use

                  To ensure top-notch service delivery, we use premier industry platforms similar to

                  Also, we offer support for custom APIs and integrations with customer systems, streamlining data synchronization and billing operations.

                  Maximize Profits, Minimize Costs

                  Reach out to us now for a complimentary discussion and explore how we can help you boost your profit & minimize functional costs. Experience the benefits of connecting with estimable medical billing professionals.

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                    Frequently Asked Questions

                    What is home health billing?

                    Home health billing is the process of submitting claims for skilled nursing, therapy, aide, and related services provided in a patient’s home under Medicare, Medicaid, or commercial plans.

                    What CPT codes are used for home health services?

                    Home health billing uses CPT codes for nursing visits, therapy services, aide services, evaluations, and certification and plan of care oversight.

                    How does Medicare home health billing work?

                    Medicare reimburses home health agencies based on PDGM groupings, diagnosis codes, visit utilization, and compliance with CMS guidelines.

                    What causes home health billing denials?

                    Common causes include incomplete documentation, incorrect ICD-10 codes, invalid CPT codes, PDGM errors, and certification issues.

                    Can home health billing be outsourced to India?

                    Yes. Many U.S. agencies outsource home health billing to India for cost efficiency and specialized expertise while maintaining compliance.

                    Do you handle audits and appeals?

                    Yes. We support home health billing audits, compliance reviews, and denial appeals.

                      What People Say About Us

                      “ Partnering with ICS transformed our revenue cycle. Claim approvals are faster, denials have dropped significantly, and we finally have clear visibility into our billing performance. ”

                      Dr. Asha Kulkarni,

                      Founder, Sunrise Family Clinic

                      “ The ICS team is knowledgeable, responsive, and deeply committed to helping our practice grow. Their customized dashboard gives us real-time insights we never had before. ”

                      Dr. Vivek Nair,

                      Orthopedic Surgeon, CareAxis Hospital

                      “ We were drowning in paperwork and delays before ICS stepped in. Their team streamlined everything, from eligibility checks to patient billing, and gave us time to focus on care. ”

                      Meera S.,

                      Practice Manager, Lotus Women's Health Center

                      “ ICS is more than a billing service—they’re a strategic partner. Their compliance-first approach gives us confidence, and their results speak for themselves. ”

                      Dr. Arjun Deshmukh,

                      Pulmonologist, Airway Specialty Clinic

                      “ With ICS, we saw a 35% increase in collections within the first quarter. Their billing accuracy and follow-up on aging claims are unmatched. ”

                      Dr. Neha Jain,

                      Dermatologist, ClearSkin Clinic

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                      For Enquiry

                      Business:

                      +1 (888) 694-8634 (US Office),

                      +91 93459 12455 (India Office)

                      Landline:

                      0422 4212 455

                      Email (Sales & Support)

                      sales@infohubconsultancy.com

                      inquiry@infohubconsultancy.com

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