Solutions · RCM Services
End-to-end billing built for home care.
You pay a percentage of net collections, with no setup fees and no long-term contract.
A/R aging
% of open balance · sample
0–30
64%
31–60
21%
61–90
10%
90+
5%
Days to cash
21 days
Down from 45
Sample data
What's included
Everything from setup to payment.
Profile setup
Client and payer profile setup in your scheduling and billing platform, including CMS-1500, authorization and bill-to-payer fields
Eligibility & authorizations
Eligibility verification and authorization tracking, with alerts before units or dates run out
EVV & pre-billing review
EVV reconciliation and pre-billing review of shifts, hours and service codes
Claim submission
Claim submission to state Medicaid programs, Medicaid MCOs, Medicare, the VA's Community Care Network, long-term care insurers and private pay
Posting, denials & A/R
Payment posting, denial management, resubmissions and A/R follow-up
Reporting & your RCM contact
A monthly performance report and a dedicated RCM contact
A week with BSHP
Every week, a clear billing review.
Your RCM contact walks you through care plans, corrected codes, shift exceptions and hours against authorizations, so you know exactly what's going out and what's coming in.
Weekly billing review
- Care plan status
- 18 of 19 current · 1 renewal due Fri
- Service codes corrected
- 7 lines (T1019 → S5125)
- Shift exceptions resolved
- 12 of 12
- Hours vs. authorization
- Reconciled · 2 clients near cap
- Billable hours
- 1,284.5 hrs
- Expected revenue
- $38,920
Fictional sample data for illustration.
See where your revenue is leaking.
Book a $395 Billing Health Assessment, credited to your first month if you sign on.