Best Home Health Billing Companies in 2026 (Compared) 

Quick answer 

The best home health billing company depends on your agency’s payer mix, patient volume, EMR, and need for specialized Medicare support. If an agency wants help with both billing and credentialing from a single partner, Credex Healthcare is a good option. HealthRev Partners does a lot of work in the income cycle for home health, hospice, and palliative care. Healthcare Provider Solutions is a U.S.-based billing and advisory company, and AnnexMed helps groups that need to grow with technology-based home health RCM. 

Key takeaways 

• Home health billing differs from standard physician billing. 

• Key components of Medicare reimbursement include the Patient-Driven Groupings Model (PDGM), 30-day care periods, OASIS assessments, Notice of Admission (NOA) deadlines, and Low Utilization Payment Adjustment (LUPA) thresholds. 

• Credex Healthcare offers credentialing, payer enrollment, licensing, and revenue cycle management. 

• HealthRev Partners specializes in home health, hospice, and palliative care support with coding, OASIS review, analytics, and EMR assistance. 

• Healthcare Provider Solutions focuses on U.S.-based billing and operational support. 

• AnnexMed provides specialized home health revenue cycle management workflows, including OASIS-E review and PDGM management. 

• Important questions to ask before signing agreements include account handling, payer types, EMR compatibility, report availability, and denial escalation processes. 

• Requesting a workflow review with a sample of claims is recommended. 

• Advertised results from providers should be considered as company-reported claims unless independently validated. 

Introduction 

For a Medicare-certified agency, choosing a home health billing company is both a financial and business decision. Billing delays can affect staffing, payroll, cash flow, and the time administrators can spend with patients and clinicians. The right partner should know the rules about home health, be able to work with your current systems, and be able to clearly communicate when a claim needs clinical or administrative follow-up. 

This comparison is for owners, managers, finance leaders, and operations teams at home health agencies considering outsourcing their billing. It talks about four companies and what they might be best at, what you should check, and what questions you should ask before you hire someone else to do something. This is not a paid list, and it doesn’t assume that one vendor is best for all law firms. 

Best Home Health Billing Companies  

This list of comparisons is meant to help you start looking into different home health care billing companies. Information about a company posted on its website is used in its descriptions. Before making a choice, you should talk to each provider directly about the current service scope, staffing arrangements, technology compatibility, and contract terms. 

Company	Best for	Home health focus	Staff / delivery	What to verify
Credex Healthcare	Billing, plus credentialing and enrollment support	Broad RCM and credentialing portfolio; confirm home health-specific scope	Jacksonville, Florida headquarters; confirm delivery details	PDGM, OASIS, NOA, LUPA, EMR and payer scope
HealthRev Partners	Specialist home health, hospice and palliative care RCM	Billing, coding, OASIS review, NOA tracking and analytics	U.S.-based RCM experts stated by company	19 EMRs and less-than-2-day coding claim
Healthcare Provider Solutions	Agencies seeking U.S.-based support	Home health and hospice billing, coding and consulting	Company states 100% U.S.-based support	25 years, 130+ agencies, 450+ payers are company figures
AnnexMed	Larger or multi-location agencies needing RCM workflows	OASIS-E review, PDGM, NOA, LUPA monitoring and reporting	U.S. corporate presence and offshore operations described	Security, staffing location, service levels, and system integration

How We Chose These Companies 

The comparison looks at how well each service describes the home health experience, handles billing and coding, and supports Medicare processes. We also looked at how often a company talks about OASIS, PDGM, NOA, LUPA, eligibility, denials, reporting, and integrating EMR. These are useful signs of specialization because home health claims depend on more than just correct demographic information and a clean electronic submission. 

One agency might like a business more than another. A small agency that works with only a few payers might need only a simple monthly report and quick follow-up on claims. A company with more than one branch might need uniform processes, centralized screens, control of expert code, and consistent communication between sites. A healthcare worker who does many different things is not always a home health specialist. Because of this, this article sets dedicated home health experience apart from more general billing and RCM skills. 

The profiles don’t give performance scores on their own. It is clear when a number comes from a vendor website that it is a company-reported statement. Pricing, client results, certifications, or service abilities are not taken as true unless the company says so or confirms them publicly. 

Credex Healthcare

Credex Healthcare is a healthcare services company based in Jacksonville, Florida. It helps with medical credentialing, licensing, payer enrollment, and revenue cycle management. Its website explains how it helps healthcare groups across the US and shows how licensing and RCM are related parts of practice management. That mix matters for home health companies because their ability to bill can depend on how many patients they have enrolled and which doctors are providing care. 

Credex lists the following services: medical billing, administrative support, licensing, credentialing and registration, and revenue cycle management. Its site says its offices are in Jacksonville and that it provides service across the United States. The business also puts out business and performance numbers, such as totals for providers and applications. Before using those numbers in a buying decision or as proof of success, check them with Credex Healthcare. 

Best for 

Home health agencies that want to manage billing, credentialing, payer enrollment, and licensing support in one place instead of going to different vendors for each one. 

What to verify: The brief mentions a home health billing service page that needs to be reviewed for content and service scope before it goes live. Specialist work in PDGM, OASIS, NOA, or LUPA should not be taken from this page until Credex indicates that it can be done. Find out whether the team handles Medicare home health claims, Medicare Advantage claims, Medicaid claims, commercial payers, NOA tracking, denial appeals, payment posting, and home health-specific reporting. Find out what EMRs the team works with and whether OASIS coding review is done by the team itself or by someone else. 

Potential limitation: Credex offers a lot in the healthcare field, which could be good for agencies that want a single administrative partner. However, buyers should make sure that Credex has a deep, dedicated home health billing workflow. A general medical billing service is not always the same as a home health RCM team that manages PDGM, OASIS, and NOA cases every day. 

Ask for a written service map so you can give an honest review. It should say what Credex does, what the agency has to give, which tasks need clinician input, how problems are reported, and what performance measures are included in monthly reports. They should also ask for an example of a training plan and a clear description of how the billing and registration teams will share information. For example, when an agency adds new providers or payer networks, this is very important. Review Credex Healthcare’s home health billing services to better understand what is being discussed, and make sure the page accurately describes the work the team does now. 

HealthRev Partners

HealthRev Partners helps home health, hospice, and palliative care groups with their revenue cycle needs. Its website describes a team that works with technology, billing, and coding. This business helps with home health billing and collections, ensuring eligibility and obtaining permissions, tracking NOA and NOE, recovering lost revenue, coding and OASIS review, analytics, and cash flow forecasting. 

As part of its service model, HealthRev also talks about its Velocity platform. The business says it works with 19 EMR systems, including KanTime, WellSky Kinnser, and Axxess, and that the average coding time is less than two days. These are statements from the vendor; they are not independent guarantees. A company should clarify how turnaround time is calculated, whether it applies to all coding work, and what happens if paperwork is missing. 

Healthcare Provider Solutions

Healthcare Provider Solutions (HPS) helps home health and hospice organizations with billing, coding, and consulting. Its website describes a U.S.-based support approach and says it has been in business for 25 years, works with more than 130 agencies across the country, supports more than 450 clients, and has experience with more than 15 EMR systems. These numbers come from HPS and should be checked directly when evaluating vendors. 

The company’s focus on nursing and home care may also appeal to managers who need help with billing and running the business. Its history page says the company started in 2001 and later expanded to offer hospice care and coding support. Buyers should know the difference between billing chores included in a standard agreement and advising or clinical review services that may require their own scope. 

AnnexMed

AnnexMed describes a home health revenue cycle service that includes eligibility and benefits checks, OASIS-E coding and review, NOA filing, episode management, claims entry, tracking, and reporting. It also talks about face-to-face documentation, denial management, analytics, PDGM grouping, and LUPA risk monitoring on its website. With this level of home health language, the company is useful for agencies looking for specialized RCM support. 

The business discusses workflows and reporting dashboards enabled by technology. These show things like collections by episode, denial rates, accounts receivable aging, OASIS coding accuracy, LUPA frequency, and authorization activity. A company office in the US and shipping activities in India are also listed in its public documents as part of its business presence. Agencies should be clear about where each task is done, how data is accessed, and what controls apply to subcontractors and teams working from other countries. 

What to Look for in a Home Health Billing Company 

A home health billing company should understand the operational details that connect clinical care to reimbursement. The following areas deserve attention during vendor interviews. 

PDGM knowledge and accurate grouping 

The Patient-Driven Groupings Model is used to pay for home health care through Medicare. Because of changes made on January 1, 2020, the payment unit is now 30 days instead of 60 days. PDGM assigns a case-mix group based on the patient’s and episode’s characteristics. These include the reason for admission, the date, the clinical grouping, the functional impairment, and any other conditions that may be present. 

Timely NOA submission 

A home health service that is Medicare-approved usually must send a Notice of Admission to its Medicare Administrative Contractor no later than five business days after the first day of care. A late NOA can mean not getting paid for days before filing and having the 30-day payment amount cut by 1/30th for every day from the start of care until filing, as long as the rules and exceptions are followed.  

LUPA monitoring 

When a patient’s PDGM group doesn’t meet the required number of visits in 30 days, they are subject to a Low Utilization Payment Adjustment. The agency is paid for each visit rather than for the entire period. The threshold differs by group and can change when CMS updates. 

OASIS accuracy and current versions 

OASIS data supports quality reporting and helps determine a patient’s level of function. CMS says that OASIS-E2 is the latest version of OASIS as of April 1, 2026. Find out whether the vendor reviews OASIS data, ensures it matches clinical records, and flags anything that could change the HIPPS code or the coding.  

Face-to-face and homebound documentation 

To be eligible for Medicare home health care, you must have a face-to-face meeting about the main reason for your home health care. According to CMS guidelines, the meeting must happen no more than 90 days before or after the start of care.  

Payer and authorization management 

Medicare Advantage and commercial plans may have different rules about who can join, who can’t, and how to file claims. Each state has its own Medicaid rules. A seller should be able to explain how it checks benefits, tracks authorizations, determines what each customer needs, and keeps records of follow-up.  

Medicaid EVV 

The 21st Century Cures Act says states must use Electronic Visit Verification for Medicaid-paid personal care and home health services that include a visit to the client’s home. Implementation and system needs vary by state.  

Denial management and reporting 

Identify why the claim was denied, who paid, the date of service, the amount at risk, the deadlines for filing an appeal, and who currently owns the claim. A report that only shows the total amount of money owed is not sufficient. The office should be able to see what needs to be done, why it needs to be done, and what is being done.  

EMR access and security 

The vendor should follow approved access controls and a signed business associate agreement. Find out whether employees have their own accounts, whether access is based on roles, how activity is tracked, how files are sent, and how the provider handles a security issue.  

In-House vs. Outsourced Home Health Billing 

A business doesn’t have to hire someone else to do all of its revenue cycle tasks. Some businesses handle eligibility, authorizations, and payment posting themselves but hire outside help for coding, claim submission, denial follow-up, or the entire billing cycle. The best plan relies on the number of employees, the amount, the mix of payers, the agency’s ability to keep up with new home health care knowledge, and the agency’s leadership. 

By outsourcing, you can access a team with established workflows and familiarity with the needs of more than one payer. It can help an agency catch up on work or support growth without having to hire many people at once. Outsourcing doesn’t remove the agency’s duty to keep accurate records, follow the rules, and stay on top of things. If communication is slow or roles aren’t clear, a bad relationship with a vendor can cause more delays. 

Factor	In-house billing	Outsourced billing
Daily control	Direct supervision	Governed by contract and service process
Staffing	Agency recruits and trains	Vendor supplies assigned staff
Expertise	Depends on hiring and retention	Depends on vendor specialization
Scalability	Hiring may take time	Capacity may be adjusted by agreement
Visibility	Direct system access	Requires clear reporting and access
Oversight	Internal management	Vendor monitoring plus agency oversight

Before making a choice, compare the vendor’s fee to the full cost of an internal team, including pay, perks, training, software, management time, employee turnover, and the cost of unsettled claims. Ask for a handoff plan that protects claim submission deadlines and ensures open accounts receivable aren’t lost. 

What Good Reporting Should Show 

• Ask the seller for a sample month-end report to see how it is made and what it contains. 

• Make sure the report makes it clear which claims were sent in, accepted, rejected, paid, adjusted, and what actions are still pending. 

• Find out if the report separates payer groups and lets you look at each claim in more detail. 

• Stress how important it is for the screen to have clear meanings and up-to-date info. 

• Find out how claims that were accepted by the clearinghouse but later turned down by the payer are handled. 

• Make it clear who is responsible for verifying remittance advice, posting payments, finding people who have been underpaid, and following up on requests for medical records. 

• Check whether writing an appeal is included and whether the agency needs to approve it before sending it in. 

• Review the transition plan and the service proposal with the same level of care, and identify any open claims, unresolved denials, unbilled visits, pending authorizations, or problems enrolling payers. 

• Decide when the ownership of claims for services before and after the cutover date will change hands. 

• Talk about how to transfer records and ensure that the agency can still access them after the contract ends to keep things going and avoid missing older receivables. 

Questions to Ask Before Signing 

To choose a good provider, ask for a sample month-end report showing how claims were processed, including claims filed, accepted, or denied, as well as payments, changes, and open accounts. Ask if payer groups can be kept separate and if you can access individual claims. Check out how the vendor handles technically accepted claims that are later denied. This includes how they post payments, identify people who have been underpaid, and follow up on requests for medical records.

Make it clear whether appeal writing is included and whether the agency must approve it before it can be sent. The transition plan is just as important; before the vendor takes over, find open claims, unresolved denials, and other problems that need to be fixed. Set a cutover date, determine who will be responsible for claims during service changes, and document transfer procedures to ensure stability and reduce the chance of missing older debts. 

FAQs 

What is the best home health billing company?

Every company needs a different provider. Credex Healthcare might work for businesses that need help with both payments and credentials. HealthRev, HPS, and AnnexMed all talk about RCM features that are specific to home health. Check how well each provider’s process, hiring model, reports, and contract terms fit with your EMR.

What does a home health billing company do?

A home health billing business can check whether someone is eligible, keep track of authorizations, send out NOAs and claims, check the codes, post payments, follow up on missed claims, handle rejections, and give reports on outstanding accounts. The exact scale depends on the deal and the types of people who pay for the service.

How much do home health billing companies charge?

The price could be based on a fixed monthly amount, a percentage of the money that is collected, or a custom arrangement. Rates depend on the number of claims, the types of payers, the services that are included, and the complexity of the account. Ask for a written quote that lists all the costs and what’s not included.

Is it better to outsource home health billing?

If an agency can’t keep experienced billers on staff, has a growing backlog, or needs to follow up more often, outsourcing may help. Billing done in-house might work well if the agency has a lot of work and enough experts to support a team. Look at the total cost and the need for oversight.

What is PDGM in home health billing?

The way Medicare pays for home health care is called the Patient-Driven Groupings Model. It divides payments into 30-day chunks based on patient and episode details. For correct grouping, it’s important to have correct diagnostic codes, entry source, time, functional information, and disease data.

What happens if a home health NOA is late?

Most of the time, a Medicare home health agency has five calendar days from the start of care to send in the NOA. A late filing can lead to not being paid for days before the filing and a 1/30th payment cut for every day late, with some exceptions allowed by law.

What is the difference between home health billing software and a billing company?

Staff at agencies use software to keep track of claims, records, and bills. A billing company provides you with the people and tools to do some or all of those things. Some companies offer both a service team and their own reports or process software.

Can a billing company also handle home health credentialing?

Some health care service providers do both billing and enrolling or credentialing payers. Make sure that the same provider handles licensing, claims, agency enrollment, and physician registration. Also, find out how changes are shared between these teams.

Conclusion 

If a home health billing company understands the rules behind claims and can show how their work fits into hcare could be a good choice for agencies that need help with both billing and licensing. HealthRev Partn the agency’s daily tasks, they are the best. Credex Healthcare, Healthcare Provider Solutions, and AnnexMed all offer more specific home health RCM services. 

You shouldn’t pick a vendor based on a big claim or a big number. Check the workflow, make sure it works with your EMR, look over the reporting, and talk to current clients who have agencies like yours that are the same size and have a similar mix of payers. First, review a group of claims that reflect the problems your team is having with denials, old receivables, or missed billing deadlines. A focused assessment can tell you whether the issue is with the paperwork, the codes, the authorization, payer enrollment, or follow-up. 

Credex Healthcare invites home health agency leaders to request a conversation about their current billing and administrative workflow. Ask for a clear review of the services available, the tasks included, and the information needed to determine whether the arrangement is a good fit.