QualT Solutions provides specialized billing, authorization management, and back-office support for home health agencies, hospice programs, and palliative care providers — handling the administrative complexity so your clinicians can stay focused on patients.
Medicare, Medicaid, and managed care payers each apply different rules to home and community-based services — and the documentation requirements are unforgiving.
Home health billing under PDGM requires precise coding, face-to-face documentation, and OASIS accuracy — errors anywhere in the chain trigger denials.
Authorization for skilled nursing, PT, OT, and home health aide services must be in place before a visit occurs — and expiration tracking is a constant risk.
Hospice claims require precise election periods, level-of-care distinctions, and physician certifications — each a potential denial point.
Home health agencies typically have lean administrative teams. Eligibility, authorizations, and AR follow-up compete for the same limited hours.
We manage the entire administrative workflow — from the intake call to the final remittance — so your team can spend their time on care.
Many home health patients also require pharmacy management and durable medical equipment — QSI handles billing and authorization for pharmacy and DME alongside your home health claims, eliminating the gap between care delivery and reimbursement.
Whether you're a Medicare-certified home health agency, a hospice program, or a private-pay palliative care provider, QSI's team knows your billing environment.
Medicare-certified agencies billing under PDGM — skilled nursing, PT, OT, SLP, and home health aide services. Full episode management.
Hospice benefit billing, election period management, physician certifications, and IDT documentation — handled with the sensitivity these services deserve.
Authorization and billing for home infusion, pharmacy, and durable medical equipment — including prior auth, delivery documentation, and payer follow-up.
Home and community-based services billing under Medicaid managed care — waiver programs, personal care, and non-medical home services.
Most RCM firms treat home health as an afterthought. We built specialized workflows for it.
Certified coders with experience in PDGM, OASIS-E, and hospice billing — not generalists learning your claims on your dime.
Eligibility, prior auth, referral management, and visit authorization tracking — handled by a dedicated team so your clinical coordinators don't become billing coordinators.
Our AI tools flag documentation gaps before claims are submitted — catching OASIS inconsistencies, missing physician signatures, and auth lapses upstream of denial.
We operate as your Business Associate. All workflows built to HIPAA standards, with HL7 integration, audit logging, and role-based access controls.
We'll audit your current billing, denial rates, and authorization workflow — and show you exactly where revenue is being left on the table.