Maximize your agency’s cash flow with Zenith’s 100% HIPAA-compliant RCM solutions. Our specialized team masters PDGM groupings, NOE filings, and OASIS audits to deliver an outstanding 98% first-pass claim acceptance rate.
Navigating complex Medicare regulations, managed care rules, and electronic visit verification updates can overwhelm home health and hospice agencies. Zenith Assistance eliminates this administrative friction with 16 years of technical RCM leadership. Working out of Florida, our certified specialists process claims across 70+ EHR platforms to slash your days in A/R and establish a clear, profitable “Source of Truth” for your clinical business.
Our billing experts hold AAPC credentials, masterfully managing multi-payer home care workflows, electronic claims submission, and complex A/R follow-up.
Dedicated medical coders ensure total precision for complex primary diagnoses, surgical adjustments, and specialty-specific ICD-10 clinical codes.
Compliance leaders monitor home care regulatory updates, authorization thresholds, and end-to-end clinical workflow adjustments across all states.
Auditing specialists guarantee your data workflows remain 100% HIPAA-compliant, securing your digital assets and protecting you from payer audits.
Overcoming PDGM, continuous care billing shifts, and strict state-level Medicaid criteria.
Bulletproof Authorization Tracking Systems
Our front-end team verifies insurance eligibility instantly, validating pre-authorization rules for all commercial and state Medicaid lines. We track authorized service units and expiration milestones in real-time, completely preventing technical claim rejections and unbillable home health visits.
We combine advanced technology with human precision to clean every invoice before it reaches the clearinghouse. Our experts map clinical notes to modern post-acute rules, verifying G-codes, travel units, and regulatory compliance markers to ensure a consistent 98% first-pass approval rate.
Zenith manages sensitive hospice revenue layers with extreme urgency, submitting your Notice of Election (NOE) within the strict 5-day federal window. We accurately code standard per-diem levels, continuous home care hours, and general inpatient stays to secure full reimbursement for your team.
Our denial department aggressively targets underpaid claims, appealing complex medical necessity denials within 48 hours. We maintain a continuous loop of payer tracking, reducing days in A/R and generating a transparent, reliable “Source of Truth” performance dashboard for your agency.
Generic healthcare billing companies fail to address the specific documentation demands of post-acute networks. Zenith infuses 16 years of mastery into your revenue cycle to protect your profits.
Zenith’s specialized billing process converts complex clinical interactions into a predictable, compliant revenue pipeline. We synchronize every operational stage, starting from patient admission through clearinghouse checking and final payment posting. By maintaining strict data standards across all touchpoints, we drastically lower denial rates and ensure your home health or hospice agency receives full payment for its essential care services.
We capture demographic data, physician orders, and insurance logs instantly to prevent front-end errors.
Our team verifies active coverage, Medicare common working files, and secondary payer rules.
We secure and track formal payer approvals for all non-skilled and skilled home care hours.
Certified coders cross-check clinical files to ensure perfect code alignment under modern PDGM models.
Hospice elections are logged and routed within 5 days to eliminate federal reimbursement penalties.
Automated modules audit modifiers, visit codes, and documentation requirements for absolute safety.
High-speed clearinghouse integrations deliver error-free invoices directly to payers instantly.
ERA and EOB details are balanced perfectly within your EHR system to maintain an absolute "Source of Truth."
Writers execute immediate appeals on any rejected claims, securing fast cash recovery for you.
We combine unmatched industry experience with advanced technology to protect your business, streamline management workflows, and maximize your revenue collection.
Deep operational experience spanning Medicare, Medicaid waivers, and private commercial insurers.
Rigorous pre-submission logic ensures your medical claims pass payer checks on the very first try.
Advanced security frameworks safeguard your sensitive patient health data and organizational integrity.
Seamless, native workflows inside software like WellSky, HHAeXchange, MatrixCare, and AlayaCare.
Direct access to specialized account managers who resolve technical billing questions instantly.
Real-time, interactive performance metrics that deliver an undisputed "Source of Truth" dashboard.
Let our certified post-acute billing experts run a comprehensive forensic evaluation on your historical claims data. We will pinpoint hidden billing errors, uncover outstanding insurance revenue, and show you exactly how to scale your collections fast.
Description: Submit your details below to schedule a one-on-one strategy session with our Florida-based team and find your true “Source of Truth.”
We use specialized software settings built for home health data, catching mismatched authorization units, wrong visit times, and missing codes before submission.
Our team processes new admissions daily, creating and filing the Notice of Election within 48 hours to fully protect your agency from late-filing financial penalties.
Yes, our staff holds deep technical certifications across 70+ major industry platforms, including WellSky, HHAeXchange, and AlayaCare, ensuring zero downtime.
We review electronic visit tracking logs against your billable hours prior to invoicing, verifying location data to ensure compliance with federal Cures Act rules.
Our denial management team runs an immediate forensic review, fixes any data or documentation mistakes, and sends a formal appeal within 48 hours.
Our certified clinical coders evaluate your OASIS paperwork thoroughly to confirm that timing factors, admission sources, and diagnoses map to the top payout groupings.
Absolutely. We protect all digital records using ISO-certified security controls, secure servers, and strict internal compliance protocols to guarantee data safety.
Yes, we track and manage unique billing updates for standard Medicare, regional managed care organizations (MCOs), and various state-specific Medicaid waivers.
We give your team real-time, transparent access to live financial metrics, aging A/R categories, and collection trends so you always see your true performance.
Our standard onboarding process takes between 7 to 14 days, featuring safe data transfers and zero disruption to your daily patient care workflows.
See how our specialized billing methodologies have rescued collections, cleared historical backlogs, and accelerated cash flow for clinical groups.