Our Services
We’re two experienced professionals who left the corporate billing world to do things differently — and better. With over 30 years of combined experience, we’re passionate about accuracy, transparency, and truly supporting our clients as partners. When you work with B Squared, you get billing support you can count on.
Home Health Care
Home health care includes skilled nursing, therapy services (physical, occupational, speech), medical social work, and home health aide services provided to patients who are homebound and under a physician’s care
Billing Highlights
Primary Payer: Medicare (Part A), Medicaid, or private insurers
Billing Method: Episodic or period-based payments using Home Health Prospective Payment System (HH PPS) – primarily 30-day payment periods under Medicare
Key Documents:
• OASIS (Outcome and Assessment Information Set) for patient assessment
• Plan of care signed by a physician
Coding:
• Revenue codes (e.g., 042x, 043x)
• CPT/HCPCS codes
• Diagnosis coding using ICD-10
Claims Form: UB-04 (CMS-1450)
Hospice Care
Hospice care provides palliative services for terminally ill patients with a prognosis of six months or less to live, focusing on quality of life rather than curative treatment.
Billing Highlights
Primary Payer: Medicare (Part A) via the Medicare Hospice Benefit, Medicaid, or private payers
Billing Method: Per diem rate based on the level of care:
• Routine Home Care (RHC)
• Continuous Home Care (CHC)
• Inpatient Respite Care (IRC)
• General Inpatient Care (GIP)
Key Documents:
• Physician certification of terminal illness
• Election of hospice benefit by patient or representative
• Interdisciplinary group (IDG) care plan
Coding:
• Revenue codes (e.g., 0651–0659)
• HCPCS for medications, DME, and certain services
Claims Form: UB-04 (CMS-1450)
Compliance Considerations
• Must adhere to CMS guidelines, HIPAA rules, and state regulations
• Regular audits (e.g., MACs, UPICs, RACs)
• Timely documentation and accurate coding are critical to avoid denials or overpayments
Technology & Workflow
Efficient billing often relies on:
• Electronic Health Records (EHRs) integrated with billing systems
• Clearinghouses for claims submission
• Revenue Cycle Management (RCM) tools and billing specialists trained in post-acute care
Home Health and Hospice billing done correctly to provide you with the highest level of profitability while minimizing claim denials.