Do you handle Medicare episode billing and the payment window?

Yes. We track each period against its payment window and alert before a deadline that would reduce the payment, because the reduction is not appealable after the fact.

Can you run payroll for field clinicians across states?

Yes. Visit-based pay, mileage, and per-state withholding are handled alongside the billing, which is what keeps paid visits and billed visits reconciled.

What do you need for a face-to-face requirement?

The physician encounter documentation tied to the admission. We verify it is on file before the first billable visit rather than discovering it missing at claim submission.

Do you support annual cost reports?

We structure the ledger so cost report categories map directly out of your books, which turns the annual report into an export instead of a reconstruction.

Healthcare practice guide

Billing, Books, and Payroll for Home Health and Hospice Agencies

Episode timing, face-to-face documentation, and payroll that spans visits, mileage, and states.

Home health and hospice revenue depends on documentation that happens in someone's living room. Missing face-to-face encounters, late OASIS submissions, and episodes billed outside the payment window are the three failures that hold the most cash, and all of them are calendar problems before they are billing problems.

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Your practice

Set once — every healthcare tool below pre-fills from it and it stays with you for this visit.

Facility typeStateRendering providersCounted as providers

Days in A/R target: Under 45
Documentation compliance: 100% target
Denial rate benchmark: 8-12%

Where the money leaks

Face-to-face documentation

A missing or late physician encounter voids the episode. We track the requirement per admission.

Episode and RAP timing

Periods billed outside the payment window are reduced or denied outright.

Visit-to-payroll mismatch

Clinicians paid for visits that were never billed, or billed at the wrong discipline rate.

How we run it

1
Admission documentation check
Face-to-face, plan of care, and certification verified before the first billable visit.
2
Episode calendar
Every period tracked to its payment window with alerts before the deadline.
3
Visit reconciliation
Scheduled visits matched to completed visits matched to billed units, weekly.
4
Multi-state payroll
Field staff wages, mileage, and per-state withholding handled with the billing so both agree.
5
Cost report support
Books structured so the annual cost report is an export, not a reconstruction.