Frequently Asked Questions
Answers to the questions we hear most often before an engagement begins.
Getting Started
What does RevHomecare do?
RevHomecare is a healthcare revenue consulting firm focused exclusively on home health and homecare. We work with Medicare-certified home health agencies, personal care organizations, and homecare providers to recover denied and unpaid claims and prevent future revenue loss through billing and documentation improvements.
What does the process look like from initial contact to engagement?
After you submit our contact form or reach out directly, a consultant will respond within one business day to schedule a brief discovery call. On that call, we learn about your organization, your current challenges, and what you are hoping to accomplish.
From there, we conduct a no-obligation initial assessment and provide a clear scope of what an engagement would look like, including timeline, approach, and expected outcomes. There is no pressure and no commitment required until you are ready to move forward.
What size agencies do you work with?
We work with home health agencies and homecare providers of all sizes, from single-location operations to multi-site organizations. The right fit depends more on the nature of your challenges than on your size. If you have a meaningful volume of denied claims or billing inconsistencies, we can likely help.
Do you only work with Texas providers?
Our deepest expertise is in the Texas homecare market, and the majority of our clients are Texas-based providers. That local knowledge gives Texas agencies a meaningful advantage when working with us. We do consult with providers in other states on a case-by-case basis, but if you are a Texas provider, you will benefit most from our specific experience with Palmetto GBA Medicare guidelines and Texas payer relationships.
Revenue Recovery
How does the performance-based fee work?
Our revenue recovery engagements are structured on a contingency basis. We charge a percentage of the revenue we successfully recover on your behalf. If we do not recover any revenue, you owe us nothing.
This structure means our incentive is completely aligned with yours. We only get paid when you get paid. The specific percentage is discussed and agreed upon before any engagement begins, with no hidden fees or surprises.
How long does a revenue recovery engagement take?
Most clients begin seeing recovered funds within 30 to 60 days of starting an engagement. The total timeline depends on the volume of outstanding claims, the age of the denials, and the responsiveness of the payers involved.
Some claims resolve quickly through straightforward appeals. Others require more documentation work or escalation. We provide regular progress updates throughout so you always know where things stand.
How far back can you go on denied claims?
Most payers have timely filing limits that restrict how far back a claim can be appealed, typically ranging from 90 days to one year from the date of denial. However, there are circumstances where older claims can still be pursued, including situations involving billing system errors, payer mistakes, or extenuating circumstances.
During our initial assessment, we will review your aged accounts receivable and give you an honest picture of what is recoverable and what may be beyond the filing window.
What payers do you have experience with?
We have extensive experience working with Medicare, including Palmetto GBA, the Medicare Administrative Contractor for Texas. We also work with Medicare Advantage plans and commercial insurance payers. We are familiar with the specific documentation requirements, appeal processes, and timely filing rules that apply to each of these payer types.
Working With Us
Will you work alongside our existing billing staff?
Yes. We regularly work alongside in-house billing teams and third-party billing companies. Our role is to complement your existing staff, not replace them. In many cases, our work with your team results in lasting improvements to their knowledge and processes that continue to benefit your organization long after our engagement ends.
How do you handle sensitive billing and patient data?
We take data security seriously. Before accessing any patient or billing data, we execute a Business Associate Agreement (BAA) with your organization as required under HIPAA. All data shared with our team is handled with strict confidentiality and we do not retain patient data beyond the scope of the engagement.
What makes RevHomecare different from other healthcare consultants?
Three things set us apart. First, we work exclusively in homecare, which means we bring a depth of industry-specific knowledge that general healthcare consultants cannot match. Second, our revenue recovery fee structure puts our compensation at risk alongside yours, which is not typical in the consulting industry. Third, our Texas market expertise gives providers in this state a distinct advantage when navigating local payer relationships and Medicare billing requirements.
We also focus on implementation, not just recommendations. We measure outcomes and stay engaged until results are confirmed.
Have a Question Not Covered Here?
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