Home care billing
Axxess billing services
Axxess billing services from Remitwright run in the Billing Center of the Axxess product your agency uses.
Medicaid waiver, VA or private pay: tell us your mix.
In Axxess Home Care, claims are created from completed tasks, checked in five verification steps and sent electronically, while visits go to Sandata or HHAeXchange where a payer requires it and any that fail land in the EVV Exception Center. In Axxess Home Health, the same biller sends each Notice of Admission, confirms the MAC accepted it, and works final and managed care claims from one list. You keep Axxess; the biller works on a user you create. Axxess billing is one part of our home care billing services.
Independent: Remitwright is not affiliated with or endorsed by Axxess. Axxess is a trademark of its owner, named here to describe the system we work in.
Last reviewed by the Remitwright billing team. Editorial policy
- Home care and home health
Every day
What your biller does in Axxess every day
- In Axxess Home Care, create claims from the completed tasks for each payer and date range, and settle the overlapping claim dates the Billing Center highlights before anything is billed twice
- Take each claim through the five verification steps: demographics and diagnoses, insurance and locator details, visits and tasks, supplies, then the claim summary
- Send claims electronically where the payment source is set up for it, and download or print the ones a payer still takes on paper
- Open Claim Submission History for each batch's response file and correct the claims that came back rejected
- Before billing a date range, work the visits waiting in the EVV Exception Center: resolve the cause, correct the EVV details, sign and resubmit
- Check that the Sandata or HHAeXchange integration covers the right branches, state and payers, so visits for a payer that requires it actually leave Axxess
- In Axxess Home Health, send the Notice of Admission once the order and the first visit are in place, use the RAP/NOA Aging column to find any NOA not yet sent before it passes five days, and confirm the MAC accepted each one
- Work the Home Health Billing Center's created, rejected and denied claims together, Medicare final claims and managed care claims alike
- Post payments and adjustments in Claims History so each claim's status follows its balance, and send every denial to the right person with its reason
Access
Access and security
Your data, your systems
Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.
- BAA signed before any access
- A user you create and can remove
- MFA on every login that supports it
- No claim files or patient lists exported
In Axxess
- Axxess stays licensed to your agency; the biller works on a user you add with billing permissions (Access Billing Center in Axxess Home Health), plus Edit EVV Details in Axxess Home Care where exception work is in scope
- The integration credentials for Sandata or HHAeXchange stay in your Company Setup, entered by your administrator; the biller works the visits, not the keys
- You see the biller's user in your account and can switch it off at any time
- Claims leave for payers and nothing else does; no copy of your data sits in a system Remitwright runs, and the business associate agreement is signed before the user exists
Where the biller steps in
What Axxess does not do, and the biller does
The integration sends a visit to the aggregator automatically once EVV is complete, and Axxess requires the cause of an exception to be resolved before the visit is resubmitted; finding that cause, in the visit, the client record or the payer setup, is the biller's part
Axxess offers its Sandata integration in a listed set of states, including Ohio, Pennsylvania and North Carolina, and its HHAeXchange integration in Illinois, Minnesota and New Jersey; outside those lists the biller checks visits in the aggregator itself
Managed care plans write their own billing and documentation rules, so the biller keeps a rule set per plan rather than relying on one setup for all of them
Axxess records the authorization; asking the payer to renew it before the units run out is a request the biller tracks and makes
Appeals and records requests go through each payer's portal or by letter, outside Axxess
Worked example: a visit stuck in the Exception Center
A hypothetical private duty agency in Ohio runs Axxess Home Care with the Sandata integration set for its Medicaid payers. Before the month's billing, the biller finds one visit in the EVV Exception Center after its submission to Sandata returned an error. The biller resolves what blocked it, opens the resubmit view, corrects the EVV details, signs and selects Verify & Update.
With the visit accepted, the biller creates claims for that payer and date range, settles a date the Billing Center shows in orange because it overlaps an earlier claim, walks the five verification steps and sends the batch electronically. The batch's response file in Claim Submission History is then read for rejections before the next batch goes.
Questions
Questions about billing in Axxess
Which Axxess product do you work in?
How do visits get from Axxess to Sandata or HHAeXchange?
What happens to an EVV exception in Axxess?
Do you handle the Notice of Admission in Axxess Home Health?
Do we have to buy anything else from Axxess to work with you?
What access do you need?
Next step
Medicaid waiver, VA or private pay: tell us your mix.
Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside Axxess.
- Three questions, about two minutes
- No patient data, no software to buy
- A written reply from a biller, not a sales deck
You answer three questions
A billing specialist reads them
A written reply by email
Prefer email? sales@remitwright.com
Request received
Thanks. Your review request is in.
Reference . Quote it if you write to us about this request.
- A billing specialist reads your answers and replies by email.
- If a look at real claims makes sense, we agree read-only access under a BAA first.
- You get a written summary of what is worth working and what it would take. No commitment.
While you wait: see the sample weekly report or read the home care billing guide. You can also download the sample weekly report (PDF).