Key Takeaways
TruCare tops the list for most NYC agencies. TruCare OS delivers medical billing automation for home health, covering intake, eligibility, billing, and credentialing in one place. It also takes care of PDGM billing, admission notices, and OASIS-to-claim alignment. The result is fewer vendors and less retyping.
Match the support style to your team. Some agencies prefer an in-person billing team in New York. Others prefer a remote partner with strong software and clear reports. TruCare and several others on this list work remotely, so ask every company how often you will meet and who your day-to-day contact will be.
Your agency type sets your shortlist. A skilled agency billing Medicare and a personal care agency billing managed long-term care plans need different skills. Ask each company which agency home care billing solutions it offers for your model.
Three New York rules cause most denials. They are the 90-day Medicaid filing window, EVV visit matching, and managed long-term care authorizations. We cover them in the NYC rulebook below.
Only a few companies show a price. TruCare lists rates from 2.49% of collections, BilNow from 2.7%, and Sunknowledge $7 per hour for dedicated staff. The other three quote on request, so ask for every fee in writing.
1. TruCare
TruCare
5.0 / 5 · Our rating
Best for
Intake, billing, and credentialing in one place
Company Overview
TruCare is a revenue platform that serves NYC home health agencies. It handles Medicare, Medicaid managed care, and long-term care plan billing in one place, instead of spread across separate systems.
TruCare runs on four tools:
TruIntake takes over scheduling, intake, and eligibility checks.
TruRev runs billing from charge entry through cash posting.
TruCred handles credentialing and payer enrollment.
TruIntel turns claim data into live reports.
Trucare's certified home health billers review any claim the software flags before it leaves your office. On the Medicare side, TruCare manages PDGM billing, admission notices, OASIS-to-claim alignment, and LUPA risk. On the Medicaid side, one patient record holds the details New York reviewers ask for, including eligibility, plan authorizations, and supporting documentation. That gives your biller solid facts when a claim nears the 90-day Medicaid filing limit, or when a managed long-term care plan or OMIG reviewer has questions. TruCare also connects to home health EHRs such as Axxess, Homecare Homebase, and HealthCare Synergy, so your clinicians can keep the system they know.
Pros and Cons
Pros
- Intake notes, eligibility checks, and plan authorizations travel with the claim instead of living in a second system.
- Payer enrollment and credentialing sit beside billing, which helps when you add a managed long-term care contract.
- Clinicians keep charting in Axxess, Homecare Homebase, HealthCare Synergy, or 20 other home health EHRs
- You can read the starting rate, 2.49% of collections, before you book a call.
Cons
- No New York office, so meetings happen by video
- Founded in 2022, so it has a shorter track record than long-established firms.
- You have to request contract terms, since they are not posted
Pricing
Best For
Key Features / USPs
Our Verdict
Reviews from Google
Average Review Score and Summary of Reviews
2. iRCM
iRCM
4.9 / 5 · Our rating
Best for
NYC-based billing support
Company Overview
Pros and Cons
Pros
- An NYC-based billing team
- Home health billing services built for agencies
- Billing, credentialing, coding, and denial work under one roof
- Out-of-network billing is available
Cons
- No prices are posted
- Supported EHRs are not named
- Home health competes for attention with other specialties
Pricing
Best For
Key Features / USPs
Our Verdict
Reviews from Google and Trustpilot
Google“iRCM is wonderful to work with as they are super responsive to our needs and always willing to work as a team. We are so glad we found them!”
Trustpilot“Extremely helpful billing company that helps me over and over again.”
Average Review Score and Summary of Reviews
3. HMS USA LLC
HMS USA LLC
4.7 / 5 · Our rating
Best for
Billers who cover skilled and aide care
Company Overview
Pros and Cons
Pros
- Based in New York
- Covers skilled and non-skilled home health billing
- Adds coding, credentialing, and patient billing
- A site testimonial points to New York nursing home work
Cons
- Home health is one of several service lines
- No prices are posted
- EHR support is not listed
Pricing
Best For
Key Features / USPs
Our Verdict
Reviews from Google and Trustpilot
Google“Simply the best billing company you can ask for. Every penny is accounted for.”
Trustpilot“Very good at communicating and following up on claims. Highly recommend them.”
Average Review Score and Summary of Reviews
4. Medical Billers and Coders (MBC)
Medical Billers and Coders (MBC)
4.6 / 5 · Our rating
Best for
PDGM accuracy from a remote team
Company Overview
Pros and Cons
Pros
- Home health billing services centered on PDGM accuracy
- Billing, coding, and credentialing on one menu
- A recovery service for aged A/R
- Says it is EHR-agnostic
Cons
- Home health EHRs are not named
- No prices are posted
- Its own statistics vary by source
Pricing
Best For
Key Features / USPs
Our Verdict
Reviews from Google
Average Review Score and Summary of Reviews
5. Sunknowledge Services
Sunknowledge Services
4.4 / 5 · Our rating
Best for
Dedicated billing staff paid by the hour
Company Overview
Pros and Cons
Pros
- An NYC-based company
- Home health billing services with front-end and back-end support
- Hourly rates start at $7 per resource
- Says it holds ISO 27001 and HIPAA compliance
Cons
- Hourly pricing is hard to compare with percentage quotes
- Home health EHRs are not named
- It is unclear where the dedicated staff are located
Pricing
Best For
Key Features / USPs
Our Verdict
Reviews from Google
Average Review Score and Summary of Reviews
6. BilNow
BilNow
4.4 / 5 · Our rating
Best for
A posted rate and a flexible contract
Company Overview
Pros and Cons
Pros
- Lists an NYC headquarters
- Posts a rate from 2.7% of collections
- No setup fee or long-term contract, per its site
- Offers home health billing services
Cons
- Named EHRs are practice-management systems
- Home health is one of many specialties
- We could not independently confirm its New York office
Pricing
Best For
Key Features / USPs
Our Verdict
Reviews from Google and Trustpilot
Google“We have been working with them for almost a year. Billing is fast and always available for any questions.Read on Google
Note: No written reviews found on Google, 5.0 rating from 4 reviews, as listed on BilNow's DesignRush profile”
Trustpilot“I cannot say enough positive things about our experience working with Bilnow.com. They have been an exceptional revenue cycle management partner for our growing behavioral health practice.”
Average Review Score and Summary of Reviews
Home Health Billing Companies in New York City: Compared at a Glance
| 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 | Intake, billing, and credentialing in one place |
| iRCM | Quote-based | Home health plus many other specialties | Not listed | NYC-based billing support |
| HMS USA LLC | Quote-based | Skilled and non-skilled home health | Not listed | Billers who cover skilled and aide care |
| Medical Billers and Coders | Quote-based | Home health plus 30+ other specialties | Says EHR-agnostic. Names Epic, athenahealth, eClinicalWorks, Kareo | PDGM accuracy from a remote team |
| Sunknowledge Services | Hourly, from $7 per hour | Home health plus many other specialties | Not listed | Dedicated staff paid by the hour |
| BilNow | % of collections, from 2.7% | Home health plus about 50 other specialties | Works inside your EHR. Names practice-management systems | A posted rate and a flexible contract |
The NYC Billing Rulebook: What Every Home Health Biller Must Handle
8 Rules That Shape Home Health Billing in NYC
- Medicare
Medicare: one notice, five days
The clock starts the day care begins. One Notice of Admission per admission has to reach Medicare and be accepted within 5 calendar days, or the agency loses payment for every day it runs late. - Medicare
Medicare: no Review Choice, but expect requests
New York is outside the six Review Choice Demonstration states, yet Medicare can still ask for records. Keep the plan of care and face-to-face note ready. - New York Medicaid
Medicaid: the 90-day window
Claims are due within 90 days of the date of service. Certified agencies and licensed home care agencies can get up to 12 months to obtain a physician signature on orders. - New York Medicaid
Medicaid: EVV
Personal care has needed EVV since January 1, 2021, and home health care services since January 1, 2023. You choose the system, and it must send data to the state's aggregator. - New York Medicaid
Medicaid: verification organizations
Agencies above $15 million in Medicaid reimbursement must use a verification organization to review claims before submission. - Managed long-term care
Managed long-term care: plan authorizations
Dual-eligible adults who are 21 or older and need community-based long-term care for more than 120 days must join a managed long-term care plan. That has been in effect in NYC since September 2012. The plan approves and pays the visits. - Medicaid managed care
Aide claims: worker IDs
NYS DOH guidance asks for a Home Care Registry ID, or a Type 1 NPI when available, on aide and personal care encounters. MetroPlusHealth says it will enforce this for dates of service from October 1, 2026. Ask each plan for its date. - New York Medicaid
CDPAP: one fiscal intermediary
Public Partnerships LLC has been the only fiscal intermediary for the Consumer Directed Personal Assistance Program since April 1, 2025.
Two NYC Claims That Went Wrong
Both problems were small. Both were preventable. A biller who watches these rules finds them in days instead of months.
Where NYC Claims Break, by Payer
| Payer | What goes wrong | What a strong partner does |
|---|---|---|
| Traditional Medicare | The notice is accepted after day 5 | Files at admission and tracks the deadline |
| Medicare record requests | The plan of care or face-to-face note is missing | Keeps support documents ready before billing |
| Medicaid fee-for-service | The claim goes out after 90 days | Bills early and uses the right delay reason code |
| All Medicaid payers | No EVV visit matches the claim | Reviews EVV matches before submission |
| Managed long-term care plans | The authorization is expired, or the wrong plan is billed | Verifies the plan and authorization every period |
| Aide and personal care claims | The direct care worker ID is missing | Adds the Home Care Registry ID or Type 1 NPI |
| Clients with Medicare and Medicaid | Medicaid gets the claim while Medicare is still deciding | Sends it to Medicare first and tracks what is left for Medicaid |
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.
Picking Your NYC Billing Partner: Four Steps
Questions That Separate Strong Billers From Weak Ones
- EHR accessWhich home health EHRs do you work in, and do you need our login or an integration?
- Notice of AdmissionWho files our Notice of Admission, and how do you watch the 5-day limit?
- Medicaid filingWhat stops a Medicaid claim from slipping past 90 days?
- EVV matchingHow do you confirm EVV matches before you submit?
- Managed long-term careWhich managed long-term care plans do you bill today?
- Worker IDsHow do you add Home Care Registry IDs to aide and personal care claims?
- ReferencesWhich two NYC agencies can we call as references?
- Exit termsIf we leave, what happens to our open A/R and our data?
Get the answers in writing
Send these 8 questions to every company you shortlist, so you can compare the answers side by side.
Red Flags to Watch For
- Fees charged on gross billings instead of net collections
- No named contact and no US-based escalation path
- Fuzzy answers on EVV, managed long-term care, or notice timing
- Auto-renewing contracts with heavy exit fees
- No read-only access to your own claim and payer data
Hire a Team or Outsource?
| Factor | Hire in-house | Outsource |
|---|---|---|
| How you pay | Salaries, benefits, software, and training | A share of collections, an hourly rate, or a flat fee |
| When someone is out | Claims stall until a replacement is trained | Other staff pick up the work |
| New York expertise | Only what your hires bring | Experience from many agencies |
| Oversight | Direct and daily | Through reports and dashboards |
| Works best for | Large agencies with a stable, skilled team | Small or growing agencies, or teams with turnover |
New York Compliance Checklist: Five Areas to Get Right
Know your license
Know your Medicaid pipelines
Expect audits
Keep EVV clean
Keep worker records current
What You'll Pay for Home Health Billing in NYC
4% to 8%
$7 per hour
Fixed
Five Mistakes NYC Owners Make When Choosing a Biller
- 1
Shopping on price alone
A cheap rate gets expensive when notices go in late, or claims miss the 90-day window. - 2
Hiring for one payer
A biller who is strong in Medicare may struggle with managed long-term care plans. Test both. - 3
Forgetting the old receivables
Decide who works claims billed before go-live, and for how long. - 4
Accepting vague reports
Ask for a sample that shows denials by reason and days in A/R. Also ask who your home health biller will be and which NYC agencies that person serves. - 5
Leaving data access unsettled
Your clearinghouse, payer logins, and claim history should stay with you.
How We Ranked These Companies
| Criterion | Weight | What we check |
|---|---|---|
| Home health depth | 30% | PDGM billing, OASIS support, admission notices, LUPA monitoring, and personal care billing |
| New York readiness | 20% | NY Medicaid billing, managed long-term care, EVV matching, and Home Care Registry reporting |
| Transparency | 15% | Posted pricing or a clear quote process, contract terms, and access to your own data |
| Technology and EHR fit | 15% | Works inside home health EHRs and shares reports without being asked |
| Verified client feedback | 10% | Ratings and written reviews on Google, Trustpilot, and Reddit |
| Onboarding and support | 10% | A named contact, a written onboarding plan, and an A/R transition plan |
Data sources
Review process
Conflict of interest disclosure: TruCare publishes this guide and appears on this list. We scored TruCare on the same criteria as every other company, and we do not accept payment for placement. Read our editorial policy.
Our Final Picks: Matching a Biller to Your NYC Agency
- Choose TruCare for one platform from intake to credentialing and a rate you can read online. It is our top pick for most NYC agencies.
- Choose iRCM if an NYC-based billing team matters to you.
- Choose HMS USA LLC if you bill nursing visits and personal care together.
- Choose Medical Billers and Coders if PDGM accuracy from a remote team is your priority.
- Choose Sunknowledge if you want dedicated staff at an hourly rate.
- Choose BilNow if you want a posted rate and an easy exit.
Frequently Asked Questions
TruCare Service Details
Serving Greater New York City
TruCare
- Home health billing and revenue cycle management
- New York City 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
- New York City and all of New York
- Mon–Fri: 8 AM – 6 PM (EST)