Predominantly government-funded, so the state Medicaid structure and managed care penetration shape the payer mix directly. In New Hampshire that plays out against a specific set of rules rather than a general one.
Medicare home health and hospice claims for New Hampshire agencies go to National Government Services (JK home health and hospice), the home health and hospice contractor, not the Part A/B contractor, and it also hears the first level of appeal.
At a glance
Coding driver
Episode-based billing where the physician must certify and re-certify the plan of care inside defined windows.
Medicare contractor
National Government Services (JK home health and hospice)
Medicaid program
New Hampshire Medicaid
Auto injuries
Tort state — health plan sequencing applies
What changes in New Hampshire
Medicaid in New Hampshire runs as New Hampshire Medicaid and is delivered largely through commercial managed care plans, so most Medicaid claims are adjudicated by an insurer with its own filing window and its own authorization rules rather than by the state.
Where home health claims fail
- Physician did not certify the plan of care inside the window
- Face-to-face encounter not documented
- Visit frequency exceeding the plan of care
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your New Hampshire home health denials.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes segmented by payer and provider.
Home Health Billing in New Hampshire — Frequently Asked Questions
Do home health billing rules differ in New Hampshire?
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Yes. Medicaid runs as New Hampshire Medicaid, delivered largely through commercial managed care plans. So most New Hampshire Medicaid claims are adjudicated by an insurer with its own filing window, its own authorization rules, and its own appeal path — not by the state. Nationally about 78% of Medicaid beneficiaries sit in comprehensive managed care, and five companies hold roughly half of that enrollment.
Which Medicare contractor handles New Hampshire home health claims?
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National Government Services (JK home health and hospice). Home health and hospice claims have their own Medicare contractors, separate from the Part A/B contractor for New Hampshire. It processes the claims, publishes the local coverage determinations that bind you, and hears the first level of appeal.
What makes home health claims deny in New Hampshire?
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The specialty causes first: physician did not certify the plan of care inside the window; face-to-face encounter not documented; visit frequency exceeding the plan of care. On top of those, New Hampshire Medicaid runs through commercial plans, so filing windows and authorization rules vary by plan rather than by program.
How are auto injuries handled for home health in New Hampshire?
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New Hampshire is a tort state for auto injuries, so standard coordination of benefits applies rather than an auto carrier taking first position. The injury still has to be identified at registration, because liability coverage may be primary for the related care.
How do you price home health billing in New Hampshire?
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A percentage of collections, banded by practice size, with a monthly minimum so a smaller practice is served properly rather than quoted a rate that does not cover the work. The New Hampshire rate card is on the state page.
Are your home health coders certified?
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Yes. All coding is performed by certified coders credentialed through the AAPC or AHIMA, working from the documentation you provide. Episode-based billing where the physician must certify and re-certify the plan of care inside defined windows.
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