Get paid for the care you deliver.

Find the stuck handoff

Where does the work stop?

An enrollment record, a payer answer, a billing period, a denial queue, and a supply trail need different owners. Start with the agency-level symptom; the next page explains the staffed scope and prepares a safe first conversation.

1. An existing enrollment record needs an owner

   Agency state, payer, provider type, and the official notice or due-date category—no documents or credentials.

   Review enrollment records →

2. The payer answer is unclear before care

   Payer mix, states, and whether coverage, plan authorization, or an unresolved handoff is the issue.

   Map the intake handoff →

3. A notice, period, or claim is stalled

   Approximate agency-level volumes and which desk owns the Notice of Admission, open period, or release.

   Review the billing desk →

4. Payer exceptions and old receivables are mixed

   Counts by payer, age, and reason; distinguish a rejection, documentation request, adverse decision, and payment difference.

   Separate the queues →

5. Supplies arrive without a traceable record

   Ordering and delivery paths, approval owner, and where receipt, cost, and usage are recorded.

   Map the supply path →

Do not send patient names, claim numbers, payer notices, credentials, or medical records through this website. Payer decisions and any clinical determination stay with the authorized party; protected records require the proper agreement and channel first.

How this desk is run

The desk between the visit and the payment.

1. 01Home health and hospiceMedicare home health and hospice, from the notice through payment follow-up. Coding and OASIS-E2 stay inside the agreed desk scope.
2. 02Before the visitEligibility and authorizations are checked before the visit, so the first look is not a denial.
3. 03A person releases the claimLucy owns the desk. Nothing on this site rewrites an OASIS item or invents a code to raise a payment group.
4. 04After a denialAppeals, additional documentation requests, and old receivables. The cause is named before the next period is billed.
5. 05The cost reportSupplies and the paper behind them are kept so a Medicare cost report can be defended.
6. 06EnrollmentCredentialing and payer enrollment, in the order the payer requires.
7. 07The agreement comes firstNo patient information moves until a business associate agreement is signed. This form is not that agreement.

The workflow

How a revenue job starts

1. 01You name the workThe pre-visit payer handoff, the 30-day claim, the denials, or the supplies. Coding and OASIS-E2 sit inside the claim. They are not a separate pitch.
2. 02The agreement firstNo patient information moves until the business associate agreement is signed.
3. 03We read the current periodsWhat was admitted, what was billed, what came back, and which periods fell under the visit line.
4. 04Labor, not softwareThis division does the work. A billing product is NEXUS. Patient care is not this site.

Before you book

Questions before you start.

Do you provide billing people or only software?

Medical billing is a staffed billing and revenue-operations service. HELIX and other NEXUS products are software with separate release and customer-use gates.

What happens before we share patient information?

The appropriate business associate agreement must be signed first. Do not send patient information through this website's contact form.

Does someone review a claim before it goes out?

Yes. The medical billing desk describes a person releasing the claim after the record agrees. It does not rewrite OASIS items or invent codes to change payment.

What kind of organizations does the medical billing desk support?

The scope is built around Medicare home-health and hospice operations, with the agency's billing, clinical, and operating context clarified before work starts.

Can the contact form accept patient information?

No. Do not include patient names, claim numbers, or medical records. The appropriate business associate agreement must be signed before patient information moves.