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Home care billing

WellSky billing services

WellSky billing services from Remitwright follow the WellSky product your agency runs.

Medicaid waiver, VA or private pay: tell us your mix.

On WellSky Home Health that means the Notice of Admission accepted on time and a claim for each 30-day period of care, with managed care claims alongside Medicare. On WellSky Hospice it means claims, remittances matched to claims and payments posted payer by payer. On WellSky Personal Care it means visits reconciled to authorizations and EVV, then claims to Medicaid and other payers. A dedicated biller works in your system on a login you issue, and you keep WellSky. WellSky billing is one part of our home care billing services.

Independent: Remitwright is not affiliated with or endorsed by WellSky. WellSky 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 WellSky every day

  • For each Medicare home health admission, get the Notice of Admission submitted and accepted within five calendar days, then bill a claim for each 30-day period of care and track the last one to payment
  • Use the referral and authorization records in WellSky Home Health to check that each episode is authorized before the visits are billed
  • On WellSky Hospice, work claim submission issues, match each remittance to its claim and post payments for each payer
  • Reconcile personal care visits to the schedule, the authorization and the EVV record, so unverified visits and unbilled hours surface before the claim is built
  • Clear EVV exceptions in your state's system before a claim is released, and route the recurring causes to scheduling and to the caregivers involved
  • Send personal care claims to Medicaid and other third-party payers through WellSky's clearinghouse connection, and work the rejections that come back
  • Post remittances, electronic or paper, read each CARC and RARC, and route every denial with its reason to the right queue
  • Track authorizations and VA referrals by units and dates and request renewals before care runs past the end date
  • Pull the weekly report from WellSky's reports: visits delivered, billed, paid and held, by payer and by line of business

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
How access works

In WellSky

  • WellSky stays licensed to your agency with your data in it; the biller is a user you create and scope to billing
  • That login runs with multi-factor authentication, shows in your user list, and can be revoked by you at any time
  • Claims go to payers; nothing else leaves the system, and no copy of your data sits anywhere Remitwright owns
  • A business associate agreement is signed before the user is created

Where the biller steps in

What WellSky does not do, and the biller does

  • Managed care rules differ plan by plan, and the biller keeps them: filing windows, documentation requests and claim edits per plan

  • Where your state requires its own EVV system or aggregator, exceptions are cleared in that system under its own login, and the claim waits until they are

  • VA referrals are matched and renewed by a routine the biller runs around the system, not by a field inside it

  • Appeals, records requests and payer portal work are done in the payer's portal or by letter, outside WellSky

Questions

Questions about billing in WellSky

Can you work both non-medical and skilled billing in WellSky?

Yes, product by product. WellSky Home Health, WellSky Hospice and WellSky Personal Care are separate products: the Notice of Admission and period claims on the home health side, hospice claims and remittances, and waiver hours, EVV, VA and private pay on the personal care side. Each line of business gets its own line on the weekly report, so you see them separately.

How do you handle EVV exceptions?

Before the claim leaves. The 21st Century Cures Act requires states to use EVV for Medicaid personal care services delivered in the home, recording the date, the place, the caregiver and the start and end times. Exceptions are cleared in the system your state uses, and recurring causes, such as a caregiver who never clocks out, go back to scheduling with the names and the dates attached.

What happens if a Notice of Admission is late?

Medicare reduces the payment for that period of care by one-thirtieth for each day from the admission date until the NOA is submitted and accepted. That is why the NOA goes in as soon as the order and the first visit allow, and why the biller tracks acceptance rather than submission.

Do we need WellSky's own billing service to use you?

No. The software license and any service the vendor offers are separate decisions. Remitwright works inside the software as the home care biller assigned to your agency.

What access do you need?

A billing user in WellSky, access to your EVV system where it is separate, logins to the payer and VA portals you use, your authorizations and referrals, and a signed BAA first.

Which payers can you bill from WellSky?

Medicare and managed care plans on the home health and hospice side; state Medicaid programs, managed care plans, the VA's community care administrator, long-term care insurers and private pay clients on the personal care side, each in its own format. Which of those apply depends on your state and your payer mix.

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 WellSky.

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Review my home care billing

Medicaid waiver, VA or private pay: tell us your mix.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works