Home Health and Hospice Credentialing Services
Get in-network with less friction and less stress.
A credentialing experience that feels organized, responsive, and easy to track.
We manage home health and hospice credentialing applications, portals, follow-ups, and payer requests so your enrollment stays structured, transparent, and operationally predictable.
Credentialing Built for Home Health and Hospice Realities
Home health and hospice credentialing is agency-centric and highly regulated. Successful participation depends on accurate alignment between licensure, certification, ownership, service areas, and payer enrollment:
- Agencies are credentialed primarily as entities, separate from individual clinicians
- Medicare and Medicaid enrollment often require additional certification and survey prerequisites
- Service areas, branch locations, and counties served must align with payer records
- Ownership structure, managing employees, and authorized officials must be accurately disclosed
- Provider-to-agency and agency-to-payer linkage errors can delay activation even after approval
- Small data mismatches—addresses, certifications, or control information—can stall or reset applications
pie Health exists to make this complexity manageable through completeness-first submissions, disciplined follow-up cadence, and clear next steps tied to real operational status.
Note: Timelines and approvals are payer-controlled. We do not guarantee outcomes or processing speed. We control accuracy, completeness, responsiveness, and follow-through.
Who We Help
We support home health and hospice organizations across the United States, including:
- Home health agencies
- Hospice agencies
- Skilled nursing home health providers
- Private duty and personal care agencies
- Multi-branch and multi-state home health organizations
- Hospital-affiliated and independent hospice programs
Whether you operate a single agency or a multi-branch organization, the operational risks are the same. We handle entity, branch, and provider-linked credentialing structures.
What We Do
Core Credentialing and Enrollment
- Home health and hospice agency credentialing
- Commercial payer and managed care organization enrollment
- Medicare enrollment workflows when applicable
- Medicaid enrollment and state and MCO workflows when applicable
- Application submission and portal workflow management
- Payor follow-up cadence and request management
- Effective date confirmation and activation tracking
- Branch and service-area enrollment coordination
- Directory activation and discrepancy resolution when applicable
Ongoing Maintenance Required
Credentialing is not a one-time event. Keeping home health and hospice agencies active requires continuous upkeep:
- Recredentialing and revalidation schedules
- License, certification, and expirable tracking
- Ownership, managing employee, and authorized official updates
- Service area and branch location changes
- Directory maintenance and discrepancy handling
- Structured status updates so billing and operations know what is true
Our maintenance model exists to prevent lapses, denials, directory issues, and billing interruptions later.
Is pie a fit for you?
pie is a strong fit if you want credentialing to feel organized and manageable, need behavioral-health-specific execution, value visibility and honest constraints, and prefer a managed service over DIY tracking.
How the Process Works
Market Readiness
We confirm market and readiness, including reviewing payor availability by specialty and license, network status when knowable, and validating the core data required to submit accurately.
Completeness First
We complete payer applications and portal workflows with a completeness-first approach to reduce rework, avoid preventable delays, and minimize stalls caused by missing or mismatched information.
Follow Up & Respond
We maintain a consistent follow-up cadence with payors and route requests quickly, including escalations when responses stall or requirements are unclear.
Activate With Clarity
We confirm effective dates, enrollment or contract status, provider-to-group linkage, and directory state. This gives your team clear signals so you know when you are active and when billing is appropriate.
Note: Timelines and approvals are payer-controlled. We do not guarantee outcomes or processing speed. We do control accuracy, completeness, responsiveness, and follow-through.
Why pie for Home Health and Hospice Credentialing
Agency-Level Pattern Recognition
We understand common home health and hospice credentialing stall points including certification dependencies, ownership disclosure issues, branch enrollment gaps, and service-area misalignment.
Payor Intelligence
We track payer requirements, contacts, and turnaround realities across Medicare, Medicaid, and managed care environments to reduce guesswork and avoid dead-end submissions.
Visibility Built Into the Process
Credentialing should not live in spreadsheets, inboxes, or one person’s head. You get clear status, blockers, and next actions tied to defined states.
Risk-Aware Guidance
We help prevent administrative errors that trigger denials, delays, directory inaccuracies, or participation lapses.
Billing Readiness Discipline
Active and billable is treated as a confirmed state based on effective date, active enrollment or contract status, and completed linkage for each agency, branch, and service area.
Common DIY Home Health and Hospice Credentialing Pitfalls We Prevent
- Submitting enrollment applications before certification prerequisites are complete
- Ownership or managing employee changes reported too late
- Branch locations or service areas not properly enrolled
- Application submissions that do not align with state licensure records
- Slow responses to payer portal requests, causing applications to stall or terminate
- Directory listings that are incomplete or inaccurate, impacting referrals and billing
- Entity or control changes triggering reprocessing or recredentialing
