LMNS provides home health billing services for Medicare home health agencies from our office in Glendale, California. Our software checks every claim before it goes out, watches every deadline, tracks every payment and sends you a forecast of what's coming. We built it ourselves, and our billers use it every day. This page explains what the service covers, what we check, and what stays with your agency.
What our home health billing services cover
Medicare pays home health agencies a set amount for each 30-day period of care, and each period is billed with its own claim. The work starts with the notice of admission, which has to be accepted within 5 calendar days after the start of care. It continues through every claim for every period, and it does not end when a claim is sent. A receipt or acknowledgment tells you about the transmission. It does not mean the payer has decided to pay. So we follow each response, and we track the payment.
If you are looking for a home health billing company to take the billing off your staff, the split is simple. The billing is on us. The documentation and the clinical decisions stay with your agency.
What we check before a claim goes out
Every claim stops at our gate before it goes out. If something is off, the claim waits until it's fixed. We check each claim the way Medicare will, the day it's sent. The checks include:
- Medicare coverage
- Another agency or a Medicare Advantage plan
- The admission notice
- Whether the OASIS assessment is accepted
- Diagnosis codes
- The ordering doctor
Some claims go straight through. Some are corrected before sending. Some are held for the agency, because we need an answer from your team. Our guide on why home health claims come back shows what each missed check looks like on the claim.
What happens when a claim comes back
Returned, rejected and denied claims sound alike, but they lead to different next steps and different deadlines. If an item comes back or needs agency input, it calls for follow-up. The next step depends on the response and any information needed from your team. That is why we review each claim before submission: it is the point to identify an issue for attention, while correction is still simple.
Payment review and your forecast
Each morning the forecast looks at the claims Medicare has already processed and lists the deposits headed your way, with the day each should land. It's an estimate, not a guarantee. Payer decisions and timing can change what arrives and when.
Free eligibility checks
Scan the patient's card and get the answer back before the first visit, not after the claim. The answer shows whether Medicare Part A and Part B are active, whether a Medicare Advantage plan is on file, and whether another home health agency has the same dates. Please don't send patient information through this website or by regular email.
Working inside your software
There is no new software for your staff. We work inside the system you already use, and your staff keeps working the way they do now.
What stays your agency's job
Your agency keeps its documentation complete and signed and makes every clinical decision. When a billing question needs your input, your team may need to answer a yes-or-no question. Some responsibilities stay with the agency, whoever does the billing:
- Clinical judgment, including homebound status, the plan of care and the assessment.
- Obtaining signed certifications, orders and the face-to-face documentation from practitioners.
- Telling the billing team promptly about admissions, start-of-care dates, discharges and any change in a patient's coverage.
- Responsibility for what is submitted under the agency's Medicare enrollment.
With outsourced home health billing, write the split into the agreement. Our guide to choosing a billing company lists ten questions to ask any company you are comparing.
Home health billing services in California
CMS runs the Review Choice Demonstration for home health in several states, where agencies choose pre-claim review or postpayment review (CMS demonstration page). CMS has announced it will expand the demonstration to California for billing periods beginning on or after January 18, 2027, subject to approval of the required paperwork. California agencies should watch their contractor's announcements and keep certification and face-to-face records complete and easy to find. Our Medicare home health billing guide covers medical review and the rest of the Original Medicare rules.
How to start
- Talk to us. Tell us about your agency. We take HIPAA very seriously, so we sign a business associate agreement before we see any patient data.
- Setup. We connect to the system you already use. Your staff keeps working the way they do now.
- Your first week. Claims start going out checked, and your first payment forecast arrives.
We ran a home health agency before we billed for one. LMNS grew out of a home health company we owned, so we've been on your side of the billing. We know what Medicare expects and how much small mistakes cost an agency.
Questions agencies ask us
Will my staff need to learn anything new?
No. We work inside the system you already use.
Do you bill private insurance too?
Yes, Medicare and private insurance.
Do you offer a free audit?
Yes. We'll review your recent claims and show you what we found, with no commitment.
Related guides
See our Medicare guide for how periods, certification and deadlines work, why home health claims come back for the difference between returned, rejected and denied claims, and how to choose a billing company if you are weighing outside help.