Bay State Health Partners
Get paid faster for the care you deliver.
Bay State Health Partners combines expert billing specialists with AI-native revenue cycle technology, built for home care and home health agencies nationwide.
Billing agent · Client #A-1182
Authorization verified
Units remaining: 118 of 240
EVV matched: 42/42 shifts
0 exceptions
Service code corrected: T1019 → S5125
Per payer rule
Claim submitted to VA CCN
Batch #2041
Payment posted
$8,412.50 reconciled
Illustrative sample data
Collections this month
$186,420
+12.4% vs. last month
Sample data
Payers we bill
- State Medicaid
- Medicaid MCOs
- Medicare
- VA Community Care Network
- Long-Term Care Insurance
- Private Pay
What you get
Three outcomes, one partner.
Financial performance
Operational efficiency
Regulatory compliance
The problem
Home care billing is uniquely hard.
Hourly care, capped authorizations and state-by-state rules. Small errors stall cash for weeks.
Authorization-capped hours
Hours billed past the cap get denied.
EVV mismatches
Shifts that don't match visit records can't be billed.
Service-code errors
The wrong code for the payer means a rejected claim.
Denials and resubmissions
Each resubmission adds weeks to payment.
Aged A/R over 90 days
Old claims get harder to collect every week.
Slow payer cycles
Payroll is due long before payers pay.
How it works
From first review to steady cash flow.
- 1
Billing Health Assessment
We review your profiles, schedules and claim readiness, and give you a written report.
- 2
Onboarding
Client and payer setup in your scheduling and billing platform. Free when you switch billers.
- 3
AI + expert billing
Agents run the work from authorization to payment, and specialists review exceptions.
- 4
Weekly reviews and monthly reporting
Billed, collected, denials and A/R aging, with a dedicated RCM contact.
Savings calculator
What would you pay with BSHP?
Move the slider to your monthly net collections.
Estimated BSHP monthly fee · Growth at 4.75%
$2,850
Monthly savings
$1,350
Annual savings
$16,200
Estimates for illustration only. Your actual fees and results depend on your payer mix and claim volume.
Open the full calculatorPricing
How BSHP compares.
| Item | Typical market | BSHP |
|---|---|---|
| Full-service billing (% of collections) | 5% – 8% (small agencies 10%+) | 3.95% – 5.50% |
| Per-claim pricing | $4 – $12 per claim | $5.25 per claim |
| Setup / onboarding fees | Often added on top | $0 |
| Independent consulting | $150 – $200 per hour | $110 – $125 per hour |
| Contract term | Often 12+ months | Month-to-month |
Market ranges reflect published 2026 industry pricing benchmarks for outsourced medical and home care billing and independent consulting.
Who we serve
Built for every kind of home care agency.
Client stories
What agencies say.
FAQ
Common questions.
See where your revenue is leaking.
Book a $395 Billing Health Assessment, credited to your first month if you sign on.