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      Michigan Home Health Provider Billing Guide

      Let's Bill in HHAeXchange!

      Learning a new billing process isn't easy, considering the many components and steps required to successfully submit a claim. HHAeXchange is here to help. In this guide, we'll simplify the billing process by breaking it down into easy-to-follow steps, empowering you to confidently bill in no time.

      Payroll-billing

      Where do I start? 

      First, we begin by preparing the billing information in the system. In this phase, we verify to confirm that essential requirements and information is in place (such as Payer, Service Codes, Rates, matching Disciplines, Diagnosis Code, etc.).

      For additional billing guidance, refer to our guide 6 Essential Claim Submission Steps to ensure you have completed all necessary measures to prevent billing holds and delays in the process.

      Steps to Bill in HHAeXchange

      1. Prebilling Review 

      The Prebilling Review functionality verifies that all visit information needed to invoice the visit is completed. This feature finds visits with potential problems that may cause delay, hold, or claim denial if not corrected or resolved prior to invoicing. 

      Let’s run a Prebilling Review to check for problems before invoicing visits. Refer to the Prebilling Exception Page topic for steps and instructions.

      View the Prebilling Video or Prebilling Interactive Training for a tutorial.

       

      2. Create an Invoice Batch 

      Once all details have been corrected for potential problems, we can invoice those visits. In this phase, let’s create a billing batch. Review the New Invoice Batch (Internal) topic to access the steps and instructions to create an invoice batch.

      View the Invoicing Demo for a video demonstration.

       

      3. Billing Review 

      The Billing Review feature is another essential checkpoint to verify that all invoices meet Payer requirements and that all necessary information is captured to bill in the system. Refer to the Billing Review topic for details and instructions.

      View the Billing Review Video or Billing Interactive Training for a tutorial.

      Pro Tip: The system does not allow the e-billing of claims until all holds are resolved. Refer to the Billing Review Problems and Resolutions for guidance.

       

      4. Electronic Billing (eBilling)

      And now, you are ready to bill! The final step is to send claims to the Payer via the system e-Billing process. Review the Create a New Claims Batch topic for e-Billing steps and instructions.

      View the for e-Billing Video for additional training.

       

      5. Congratulations

      Your invoice batch was sent to the Payer for adjudication and further process.

       

      6. Claims Status Check 

      Please allow approximately 48 hours to see the status in HHAeXchange application. Run the Claims Status Report (Report > Billing > Claims Status Report).

      • If the status is rejected, then the rejection reason(s) is listed under the Claims Status Reason column.
      • If the status is not available after 48 hours, then submit a ticket via the Client Support Portal with the subject link “MS Status Not Found.”