--- title: "Accounts receivable management for home care & home health agencies" description: "Accounts receivable management for home care & home health agencies: outsourced accounts receivable: aging reviews, statements, dunning sequences, phone." url: https://ledgerbpo.com/industries/home-care/accounts-receivable/ updated: 2026-09-11 publisher: LedgerBPO (SS Support Network LLC) language: en-US --- # Accounts receivable management for home care & home health agencies Accounts receivable for home care & home health agencies is split between institutional payers that pay late but reliably and families who pay quickly but sometimes stop. We manage both. On the payer side, our HIPAA-trained agents track every submitted claim by aggregator confirmation, work denials by reason code, and chase MCO remittances that are past the contract's payment window. - Since 2020 - US · UK · CA · AU - Named accountant plus backup - Your software, no lock-in [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Updated September 2026 ## How it runs for home care and home health agencies On the private-pay side, our DunningDesk cadence sends reminders under your name, followed by courteous calls and a promise-to-pay log. Recoupments, partial payments and rate retroactivity are recorded against the original claim so the aging stays honest and the owner can see collectible cash by payer. ## What is accounts receivable outsourcing? Accounts receivable outsourcing means a remote team manages the money your customers owe you: tracking invoices from issue to payment, sending statements and reminders, logging disputes, and reporting aging and days sales outstanding. The provider works inside your accounting software under your brand. You keep the customer relationship and decide on credits, holds and escalations. ## What we handle for home care and home health agencies - Track every claim by aggregator confirmation and MCO remittance status - Work denials by reason code with corrected claims resubmitted inside timely filing - Run private-pay reminders and calls under your agency's name - Record MCO recoupments against the original claim, not as new debits - Report collectible cash by payer with a weekly promise-to-pay log ## The KPI that matters here No claim or private-pay invoice passes 45 days without a documented follow-up action and next step. ## Home care compliance notes ### EVV The 21st Century Cures Act requires electronic visit verification for Medicaid personal-care and home-health visits, captured through state aggregators such as HHAeXchange or Sandata. We bill only from verified visits and keep an exception log for visits that need a manual correction before they can be claimed. ### HIPAA Client names, diagnoses and authorizations are protected health information. We sign a BAA, our staff are HIPAA-trained, access is limited to the roles that need it, and PHI never appears in ledger memos or emailed spreadsheets. ### State Medicaid and MCO rules Each state waiver and each managed-care organization sets its own authorization limits, unit rounding, timely-filing window and recoupment process. We track authorizations against billed units and record recoupments as reductions to the original claim, not as unexplained bank debits. ### FLSA Home Care Rule Most agency caregivers are entitled to minimum wage and overtime, and travel time between clients counts. Your payroll provider computes the pay; we make sure the ledger and the labor-cost reports reflect it correctly and that live-in and sleep-time arrangements are coded as your counsel directs. ## Home care software we work in - [QuickBooks Online](https://ledgerbpo.com/software/quickbooks-online/) - [Gusto](https://ledgerbpo.com/software/gusto/) - [ADP](https://ledgerbpo.com/software/adp/) - [Bill.com](https://ledgerbpo.com/software/bill-com/) - AxisCare - WellSky - Alora - HHAeXchange - [All 50 platforms](https://ledgerbpo.com/software/) ## More for home care and home health agencies Other services for home care - [Bookkeeping](https://ledgerbpo.com/industries/home-care/bookkeeping/) - [Invoicing and billing](https://ledgerbpo.com/industries/home-care/invoicing-and-billing/) - [Accounts payable](https://ledgerbpo.com/industries/home-care/accounts-payable/) - [Bank reconciliation](https://ledgerbpo.com/industries/home-care/bank-reconciliation/) - [Month-end close](https://ledgerbpo.com/industries/home-care/month-end-close/) - [Financial reporting](https://ledgerbpo.com/industries/home-care/financial-reporting/) - [All home care services](https://ledgerbpo.com/industries/home-care/) Accounts receivable in other industries - [Marketing agencies & consultancies](https://ledgerbpo.com/industries/agencies/accounts-receivable/) - [Auto repair shops & dealerships](https://ledgerbpo.com/industries/auto/accounts-receivable/) - [Behavioral health practices](https://ledgerbpo.com/industries/behavioral-health/accounts-receivable/) - [Daycares, schools & education](https://ledgerbpo.com/industries/childcare-education/accounts-receivable/) - [The full accounts receivable page](https://ledgerbpo.com/services/accounts-receivable/) ## Frequently asked questions ### How do you follow up with families without damaging the relationship? Reminders and calls go out under your agency's name and use a calm, first-party script that assumes the balance is an oversight, which it usually is. We offer the payment portal link, note any promise-to-pay, and escalate only to your office manager, never to a third party. We never describe ourselves as a collection agency and never take card details over the phone. ### What happens when an MCO recoups a payment months later? We record the recoupment as a reduction against the original claim and open a follow-up item with the MCO's reason. If the recoupment is disputed, the corrected claim or appeal is filed inside the MCO's window and tracked until resolved. This keeps the aging accurate and avoids the common mistake of booking recoupments as unexplained bank withdrawals. ### How quickly do you start working denials? Denials are reviewed within two business days of the remittance arriving, grouped by reason such as missing EVV, expired authorization or eligibility. Corrections that need scheduler or care-manager input go on a shared list, and the rest are resubmitted by the billing agent. Timely-filing deadlines are logged per payer so nothing ages out while it waits. Next step ## Books closed. Invoices paid. Every month. Tell us what is going on with your books or billing. You will hear from a named person within 1 business day, with a custom quote and a plan for the first close. - Reply from a named person within 1 business day - No setup fee, month-to-month - Your software, your data, no lock-in Start with a custom quote [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Or call [+1-657-777-0006](tel:+16577770006) during US, UK or Australian business hours. --- Source: https://ledgerbpo.com/industries/home-care/accounts-receivable/ · Contact: https://ledgerbpo.com/contact/ · Full site map for agents: https://ledgerbpo.com/llms.txt