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NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
A behavioral health platform grew collections by $2.4M / year with Plutus Health →
SOC 2 Type 2 · HIPAA · BHCOE · CASP

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Home Health Billing Services Built for PDGM Reimbursement

Plutus Health combines certified home health billing specialists with OlympusAI to maximize reimbursement across every episode of care

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97%
Clean Claim Rate
SCP Health, 2018
5%
Denial Rate
SCP Health, 2018
25
Days in AR
SCP Health, 2018
99.2%
Coding accuracy
SCP Health, 2018
35%
Patient Collections
SCP Health, 2018

Where Home Health Revenue Leaks

PDGM grouping determines reimbursement
PDGM grouping determines reimbursement

Incorrect clinical grouping, functional impairment scoring, or comorbidity assignment directly impacts reimbursement. Every episode must align with PDGM payment methodology.

OASIS documentation drives payment accuracy
OASIS documentation drives payment accuracy

Incomplete or inconsistent OASIS documentation leads to coding errors, payment reductions, medical reviews, and compliance risks.

LUPA and recertification require constant monitoring
LUPA and recertification require constant monitoring

Missed visit thresholds, delayed recertifications, or untimely documentation can significantly reduce reimbursement and disrupt episode billing.

What this Engagement Covers

Certified home health billing specialists

Our certified home health billing and coding experts understand PDGM, OASIS, ICD-10 coding, home health compliance, Medicare billing, and payer-specific documentation requirements.

Home health payer intelligence

Every claim is validated against Medicare regulations, commercial payer policies, LCDs, medical necessity guidelines, and documentation standards before submission.

Revenue analytics built for home health

Olympus Insights tracks reimbursement by episode, payer, diagnosis, clinician, LUPA trends, denial patterns, and overall revenue performance.

Operational Realities We Solve

Payment starts with documentation
Payment starts with documentation

Accurate OASIS assessments, physician documentation, and diagnosis coding determine reimbursement before claims are ever submitted.

Specialty expertise reduces denials
Specialty expertise reduces denials

General RCM teams often overlook PDGM rules and home health documentation requirements. Specialty-focused billing minimizes preventable denials.

Faster claims improve cash flow
Faster claims improve cash flow

Submitting complete, compliant home health claims reduces rework, accelerates payment cycles, and shortens AR.

case study

Large Home Health Provider Improved Coding Accuracy Beyond 98%

A multi-location home health provider partnered with Plutus Health to strengthen coding quality, improve reimbursement accuracy, and reduce billing delays. Through certified home health billing expertise and OlympusAI, the organization achieved coding accuracy exceeding 98% while improving operational efficiency across its revenue cycle.

View Case Study

Complete Home Health Billing Services

Insurance eligibility verification
Medicare billing
Commercial insurance billing
Home health medical coding
OASIS review
PDGM validation
ICD-10 coding
Physician certification tracking
Recertification management
Charge capture
Claim scrubbing
Electronic claim submission
Payment posting
Denial management
Appeals
AR follow-up
Underpayment recovery
Patient billing
Olympus Insights reporting
Get your revenue diagnostic · 30 minutes · Free

Built for the world's best

CFOs.
BCBAs.
surgeons.
ER physicians.
PE platforms.
operators.
30 days.
We diagnose your current state, baseline the leakage, and show you the to-be model.
No commitment.
The diagnostic is free. The findings are yours to keep, regardless of whether we work together.
CFO-grade output.
Board-ready findings memo, quantified leakage estimate, transformation roadmap.

How our Home health Billing Workflow Runs

Validate documentation before codingEvery episode is reviewed for OASIS accuracy, physician documentation, diagnosis specificity, certification requirements, and PDGM compliance.
Submit compliant home health claimsOlympus AI validates billing while certified home health coders ensure compliance with Medicare regulations, payer edits, and documentation standards.
Recover missed reimbursementSenior AR specialists manage home health denials, appeals, underpayments, and aged receivables by referencing clinical documentation and payer policies.

Get Your Free Home Health RCM Assessment

Our Happy Client

Outsourcing our home health billing and coding services to Plutus Health helped us improve reimbursement while giving our internal team more time to focus on patient care. Their expertise in PDGM, OASIS documentation, and denial management has made a measurable difference to our revenue performance.
— Practice Manager, Home Health Provider (Texas)

Questions Buyers Ask

What home health billing and coding services does Plutus Health provide?
How quickly can Plutus Health process home health claims?
What is the average clean claim percentage for home health practices using Plutus Health?
How does Plutus Health help reduce accounts receivable days?
What are the key benefits of outsourcing home health billing to Plutus Health?
Get Your RCM Assessment with Discovery call

Built for the World's Best

CFOs.
BCBAs.
surgeons.
ER physicians.
PE platforms.
operators.

30 Days.

We diagnose your current state, baseline the leakage, and show you the to-be model.

No Commitment.

The RCM Assessment is free. The findings are yours to keep, regardless of whether we work together.

CFO-grade output.

Board-ready findings memo, quantified leakage estimate, transformation roadmap.