$220Mn+
A/R Recovered
98%
Claim Accuracy Rate
36-Day
Avg Collection Cycle
275+
Healthcare Clients
Home Health ● Home Care ● Hospice ● Palliative Care
Home Health & Hospice Billing
@ 2.45%
Flat Fee
Navigating Medicare, Medicaid, and private payer billing for home health, home care, hospice, and palliative care is complex — one missed code costs thousands. Synergy HCLS maximizes reimbursements for home-based care providers with expert billing and coding at 2.45% on insurance collections.
2.45%
On Insurance Collections
$0
Zero Setup Fee
NO
Hidden Charges
NO
Lock-in Period
Request a Callback
We will contact you within 24 business hours.
🏥 38+ Specialties Served
💻 133+ EMR/EHR Experience
🔒 HIPAA Compliant
⚡ 6-Day Avg Onboarding
Why Home Health & Hospice Agencies Trust Synergy HCLS
Home-based care billing is one of the most complex areas of healthcare RCM. OASIS assessments, RAPs, Medicare PDGM, Hospice GIP, and Medicaid waiver billing demand expertise that generalist billers simply don't have.
Deep Home Health Expertise
Our coders are trained in PDGM grouper logic, OASIS-E documentation, LUPA thresholds, and HH PPS billing. We ensure accurate episode billing from RAP submission through final claim — maximizing every episode's reimbursement.
Hospice Medicare & Medicaid Specialists
We manage all four hospice election levels — Routine Home Care, Continuous Home Care, General Inpatient Care, and Respite. Our team handles the complex Notice of Election (NOE), NOTR, and SIA claim submissions precisely.
Palliative Care Billing Experts
Palliative care billing spans multiple care settings and payer types. We accurately code advance care planning (ACP), complex chronic care management (CCM), and transitional care management (TCM) to capture all billable encounters.
95% First-Pass Acceptance Rate
Our pre-submission scrubbing catches OASIS mismatches, diagnosis sequencing errors, and payer-specific edits before claims go out — dramatically reducing denials and accelerating your cash flow.
Medicare & Medicaid Billing Mastery
From Medicare Part A home health episodes to Medicaid waiver programs and managed care plans, we understand the unique billing rules for every payer your agency works with — including state-specific Medicaid requirements.
Denial Reversal & A/R Recovery
We've recovered $220Mn+ in A/R for our clients. Our denial management team appeals Medicare ADRs, Medicaid recoupments, and managed care denials with detailed clinical documentation to recover maximum reimbursements.
Full-Cycle RCM for Home Health, Home Care, Hospice & Palliative Care
End-to-end revenue cycle management purpose-built for home-based care agencies — from eligibility verification through final payment reconciliation.
✅
Medicare Home Health Billing
PDGM episode billing, RAP/final claim submission, OASIS-linked reimbursement optimization, LUPA risk management, and Low Utilization Payment Adjustment avoidance strategies.
📋
Hospice Medicare Billing
Complete hospice election, NOE/NOTR filing, level-of-care billing (RHC, CHC, GIP, IRC), SIA claims, and Medicare cap reporting. Accurate, audit-ready hospice billing from day one.
💙
Palliative Care Billing
ACP (99497, 99498), CCM, TCM, E&M coding, and concurrent care billing. We capture every billable palliative encounter regardless of care setting — inpatient, outpatient, or home-based.
🏡
Home Care & Private Duty Billing
Medicaid waiver billing, private pay invoicing, IHSS and PCA billing, long-term care insurance claims, and managed care plan billing for personal care and homemaker services.
🔍
Home Health Coding & OASIS
Certified HCS-D and HCS-O coders ensure accurate OASIS documentation, ICD-10 coding under PDGM, and proper primary diagnosis selection to maximize episode reimbursement rates.
📈
Denial Management & A/R Recovery
Home health and hospice denials require specialized appeal strategies. Our team manages ADRs, medical review, and Medicaid recoupments — recovering revenue other billers write off.
What Our Clients Say About Us
Healthcare providers across the country trust Synergy HCLS to protect their revenue and simplify their billing operations.
★★★★★
"Working with Synergy HCLS has been an absolute game-changer for our business. Their team is professional, responsive, and truly dedicated to delivering results."
★★★★★
"Within months, our outstanding balances decreased and we finally had visibility and control over our revenue. Their AR services have been invaluable."
★★★★★
"Synergy HCLS stepped in quickly, resolved our backlog, and restored efficient billing and coding processes with remarkable accuracy and professionalism."
Comprehensive Billing Services Tailored to Home-Based Care Agencies
🏥
Medicare PDGM Episode Billing
📝
OASIS-Linked Coding (HCS-D/HCS-O)
🕊️
Hospice NOE & NOTR Filing
💊
Hospice Pharmacy & DME Billing
💳
Medicaid Home Care Billing
🔄
RAP & Final Claim Management
⚠️
ADR & Medicare Appeal Management
📊
Medicare Cap Management
💙
Concurrent Care & Palliative Coding
Results That Speak for Themselves
$220Mn+
A/R Recovered
98%
Claim Accuracy Rate
95%
First-Pass Acceptance
30%
Reduction in AR Days
HIPAA-Level Security. Compliance You Can Rely On.
Patient health information for home health and hospice patients is among the most sensitive data in healthcare. Synergy HCLS maintains enterprise-grade security across every touchpoint.
End-to-End Encryption
All PHI data encrypted in transit and at rest using AES-256. Secure file transfer protocols for all claim data exchanges.
Multi-Factor Authentication
MFA enforced across all systems and access points. Zero unauthorized access policy with full audit logging.
Role-Based Access Control
Minimum necessary access principles applied. Granular role controls ensure staff access only what they need.
Regular Security Audits
Periodic third-party penetration testing and internal security audits keep our infrastructure at peak compliance.
Full HIPAA Compliance
BAA executed with all clients. Full HIPAA Privacy and Security Rule compliance maintained across all operations.
Complete Audit Trails
Every claim action, user access, and data modification is logged with timestamps — full accountability at every step.
Frequently Asked Questions
Everything you need to know about home health, hospice, and palliative care billing with Synergy HCLS.
What makes home health billing different from other specialties?
Home health billing under Medicare PDGM is uniquely complex — it requires OASIS documentation alignment, correct primary diagnosis selection across 432 clinical groupings, LUPA threshold management, and episode-level billing rather than per-visit billing. One documentation error can shift an episode to a lower payment band, costing thousands per patient. Synergy HCLS's certified HCS-D and HCS-O coders specialize exclusively in this area.
Do you handle Medicare and Medicaid billing for home health services?
Yes — we bill both Medicare Part A home health and Medicaid waiver programs for home health and home care services. We understand each state's Medicaid portal, EDI requirements, and unique claim formats. For managed care organizations, we work with all MCO plans and handle their specific billing requirements as well.
Can you manage hospice Medicare billing including NOE and Medicare cap?
Absolutely. Our hospice billing team handles the full cycle — Notice of Election (NOE) filing within Medicare's 5-day window, level-of-care changes, NOTR on revocation or discharge, SIA claims for same-day election, and annual Medicare aggregate cap tracking. We provide proactive alerts if your agency approaches the cap threshold to help you manage exposure.
Is the 2.45% fee really all-inclusive?
Yes. The 2.45% on insurance collections covers coding, claim submission, denial management, A/R follow-up, and payment posting. There are no add-on fees or tiered pricing. Prior authorization is excluded from the fee scope. Setup is $0 with no hidden charges of any kind.
Does the 2.45% rate change for hospice or palliative care?
No. The same 2.45% on insurance collections applies for all 38+ specialties we serve — including home health, home care, hospice, and palliative care billing. There is no tiered pricing or complexity surcharge.
How do you handle palliative care concurrent with curative treatment?
Unlike hospice, palliative care can be delivered concurrently with curative or life-prolonging treatment. We bill palliative care services separately using Advance Care Planning (ACP) codes, CCM, TCM, and appropriate E&M codes based on the care setting. Our team ensures concurrent billing is structured correctly to avoid payer conflicts or downcoding.
Is there a contract lock-in period?
No long-term contracts. Just 30-days notice.
📞 (786) 259-0231
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Join 275+ healthcare practices trusting Synergy HCLS to manage their billing — at a flat 2.45% fee, zero setup cost, and no lock-in required.