Key Takeaways
Five points before you read the profiles.
TruCare is our first pick for Dallas agencies. TruCare OS puts medical billing automation for home health behind one record, so authorizations captured at intake reach the claim without anyone retyping them.
Review Choice changes what you need from a biller. A firm that has never submitted a pre-claim review request in Texas will learn on your episodes. Ask about affirmation rates before anything else.
Medicare and Medicaid are two different jobs. The Medicare clock runs a year. The Texas Medicaid clock runs 95 days and needs a matching EVV visit. A biller strong on one can be weak on the other.
Published pricing is rare. TruCare lists rates from 2.49% of collections. The rest quote on request, so ask what sits inside each number before you compare.
Review trails are thin in this industry. Several companies here have few or no public client reviews. References and a sample monthly report tell you more than a star count.
1. TruCare
TruCare
5.0 / 5 · Our rating
Best for
Agencies that want one system from referral to payment
From 2.49% of collectionsHome health, hospice, and home-based care
Company Overview
TruCare keeps home health revenue on a single record, so the work does not scatter across separate tools. Four parts carry it:
TruIntake runs scheduling, intake, and eligibility verification.
TruRev handles billing from charge entry through cash posting.
TruCred manages credentialing and payer enrollment.
TruIntel reports on claims, denials, and A/R in real time.
Because intake and billing share one record, the authorization your coordinator captured on admission is what your biller works from weeks later. TruCare's certified home health billers handle whatever the software flags. On the Medicare side, its home health billing tracks PDGM periods, files admission notices, matches OASIS data to claims, and watches LUPA exposure. For a Dallas agency carrying traditional Medicare, a STAR+PLUS contract, and a Medicare Advantage plan at the same time, keeping eligibility and authorization detail in one place is what stops claims stalling. Clinicians stay in Axxess, Homecare Homebase, or HealthCare Synergy.
Free, with no obligation
Pros and Cons
Pros
- Intake, eligibility, billing, and credentialing share one patient record
- Credentialing handled in-house, useful when adding a Texas Medicaid managed care contract
- Connects to Axxess, Homecare Homebase, HealthCare Synergy, and 20 other home health EHRs
- Publishes its pricing, from 2.49% of collections
Cons
- Support runs remotely rather than from a local office
- Founded in 2022, a shorter record than longer-established firms
- Contract terms come on request rather than posted
Pricing
From 2.49% of collections, published. Industry guides put home health care billing services nearer 4% to 8%, so ask what the quote covers.
Best For
Dallas agencies billing several payer types that would rather manage one partner than three.
Key Features / USPs
Automated intake and eligibilityPDGM billingNotice of Admission filingOASIS-to-claim alignmentLUPA alertsTruIntel reporting
Our Verdict
The most complete option on this list, and the only one that shows a rate before you call. One record per patient, one vendor to manage, and claim visibility you do not have to request.
Reviews from Reddit, Google, and Trustpilot
Google“Our private practice has peace of mind knowing billing is handled correctly.”
Trustpilot“No Trustpilot reviews yet.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
5.0 / 5
2. Dominion Revenue Solutions
Dominion Revenue Solutions
5.0 / 5 · Our rating
Best for
Agencies that want a Dallas-area billing team
Based in the Dallas areaClient reviews come from agency operators
Company Overview
Dominion Revenue Solutions works from the Dallas area and provides home health billing services to agencies across the metroplex. Its material is written for agencies rather than clinics, covering claim submission, denial management, and the follow-up work that decides whether an episode gets paid in full. Being close enough to meet matters to some owners, and Dominion is the only company here that can offer it. Its client reviews come from agency operators rather than physician practices, which is rare in this market. The team is small, and its pricing is not published, so ask how your account would be staffed and what the rate includes.
Free, with no obligation
Pros and Cons
Pros
- Based in the Dallas area, within reach for in-person meetings
- Home health billing aimed at agencies rather than clinics
- Client reviews come from agency operators
- Covers submission, denials, and follow-up through to payment
Cons
- A small team compared with the national firms
- Prices are not published
- Few public reviews so far
Pricing
Not published. Dominion quotes on request.
Best For
Dallas agencies that want a local partner they can sit down with.
Key Features / USPs
Home health billingClaim submissionDenial managementA/R follow-upLocal account contact
Our Verdict
The local choice on this list. Ask how many Medicare-certified agencies it bills for today and how the team scales if your census grows.
Reviews from Reddit, Google, and Trustpilot
Google“Though it has not been long, the Dominion Review has been very communicative towards my agency.”
Trustpilot“No Trustpilot reviews yet.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
5.0 / 5
3. Prime Medical Billing
Prime Medical Billing
– / 5 · Our rating
Best for
Agencies that want coding and billing handled together
Home health billing and codingDetailed PDGM, OASIS-E, and HIPPS coverage
Company Overview
Prime Medical Billing provides home health billing services to Dallas agencies, and its material goes deeper into the mechanics than most. It addresses PDGM grouping, OASIS-E accuracy, HIPPS code assignment, and the documentation that has to line up before a claim is worth sending. That focus on home health billing and coding as one job matters, because PDGM revenue is largely decided by coding accuracy at admission rather than by anything the biller does later. The firm also covers credentialing, scheduling, and virtual assistance. It is a young company with a large team, so ask how long the home health side has been running and who would own your account.
Free, with no obligation
Pros and Cons
Pros
- Detailed PDGM, OASIS-E, and HIPPS coverage
- Treats coding and billing as one workflow
- Offers credentialing and scheduling support
- A large team for its size of client base
Cons
- Founded recently, so a short track record
- Prices are not published
- No public client review trail
Pricing
Not published. Prime quotes on request.
Best For
Dallas agencies whose PDGM payments are slipping because of coding and documentation rather than claim submission.
Key Features / USPs
PDGM groupingOASIS-E accuracyHIPPS code assignmentCredentialingDenial management
Our Verdict
A sensible choice when coding and billing keep pointing at each other. Ask how many home health agencies the team bills for and how coders and billers hand off work between them.
Reviews from Reddit, Google, and Trustpilot
Google“No Google reviews yet.”
Trustpilot“No Trustpilot reviews yet.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
4. MediBillMD
MediBillMD
Dallas, TX
4.1 / 5 · Our rating
Best for
Agencies that want a Dallas office and a broad service menu
Home health billing and credentialingBased in Dallas, within reach for in-person meetings
Company Overview
MediBillMD operates from Dallas and offers home health billing alongside credentialing, coding, and practice management. Its proposition is breadth: one firm handling enrollment, claims, and the reporting in between, which suits an agency that would rather not assemble three vendors. Being physically in Dallas also means meetings are possible when something goes wrong. The caution is mixed feedback. Alongside positive reviews, several clients describe disputes over credentialing fees and communication after signing. Ask for the fee schedule in writing, confirm what credentialing costs separately from billing, and speak to two agency references before committing.
Free, with no obligation
Pros and Cons
Pros
- Based in Dallas, within reach for in-person meetings
- Offers billing, credentialing, and coding together
- Covers practice management alongside claims
- Serves providers across multiple states
Cons
- Mixed public reviews, including fee disputes
- Home health is one line in a wide service menu
- Prices are not published
Pricing
Not published. MediBillMD quotes on request.
Best For
Dallas agencies that want local presence and a single vendor for billing and credentialing.
Key Features / USPs
Home health billingCredentialingMedical codingDenial managementPractice management
Our Verdict
Local presence and a broad menu are genuine advantages. Get every fee in writing before you sign, and ask specifically what credentialing costs on top of the billing rate.
Reviews from Reddit, Google, and Trustpilot
Google“We have been working with MediBill for several months, and they've made a real difference in our billing workflow.”
Trustpilot“Credentialing for Opal Royal Home Care Inc was done seamlessly and followed up with Agency on time. Reported back feedback and process.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
4.1 / 5
5. GenMediTech
GenMediTech
– / 5 · Our rating
Best for
Agencies that bill Texas Medicaid as well as Medicare
Home health and Texas Medicaid billingCovers STAR+PLUS authorizations, TMHP compliance, and EVV
Company Overview
GenMediTech sets out the widest Texas rule coverage on this list. Its home health material spans PDGM episode management, Notice of Admission compliance, and LUPA tracking on the Medicare side, then STAR+PLUS managed care authorizations, TMHP compliance, and electronic visit verification on the Medicaid side. That second list is where most billing companies go quiet, and it is exactly where Dallas agencies lose money. The firm also handles OASIS review and denial management. What it does not publish is pricing, client counts, or a verifiable office, so treat the demo as your evidence and ask which Dallas-area managed care plans it bills today.
Free, with no obligation
Pros and Cons
Pros
- Covers STAR+PLUS authorizations, TMHP compliance, and EVV
- PDGM episode management, NOA compliance, and LUPA tracking
- OASIS review sits alongside billing
- Material written for Texas agencies rather than general practices
Cons
- No verifiable office address
- Prices are not published
- No public client reviews
Pricing
Not published. GenMediTech quotes on request.
Best For
Dallas agencies whose Medicaid book is as large as their Medicare one.
Key Features / USPs
PDGM episode managementNOA complianceLUPA trackingSTAR+PLUS authorizationsTMHP and EVV support
Our Verdict
The broadest Texas rule coverage here on paper. Ask for three agency references and a sample monthly report before you treat that as proven.
Reviews from Reddit, Google, and Trustpilot
Google“No Google reviews yet.”
Trustpilot“No Trustpilot reviews yet.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
6. iMagnum Healthcare Solutions
iMagnum Healthcare Solutions
– / 5 · Our rating
Best for
Agencies that run therapy alongside home health
Home health and therapy billingServes Texas agencies alongside national clients
Company Overview
iMagnum Healthcare Solutions provides home health and therapy billing to Dallas agencies, treating the two as one book rather than separate contracts. Its work covers OASIS accuracy, coding, PDGM optimization, and the wider revenue cycle, which suits an agency whose therapy visits drive a meaningful share of revenue. The firm serves providers across Texas and nationally. Public evidence is where it is thinnest: there is almost no client review trail, and what exists is limited. That does not make it a poor operator, but it does mean references carry the whole weight of your decision.
Free, with no obligation
Pros and Cons
Pros
- Covers home health and therapy billing together
- OASIS accuracy and PDGM optimization included
- Serves Texas agencies alongside national clients
- Full revenue cycle rather than claims only
Cons
- Very limited public review trail
- Prices are not published
- Home health EHR integrations are not listed
Pricing
Not published. iMagnum quotes on request.
Best For
Dallas agencies where therapy visits make up a large share of the caseload.
Key Features / USPs
Home health billingTherapy billingOASIS accuracyPDGM optimizationRevenue cycle management
Our Verdict
Worth a conversation if therapy is central to your book. Lean hard on references, and ask for an anonymized monthly report from a current home health client.
Reviews from Reddit, Google, and Trustpilot
Google“One rating, with no written review. Too small a sample to judge.”Read on Google
Trustpilot“No Trustpilot reviews yet.”
Reddit“ No Reddit reviews yet.”
Average Review Score and Summary of Reviews
Home Health Billing Companies in Dallas, TX: Side by Side
Six companies, five columns. "Not listed" means we could not find the detail publicly.
| Company | Pricing model | Specialties | Tech / EHR integrations | Best for |
|---|---|---|---|---|
| TruCare | % of collections, from 2.49% | Home health, hospice, and home-based care | Axxess, Homecare Homebase, HealthCare Synergy, and 20+ EHRs | One system from referral to payment |
| Dominion Revenue Solutions | Quote-based | Home health billing | Not listed | A Dallas-area billing team |
| Prime Medical Billing | Quote-based | Home health billing and coding | Not listed | Coding and billing handled together |
| MediBillMD | Quote-based | Home health billing and credentialing | Not listed | A Dallas office and a broad menu |
| GenMediTech | Quote-based | Home health and Texas Medicaid billing | Not listed | Agencies billing Medicaid as well as Medicare |
| iMagnum Healthcare Solutions | Quote-based | Home health and therapy billing | Not listed | Agencies running therapy alongside home health |
What Dallas Agencies Are Actually Billing Against
A Dallas home health agency works under three sets of rules at once. Medicare sets how much an episode is worth. Texas decides whether your Medicaid claims survive. And because Texas is a Review Choice state, Medicare also decides how closely it watches you. Treat the list below as home health billing best practices and test every company against it.
11 Rules That Shape Home Health Billing in Dallas
- Medicare
PDGM pays in 30-day periods
The payment group is set at admission by diagnosis, admission source, timing, functional level, and comorbidities. Nothing done later on the claim recovers a coding error made at the start. - Medicare
One notice, five days
Medicare must accept a single Notice of Admission within 5 calendar days of the start of care. Each late day reduces that period's payment, and the lost days cannot be billed back. - Medicare
Review Choice applies here
Texas agencies choose pre-claim review or post-payment review. Hold a 90% affirmation rate across at least 10 requests, and you earn relief from most future review. That makes documentation quality a cash flow issue, not a compliance one. - Medicare
Palmetto GBA processes your claims
Texas home health sits with Palmetto, not National Government Services or CGS. Portal habits and edits differ between contractors, so ask which ones a company works in daily. - Medicare
LUPA thresholds vary by group
A period one visit under its threshold pays per visit instead of per period. That is a scheduling problem that shows up as a billing number. - Texas Medicaid
Claims are due in 95 days
TMHP expects the claim within 95 days of the date of service. For clients with both coverages, Medicare pays first, and the 95 days run from Medicare's decision. - Texas Medicaid
EVV has to match
Texas requires electronic visit verification for Medicaid home health services. A claim without a matching visit record is denied, and denials began with April 1, 2024 dates of service. - Texas Medicaid
Prior authorization comes first
Fee-for-service skilled nursing and aide visits need approval before the visit; an agency nurse must assess the client at home beforehand, and the Texas plan of care form is required rather than the CMS-485. - Medicaid managed care
Managed care routes separately
The Dallas service area has its own STAR+PLUS and STAR Kids plans, each with its own enrollment, authorization steps, and filing terms. HHSC licenses you as an HCSSA
Texas licenses home health agencies as Home and Community Support Services Agencies, and your license category determines what you can bill before any claim is written. Licensed and certified agencies also hold Medicare certification; licensed-only agencies do not need it to enroll with TMHP.Storm season is a billing event
After hurricanes, Texas has granted extra time to correct visit records and issued disaster reason codes. Ask any company how it handles billing after severe weather, and keep the plan in writing.
Where Dallas Claims Break
| What goes wrong | What it costs | What a strong partner does |
|---|---|---|
| Notice accepted after day five | Payment cut for every late day | Files at admission and tracks acceptance daily |
| Review Choice request not affirmed | Delayed payment and tighter future review | Checks the plan of care and face-to-face note before submitting |
| Period lands under its LUPA threshold | Per-visit pay instead of period pay | Flags at-risk periods while visits can still be scheduled |
| Medicaid claim passes 95 days | Denial with no appeal path | Bills early and watches the Medicare decision date on dual clients |
| EVV visit record missing | Claim cannot match and is denied | Reviews mismatches before submission, not after |
| Managed care authorization lapsed | Denial after care is delivered | Verifies plan and authorization every period |
Note: For 2027, CMS has proposed a 2.1% payment update and a temporary 3.0% cut to the base rate. This is a proposal, not a final rule.
How to Pick a Home Health Billing Company in Dallas
Most owners shortlist on price and a good first call. Ask every company the same eight questions instead, and the gaps show up before you sign, not after. Listen for answers that name a person, a step, and a timeline.
Questions Worth Asking
- Texas experienceHow many Medicare-certified home health agencies in Texas do you bill for today?
- Review ChoiceWhich Review Choice option do your Texas clients use, and what affirmation rate do they hold?
- Admission noticesWho files our admission notices, and what alerts you when one is not accepted?
- EVVHow do you check EVV matches before submission?
- Managed care plansWhich Dallas-area STAR+PLUS and STAR Kids plans do you bill?
- EHR experienceWhich home health EHRs has the team worked in?
- ReferencesCan we speak with two Dallas agency references?
- Exit termsWhat is the offboarding process if this does not work out?
Get the answers in writing
Send these 8 questions to every company you shortlist, so you can compare the answers side by side.
Signals to Walk Away From
- A percentage quoted on billed charges rather than net collections
- Collection rate promises with no client data behind them
- Vague answers on Review Choice, EVV, or notice timing
- Fees that appear after signing, especially for credentialing
- No read-only access to your own claim and payer systems
Build a Team or Outsource?
| Consideration | Your own home health biller | An outside team |
|---|---|---|
| What you pay | Salary, benefits, software, training | A share of collections or a flat fee |
| When someone leaves | Claims stall until a replacement is trained | Another biller picks up the queue |
| Texas rule knowledge | Whatever your hire brings | Built across many agencies |
| Oversight | Direct and daily | Through reports and scheduled calls |
| Best suited to | Larger agencies with a steady team | Smaller or growing agencies, or after turnover |
What You Will Pay in Dallas
Most home health care billing companies charge a share of net collections, so their income rises and falls with yours. Published 2026 guides put home health at roughly 4% to 8%, and Dallas quotes land inside it. Scope moves the number more than the model: whether eligibility, admission notices, Review Choice submissions, EVV matching, and credentialing are included, and what any AI medical billing for home health actually decides.
4% to 8%
of net collections is the typical range. TruCare’s published 2.49% sits below it, so ask what each quote covers.
Fixed
monthly pricing suits a steady census but gets expensive when admissions dip. Get the included services in writing.
Hourly
Or per full-time equivalent, needs the most arithmetic. Work out how many hours your caseload genuinely requires.
Mistakes Dallas Agencies Make
- 1
Hiring a clinic biller
Family medicine and internal medicine are office specialties billed per visit on a CMS-1500. Home health agency billing runs on 30-day periods and institutional claims. The skills do not carry over. - 2
Treating Review Choice as paperwork
Your affirmation rate decides how much future scrutiny you face. A biller who treats it as an afterthought costs you twice. - 3
Assuming Medicare experience covers Medicaid
Different clock, different system, different documentation. Test both before signing. - 4
Leaving old A/R unassigned
Decide in the contract who works claims billed before go-live, and for how long. - 5
Skipping the reference calls
Two conversations with Dallas agency owners will tell you more than any proposal.
How We Ranked These Companies
Every company here is scored against the same six criteria below, weighted as shown, then ranked by weighted total. TruCare tops the list. Home health depth carries the most weight, which is why a focused specialist can outrank a larger firm with a wider menu. Placement is not for sale, and testimonials published on a company's own website do not count toward its score. A rating drawn mainly from employee or recruitment reviews is shown but not scored.
| Criterion | Weight | What we look at |
|---|---|---|
| Home health depth | 30% | PDGM, OASIS, admission notices, LUPA monitoring, and share of home health clients |
| Texas readiness | 20% | Review Choice experience, TMHP billing, EVV matching, STAR+PLUS enrollment |
| Transparency | 15% | Published pricing or a clear quote process, contract terms, data access |
| Technology and EHR fit | 15% | Works inside home health EHRs, reporting clients can see |
| Verified client feedback | 10% | Google, Trustpilot, and Reddit ratings and written reviews |
| Onboarding and support | 10% | Named contact, written onboarding plan, A/R transition plan |
Data sources
Company websites and service pages, public business records, CMS and Texas HHSC guidance, and verified public reviews.
Review process
Each profile is drafted from primary sources, checked by a second reviewer, and re-verified at every update.
Conflict of interest disclosure: TruCare publishes this guide and appears on this list. We scored TruCare against the same criteria as every other company, and we accept no payment for placement. Read our editorial policy.
Final Picks
- Pick TruCare for referral-to-payment on one platform with a published rate.
- Pick Dominion Revenue Solutions if you want a Dallas-area team you can meet.
- Pick Prime Medical Billing if coding accuracy is where your revenue is slipping.
- Pick MediBillMD if you want a Dallas office and billing plus credentialing together.
- Pick GenMediTech if your Medicaid book is as large as your Medicare one.
- Pick iMagnum Healthcare Solutions if therapy visits drive a large share of your caseload.
Frequently Asked Questions
It depends on your payer mix and size. TruCare is our top pick for most Dallas agencies because intake, billing, and credentialing run on one platform with a published rate. Dominion Revenue Solutions and MediBillMD are the Dallas-based options, and GenMediTech sets out the widest Texas Medicaid coverage.
Dominion Revenue Solutions and MediBillMD are. The others provide home health billing services to Dallas agencies and support them remotely, which is normal in this industry. Ask any company about meeting cadence and Central time coverage.
Most firms charge a share of net collections, typically 4% to 8%. TruCare publishes rates from 2.49%. The rest quote on request. Compare what each rate includes, not just the percentage.
Yes, if you bill traditional Medicare. Texas is one of six Review Choice states, and your affirmation rate determines how much review you face going forward. Ask what rate their Texas clients hold today.
It is denied, and there is no straightforward recovery. For clients with both Medicare and Medicaid, the 95 days run from Medicare's decision rather than the date of service, which is where agencies most often get caught.
Some can. Prime Medical Billing, GenMediTech, and iMagnum all offer coding or OASIS review alongside claims. Others bill only and expect your clinical team or a separate coder to handle accuracy. Confirm before assuming.
Usually. A single in-house biller is one resignation away from a cash flow problem, and home health outsourced billing help removes that risk. Total up salary, benefits, software, and clearinghouse fees before comparing against a quote.
A home health billing consultant audits and advises; a billing service does the work. If your team is capable but your numbers are poor, a home health billing consulting company may be the cheaper fix. Some firms offer both under separate agreements.
Several weeks, typically. Payer enrollments, EHR access, and clearinghouse setup set the pace. Ask for a written plan with dates and agree on who works pre-transition claims.
Many will. TruCare connects to Axxess, Homecare Homebase, HealthCare Synergy, and 20 other systems. The rest do not publish their integrations, so confirm in writing, including who pays for additional user licences.
TruCare Service Details
Serving Greater Dallas
TruCare
- Home health billing and revenue cycle management
- Dallas Home Health Billing
- Trucare
- Service price
- From 2.49% of collections
- Home health
- Home Health Care
- Hospice Care
- Skilled Nursing
- Physical Therapy
- Palliative Care
- Pediatric Home Health
- 20+ home health sub specialties
- TruCare OS, with certified billers working every flagged claim
TruIntake
TruRev
TruCred
TruIntel
Connects to Axxess, Homecare Homebase, HealthCare Synergy, and 20+ home health EHRs
- Dallas and all of Texas
- Mon–Fri: 8 AM – 6 PM (CST)