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Home health billing in 2026 remains brutal PDGM complexity, rising Medicare audits, OASIS alignment issues, and aggressive denials are quietly costing agencies thousands per episode. This honest guide ranks the top 5 home health billing companies, with Sirius Solutions Global leading for deep PDGM expertise, proactive denial management, transparent reporting, and proven revenue recovery that helps agencies stabilize cash flow and focus on patient care.

Home health agencies in 2026 face rising denials, PDGM recalibrations, and Medicare payment cuts threatening cash flow. This guide reveals the top denial triggers (missing signatures, OASIS inconsistencies, coding errors), proven documentation fixes, eligibility workflows, and denial management strategies to achieve 95%+ clean claim rates, faster payments, and stronger revenue.