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Home Care and Hospice Billing: Managing Concurrent Care Claims

Home Care and Hospice Billing: Managing Concurrent Care Claims

Guide / Sam Sanders / 03/08/2025

Managing concurrent care claims requires a precise understanding of when and how a patient can receive both home care and […]

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United Healthcare Home Care Billing Guidelines: Payer-Specific Success Tips

United Healthcare Home Care Billing Guidelines: Payer-Specific Success Tips

Guide / Sam Sanders / 03/07/2025

Getting paid for home health services shouldn’t feel like a constant battle. When working with UnitedHealthcare (UHC), the difference between

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Episodic Billing for Home Care: Mastering the 30-Day and 60-Day Cycles

Episodic Billing for Home Care: Mastering the 30-Day and 60-Day Cycles

Guide / Sam Sanders / 03/06/2025

Episodic billing for home care refers to the structured reimbursement model where providers are paid a set rate for a

Episodic Billing for Home Care: Mastering the 30-Day and 60-Day Cycles Read More »

Understanding LUPA Home Care Billing: How to Maximize Episode Revenue

Understanding LUPA Home Care Billing: How to Maximize Episode Revenue

Guide / Sam Sanders / 03/05/2025

LUPA home care billing occurs when a home health agency provides fewer visits than the federal threshold during a 30-day

Understanding LUPA Home Care Billing: How to Maximize Episode Revenue Read More »

CMS Home Care Billing Guidelines: Navigating Federal Reimbursement Rules

CMS Home Care Billing Guidelines: Navigating Federal Reimbursement Rules

Guide / Sam Sanders / 03/04/2025

The Centers for Medicare & Medicaid Services (CMS) recently finalized the Calendar Year (CY) 2026 Home Health Prospective Payment System

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Billing Medicaid for Home Care Services: A 50-State Compliance Guide

Billing Medicaid for Home Care Services: A 50-State Compliance Guide

Guide / Sam Sanders / 03/03/2025

Understanding how to efficiently manage billing Medicaid for home care services is essential for maintaining the financial health of your

Billing Medicaid for Home Care Services: A 50-State Compliance Guide Read More »

Medicaid Home Care Billing Manual: Guidelines for Waiver Programs

Medicaid Home Care Billing Manual: Guidelines for Waiver Programs

Guide / Sam Sanders / 03/02/2025

Understanding the Medicaid home care billing manual and specific waiver guidelines is essential for the financial health of any agency.

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Home Care Referral Billing Codes: How to Document for Success

Home Care Referral Billing Codes: How to Document for Success

Guide / Sam Sanders / 03/01/2025

Ensuring your agency receives proper payment for coordinated services often starts with the very first hand-off. When a patient is

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HCBS CPT Codes: Navigation Medicaid Waiver Billing Requirements

HCBS CPT Codes: Navigation Medicaid Waiver Billing Requirements

Guide / Sam Sanders / 02/28/2025

The daily grind of managing a home care agency often feels like a constant race against shifting regulations. For many administrators,

HCBS CPT Codes: Navigation Medicaid Waiver Billing Requirements Read More »

Revenue Codes for Home Care Billing: A Complete Guide for Finance Teams

Revenue Codes for Home Care Billing: A Complete Guide for Finance Teams

Guide / Sam Sanders / 02/27/2025

Managing the financial health of a home health agency often feels like trying to solve a puzzle where the pieces

Revenue Codes for Home Care Billing: A Complete Guide for Finance Teams Read More »

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