Key Takeaways
What this list tells you, and what it does not.
TruCare is our first pick for LA agencies. TruCare OS brings medical billing automation for home health into one record, so intake details and authorizations follow the patient all the way to the claim.
Specialist beats generalist in home health. PDGM periods, admission notices, and OASIS accuracy are their own discipline. A firm that bills home health every day will catch things a general biller never sees.
California adds a second rulebook. Medicare sets the payment model. Sacramento sets the licence, the Medi-Cal deadline, and the visit verification rules. Your biller needs both.
Published pricing is rare. TruCare lists rates from 2.49% of collections and MZ Medical Billing advertises 2.99%. The rest quote on request.
Review trails are thin across this industry. Treat references and sample reports as the real evidence, not star counts.
1. TruCare
TruCare
5.0 / 5 · Our rating
Best for
Agencies that want one platform instead of three vendors
From 2.49% of collectionsConnects to 20+ home health EHRs
Company Overview
TruCare runs home health revenue on a single record, from the first referral call to the final payment. Four tools divide the work:
TruIntake handles scheduling, intake, and eligibility verification.
TruRev carries billing from charge entry through cash posting.
TruCred manages credentialing and payer enrollment.
TruIntel reports on claims, denials, and A/R as they move.
The practical effect is that the authorization captured at intake becomes the record your biller uses later, so nothing is retyped between systems. TruCare's certified home health billers review whatever the software flags. On the Medicare side, the platform tracks PDGM periods, files admission notices, matches OASIS data to claims, and watches for LUPA exposure. For an LA agency juggling Medicare, a Medi-Cal managed care plan, and a Medicare Advantage contract at once, that single record is the difference between a clean claim and a week of email. 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 in-house, which helps when adding a Medi-Cal managed care plan
- 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 the long-established firms
- Contract terms are supplied on request rather than posted
Pricing
From 2.49% of collections, published. Industry guides put home health care billing services closer to 4% to 8%, so ask what the quote includes.
Best For
LA 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 here, and the one that publishes a starting rate before you call. You get a single record per patient, one vendor to manage, and visibility into claims as they move.
Reviews from Reddit, Google, and Trustpilot
Google“They understand both large group practices and individual providers.”
Trustpilot“No Trustpilot Reviews yet.”
Reddit“No Reddit Reviews yet.”
Average Review Score and Summary of Reviews
5.0 / 5
2. Dastify Solutions
Dastify Solutions
4.7 / 5 · Our rating
Best for
Agencies that want a billing partner inside California
California-basedCredentialing and denial management in-house
Company Overview
Dastify Solutions is a California-based company offering home health billing services to agencies across Los Angeles, San Diego, San Francisco, and San Jose. Its approach pairs AI-assisted billing with hands-on account management, so claims move quickly without losing a named point of contact. Local payer familiarity is the real draw here: the firm works daily with Blue Shield of California, Anthem Blue Cross, Kaiser Permanente, and Medi-Cal, which is exactly the mix an LA agency faces. Its home health client count is not published, so ask how many Medicare-certified agencies the team bills for today and who would own your account.
Free, with no obligation
Pros and Cons
Pros
- California-based, serving LA agencies locally
- Offers home health billing services for agencies
- Familiar with Medi-Cal and the major California commercial payers
- Credentialing and denial management handled in-house
Cons
- Home health client count is not published
- Prices are not published
- No public Google rating yet
Pricing
Not published. Dastify quotes on request.
Best For
LA agencies that want a California-based team and value local payer familiarity.
Key Features / USPs
AI-assisted billingCredentialingDenial managementA/R recoveryCalifornia payer experience
Our Verdict
The closest thing to a local option on this list. Ask how many Medicare-certified home health clients it carries and who would own your account.
Reviews from Reddit, Google, and Trustpilot
Google“We had several ageing claims that our internal team could not resolve. Dastify Solutions reviewed each account, contacted the payers, and addressed the issues holding up payment. Their follow-up was organized and effective.”
Trustpilot“No Trustpilot reviews yet.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
4.7 / 5
3. AZ Billing
AZ Billing
4.2 / 5 · Our rating
Best for
Agencies billing home care and home health side by side
Certified HHAeXchange consultant partnerWorks inside your existing EMR
Company Overview
AZ Billing works only in post-acute care, partnering with skilled and non-skilled home care, hospice, DME, and palliative agencies. Its team embeds inside your existing EMR rather than asking you to move systems, and it describes more than 40 years of combined revenue cycle experience across the group. The firm is a certified HHAeXchange consultant partner, which matters for California agencies because HHAeXchange handles visit verification and claim flow on the home care side. Its service list covers payer management, authorization work, financial wellness audits, and payment reconciliation. Because its materials lean toward home care, ask directly about PDGM periods, admission notices, and OASIS accuracy if Medicare-certified home health is your main book.
Free, with no obligation
Pros and Cons
Pros
- Post-acute care only, with no general medical billing
- Certified HHAeXchange consultant partner
- Works inside your existing EMR
- Offers financial wellness audits and payer management alongside claims
Cons
- Materials lean toward home care rather than Medicare home health
- Prices are not published
- Founded in 2021, a shorter track record than the long-established firms
Pricing
Not published. AZ Billing quotes on request.
Best For
LA agencies running Medi-Cal home care alongside Medicare home health who want one partner for both.
Key Features / USPs
Home care and home health billingPayer managementAuthorization supportFinancial wellness auditsPayment reconciliation
Our Verdict
A focused post-acute option with a genuine platform credential behind it. Confirm its PDGM and OASIS depth during the demo, and ask for two home health agency references.
Reviews from Reddit, Google, and Trustpilot
Google“No Google Reviews yet.”
Trustpilot“Are very effective with our needs as a home health, hospice and physician practice.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
4.2 / 5
4. MZ Medical Billing
MZ Medical Billing
4.6 / 5 · Our rating
Best for
Agencies shopping on a published rate
2.99% of collectionsNo setup fee
Company Overview
MZ Medical Billing is the only company here besides TruCare that puts a number on its website: 2.99% of collections, with no setup fee. Founded in 2022, it manages the full revenue cycle for home health agencies in California, covering insurance verification, prior authorization, coding review, claim submission, denial management, and A/R recovery. The published rate makes budgeting simple and comparisons honest, which is rare in this market. The caution is depth: test its PDGM and admission notice knowledge directly before you sign.
Free, with no obligation
Pros and Cons
Pros
- Publishes a rate of 2.99% of collections with no setup fee
- Names home health agencies among its California clients
- Covers the full cycle, from verification through A/R recovery
- Works with providers in all fifty states
Cons
- Home health client count is not published
- Founded in 2022, a short track record
- Home health EHR integrations are not listed
Pricing
2.99% of collections, published, with no setup fee. Confirm what sits inside that rate.
Best For
Cost-conscious LA agencies that want a clear number before the first call.
Key Features / USPs
Published 2.99% rateInsurance verificationPrior authorizationDenial managementA/R recovery
Our Verdict
The clearest pricing on the list after TruCare. Before signing, ask how many home health agencies it bills for and who handles your PDGM periods.
Reviews from Reddit, Google, and Trustpilot
Google“No Google Reviews yet.”
Trustpilot“We have had a great experience with MZ Billing. They assisted in getting contracts with insurance companies and credentialing the business as well as our staff members! Definitely recommend!”
Reddit“No Reddit Reviews yet.”
Average Review Score and Summary of Reviews
4.6 / 5
5. Rapid RCM Solutions
Rapid RCM Solutions
– / 5 · Our rating
Best for
Agencies Prioritising clean claim rates and cost
Reports a clean claim rate above 98%Says it knows home health EMRs
Company Overview
Rapid RCM Solutions builds its home health work around CMS rules, visit-based documentation, and home health billing guidelines rather than generic claim handling. It reports a clean claim rate above 98% for home health and says its team is familiar with home health EMRs. The firm provides home health billing services to agencies in Los Angeles and across California. Delivery runs offshore, which keeps costs down and is common among home health outsourced medical billing companies, but it makes two questions worth asking early: who can access patient records, and what hours your account team is reachable in Pacific time.
Free, with no obligation
Pros and Cons
Pros
- Home health billing built around CMS rules and visit documentation
- Reports a clean claim rate above 98% for home health
- Says its team knows home health EMRs
- Serves home health agencies across California
Cons
- Operations run offshore, so confirm data access rules
- Reported rates come from the company
- Limited public client review trail
Pricing
Not published. Rapid RCM quotes on request.
Best For
LA agencies focused on claim accuracy and cost who will manage an offshore relationship closely.
Key Features / USPs
Home health billingMedical codingDenial managementA/R follow-upClean claim focus
Our Verdict
A cost-efficient option with genuine home health focus behind it. Get the data access rules and support hours in writing before you sign.
Reviews from Reddit, Google, and Trustpilot
Google“4.6 from 54 ratings on its company listing. The reviews mix client feedback with recruitment enquiries, so we have not scored them.”Read on Google
Trustpilot“No Trustpilot Reviews yet.”
Reddit“No Reddit reviews yet.”
Average Review Score and Summary of Reviews
6. Cloud Billing Inc
Cloud Billing Inc
– / 5 · Our rating
Best for
Agencies that want a biller who does nothing else
Home health only20+ years of Medicare billing
Company Overview
Cloud Billing Inc puts its whole proposition in one sentence: billing for home health is all it does. The company describes more than twenty years of Medicare billing experience in home health and offers an all-in-one service covering claim submission, tracking, and follow-up on every delayed claim. Rather than waiting for Medicare to respond, the team says it chases each bill through to resolution, and clients receive monthly reports showing receivable, collected, and pending revenue. It also claims outsourcing to them often costs about half what the same work costs in-house. For a small LA agency without a dedicated biller, that focus is the appeal. The trade-off is thin public information, so lean on references.
Free, with no obligation
Pros and Cons
Pros
- Home health billing is its only line of work
- More than twenty years of Medicare billing experience
- Monthly reporting on receivable, collected, and pending revenue
- Follows up on delayed claims rather than waiting on Medicare
Cons
- Little public detail about the team
- Prices are not published
- No California-specific experience published
Pricing
Not published. Cloud Billing quotes on request.
Best For
Small and mid-size LA agencies that want a Medicare home health specialist rather than a generalist.
Key Features / USPs
Home health onlyMedicare claim submission and trackingDelayed claim follow-upMonthly revenue reporting
Our Verdict
The narrowest focus on this list, which is a real advantage in home health. Ask for three agency references and a sample monthly report before you commit.
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
7. MCA Medical Billing Solutions
MCA Medical Billing Solutions
– / 5 · Our rating
Best for
Agencies running home health alongside hospice or skilled nursing
Home health, hospice, skilled nursingPDGM grouping validation
Company Overview
MCA Medical Billing Solutions covers the whole post-acute family: home health, hospice, and skilled nursing facility billing under one agreement. Its home health work centres on PDGM clinical grouping validation before claims go out, Notice of Admission compliance, Medicare Advantage authorization tracking, and active denial management. The firm also handles state-specific Medicaid home health billing across multiple states, including authorization tracking and state claim formatting, which is the part most generalists get wrong in California. For an LA operator who runs more than one line of business, consolidating billing with one partner removes a handoff. Home health EHR integrations are not listed publicly, so raise that early.
Free, with no obligation
Pros and Cons
Pros
- Covers home health, hospice, and SNF billing together
- Validates PDGM groupings before submission rather than after denial
- Handles state-specific Medicaid home health billing
- Tracks Medicare Advantage authorizations
Cons
- Skilled nursing leads its client mix
- Prices are not published
- No public client review trail
Pricing
Not published. MCA quotes on request.
Best For
LA operators running home health plus hospice or SNF who want a single billing partner.
Key Features / USPs
PDGM grouping validationNOA complianceMedicare Advantage authorization trackingMulti-state MedicaidA/R reporting
Our Verdict
A sensible pick when your book spans more than home health. Ask specifically about its Medi-Cal experience and which California managed care plans it bills today.
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
Home Health Billing Companies Los Angeles, CA: Side by Side
Seven 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 platform instead of three vendors |
| Dastify Solutions | Quote-based | Home health billing services | Not listed | A California-based partner |
| AZ Billing | Quote-based | Home care, home health, hospice, palliative | Works inside your existing EMR | Home care and home health together |
| MZ Medical Billing | 2.99% of collections | Home health billing and revenue cycle | Not listed | Shopping on a published rate |
| Rapid RCM Solutions | Quote-based | Home health billing and coding | Says it knows home health EMRs | Clean claim rates and cost |
| Cloud Billing Inc | Quote-based | Home health only | Not listed | A biller who does nothing else |
| MCA Medical Billing Solutions | Quote-based | Home health, hospice, skilled nursing | Not listed | Mixed post-acute books |
Home Health Billing in Los Angeles, CA: Two Rulebooks, Not One
Every home health agency in the country follows the same Medicare rules. California agencies follow a second set on top, and that is where most LA billing problems actually start. Use the two lists below as home health billing best practices and ask every company on your shortlist about them.
11 Rules That Shape Home Health Billing in Los Angeles
- Medicare
PDGM pays in 30-day periods
The payment group is set at admission by diagnosis, admission source, timing, functional level, and comorbidities. A coding mistake there cannot be fixed on the claim. - Medicare
One admission notice, five days
Medicare must accept a single Notice of Admission within 5 calendar days of the start of care. Every late day reduces that period's payment. - Medicare
OASIS sets the case mix
If the assessment is stuck in a validation report, the claim will not be paid correctly. - Medicare
LUPA thresholds vary by group
One visit short of the threshold, and the period pays per visit, not per period. - Medicare
National Government Services is your MAC
California home health claims go to NGS, not Palmetto GBA or CGS. A biller fluent in a different contractor's portal is not automatically fluent in yours. - Medicare
No Review Choice here
California is outside the six Review Choice Demonstration states, so there is no pre-claim review step. Medicare can still request records, so keep the plan of care and face-to-face note ready. CDPH licenses you first
Under Health and Safety Code section 1725 and Title 22 of the California Code of Regulations, no organization may deliver skilled nursing in a patient's home without a Home Health Agency licence from the California Department of Public Health. The licence comes before Medicare certification, and CDPH acts as the survey agent for both.- Medi-Cal
Medi-Cal's clock is shorter than Medicare's
Medi-Cal fee-for-service expects claims within six months of the month of service for full payment. Claims filed later are reduced, and after twelve months they are denied without an approved delay reason code. Medicare allows a full year. The two deadlines are easy to confuse. - Medi-Cal
CalEVV applies to home health care services
Under Phase II of California's electronic visit verification programme, home health agencies must capture visits in CalEVV or an approved alternate system that feeds the state aggregator. Visit maintenance, the process of correcting incomplete records, is what makes claim matching work. - Medicaid managed care
DHCS and the managed care plans both matter
The Department of Health Care Services runs Medi-Cal, but most LA members are enrolled through managed care plans, each with its own authorizations, portals, and filing terms that are often shorter than the state's. Oversight comes from several directions
DHCS audits Medi-Cal payments, the Department of Managed Health Care regulates most managed care plans, and CDPH surveys your license. Documentation satisfies all three or none.
Where LA Claims Go Wrong
| What happens | What it costs | What a strong partner does |
|---|---|---|
| Notice accepted after day five | Payment cut for every late day | Files at admission and watches acceptance daily |
| Period ends under its LUPA threshold | Per-visit pay instead of period pay | Flags at-risk periods while visits can still be added |
| Medi-Cal claim crosses six months | Reduced payment, then denial after twelve | Bills early and documents a valid delay reason |
| CalEVV record incomplete | Claim cannot match the visit | Runs visit maintenance before submission, not after |
| Managed care authorization lapses | Denial after care is delivered | Verifies the plan and authorization every period |
| Documentation requested and missing | Payment recouped after review | Keeps the plan of care and face-to-face note ready |
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.
Choosing a Home Health Billing Company in Los Angeles
Shortlist two or three agency home care billing solutions, then ask each the same eight questions. The differences surface fast, so listen for answers that name a person, a step, and a timeline.
Questions Worth Asking
- Client baseHow many Medicare-certified home health agencies do you bill for in California today?
- EHR experienceWhich home health EHRs has the team worked in?
- Admission noticesWho files our admission notices, and what alerts you if one is not accepted?
- CalEVVHow do you handle CalEVV visit maintenance before claims go out?
- Medi-Cal plansWhich Medi-Cal managed care plans do you bill now?
- LUPA riskHow do you catch a period heading toward a LUPA before it closes?
- ReferencesCan we speak to two LA agency references?
- Exit termsWhat is the offboarding process if this does not work?
Get the answers in writing
Send these 8 questions to every company you shortlist, so you can compare the answers side by side.
Warning Signs
- A percentage quoted on billed charges rather than net collections
- Confident Medicare answers paired with vague Medi-Cal ones
- Collection rate promises with no client data behind them
- Auto-renewing terms with long notice periods
- No read-only access to your own claim and payer systems
Hire In-House or Outsource?
| Consideration | Your own home health biller | An outside team |
|---|---|---|
| Cost shape | Salary, benefits, software, training | A share of collections or a flat fee |
| Coverage gaps | Claims stall during leave or turnover | Another biller picks up the queue |
| California rule knowledge | Only what your hire brings | Built across many agencies |
| Oversight | Direct and daily | Through reports and scheduled calls |
| Best suited to | Larger agencies with a stable team | Smaller or growing agencies, or after a resignation |
What It Costs in Los Angeles
Most home health billing companies charge a share of net collections, so they earn when you do. Published 2026 guides put home health care billing services at roughly 4% to 8%, and LA quotes land in that band. Scope moves the number more than the model: whether eligibility, admission notices, authorization work, CalEVV 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% and MZ Medical Billing’s 2.99% both sit below it, so ask what each quote covers.
4% to 8%
Monthly pricing suits a steady census but gets expensive when volume dips. Get the included services in writing.
Hourly
or per full-time equivalent is common with offshore teams and needs the most arithmetic. Work out how many hours your census requires.
Mistakes LA Agencies Make
- 1
Hiring a physician-practice biller
Family medicine, internal medicine, and geriatrics are office specialties billed per visit. Home health billing and coding runs on 30-day periods and institutional claims. The skills do not transfer. - 2
Assuming Medicare knowledge covers Medi-Cal
They are different deadlines, different systems, and different documentation. Test both. - 3
Leaving old A/R undecided
Agree in the contract who works claims billed before go-live, and for how long. - 4
Taking the lowest percentage
A cheaper rate on weaker collections costs more. Compare collected dollars. - 5
Skipping the reference calls
Two conversations with LA agencies will tell you more than any sales deck.
How We Ranked These Companies
Every company on this list is scored against the same six criteria below, weighted as shown, and ranked by weighted total. TruCare tops the list. Home health depth carries the most weight, which is why focused specialists can outrank larger firms with wider menus. 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 |
| California readiness | 20% | Medi-Cal billing, CalEVV, managed care enrollment, CDPH licensure awareness |
| 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, CDPH and DHCS 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 Dastify Solutions if a California-based team with local payer familiarity matters to you.
- Pick AZ Billing if you bill Medi-Cal home care alongside Medicare home health.
- Pick MZ Medical Billing if a published rate is your starting point.
- Pick Rapid RCM Solutions if clean claim rates and cost drive the decision.
- Pick Cloud Billing Inc if you want a biller who works in home health and nothing else.
- Pick MCA Medical Billing Solutions if you run home health alongside hospice or skilled nursing.
Frequently Asked Questions
It depends on your agency. TruCare is our top pick for most LA agencies because intake, billing, and credentialing run on one platform with a published rate. Dastify is the California-based option, and Cloud Billing Inc. is the narrowest specialist.
Dastify Solutions is California-based. The others provide home health billing services to Los Angeles agencies and support them remotely, which is normal in this industry. Ask any company about meeting cadence and Pacific time coverage.
Most firms charge a share of net collections, typically 4% to 8%. TruCare publishes rates from 2.49%, and MZ Medical Billing lists 2.99%. Flat monthly and hourly models also exist. Always compare what each rate includes, not just the number.
If you serve Medi-Cal members, yes. The filing window is six months rather than twelve, CalEVV visit records must match, and most members sit with managed care plans that set their own authorization and filing terms.
CalEVV is California's electronic visit verification system under Phase II of the state's rollout. Home health care services are covered, so agencies must capture visits in CalEVV or an approved alternate system that feeds the state aggregator.
Some can. MCA, AZ Billing, and Rapid RCM all offer coding or documentation review alongside claims. Others bill only and expect your clinical team or a separate coder to handle OASIS accuracy. Ask before assuming.
Often, yes. One in-house biller is a single point of failure, and home health outsourced billing help removes that risk. Add 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 results are poor, a home health billing consulting company may be the cheaper fix. Some firms offer both, usually under separate agreements.
Plan for several weeks. Payer enrollments, EHR access, and clearinghouse setup set the pace. Ask for a written plan with dates and settle who works pre-transition claims.
Many will. TruCare connects to Axxess, Homecare Homebase, HealthCare Synergy, and 20 other systems. AZ Billing says it embeds in your existing EMR, and Rapid RCM says its team knows home health EMRs. Confirm it in writing, including who pays for extra user licenses.
TruCare Service Details
Serving Greater Los Angeles
TruCare
- Home health billing and revenue cycle management
- Los Angeles 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 other home health EHRs
- Los Angeles and all of California
- Mon–Fri: 8 AM – 6 PM (PST)