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Proudly Serving Ohio Home Health Agencies

Precision Billing.
Maximum
Recovery.

Zenith Billing Services delivers expert DODD waiver billing, Ohio Medicaid claims management, and EVV compliance — helping your agency collect every dollar you've earned.

HIPAA Compliant
DODD Waiver Experts
EVV-Ready Billing
No Long-Term Contracts
Agency Performance Snapshot
98%
Clean Claim Rate
<30
Days to Payment
3
DODD Waivers
48h
Claim Turnaround
📋
DODD Waiver Billing — IO, Level 1, SELF
🏛️
Ohio Medicaid & Managed Care Claims
📡
EVV Compliance & Sandata Reconciliation
🔁
Denial Management & Appeals
Ohio Payers We Bill
Ohio DODD
Ohio Medicaid
CareSource
Buckeye Health
Molina Healthcare
UnitedHealthcare
Aetna Better Health
AmeriHealth Caritas
What We Do

End-to-End Revenue Cycle Management

We handle every phase of your billing — from eligibility verification through collections — so your team can concentrate on delivering exceptional patient care.
01 — Core

DODD Waiver Billing

Expert claim submission for all three Ohio DODD waivers: Individual Options (IO), Level 1, and SELF. We stay current with every code change and PAWS authorization requirement.

IO · Level 1 · SELF →
02 — Core

Ohio Medicaid Claims

Full-service billing through Ohio's PNM portal for both fee-for-service Medicaid and all major managed care organizations across the state.

FFS & Managed Care →
03 — Core

EVV Compliance

We reconcile every visit against Sandata EVV data before claim submission — preventing the 4-point mismatches that trigger automatic denials in Ohio's enforcement era.

Sandata · Pre-Check →
04 — Recovery

Denial Management

We identify, correct, and resubmit every denied claim. We track denial patterns and address root causes so the same error doesn't cost you twice.

Appeals · Recovery →
05 — Oversight

AR Reporting & Analytics

Transparent, accurate reporting on your accounts receivable, collection rates, denial trends, and cash flow — delivered in plain language every month.

Real-Time Reporting →
06 — Prevention

Eligibility Verification

We verify Medicaid eligibility before every billing cycle — catching coverage lapses before they become denied claims that cost your agency time and revenue.

Pre-Billing Verified →
98%
Clean Claim Rate
on First Submission
<30
Days Average Time
to Payment
3
Ohio DODD Waivers
Fully Supported
7+
Ohio MCOs
We Bill Daily

What sets Zenith apart

Ohio-only specialization
We focus exclusively on Ohio home health payers — no generalist blind spots.
Dedicated billing team
Direct access to your billers — not a call center or ticketing queue.
HIPAA-compliant from day one
Every engagement begins with a signed BAA and end-to-end encrypted workflows.
No long-term contracts
Month-to-month terms. We keep your business through results, not lock-in.
🔒
Every client engagement begins with a signed Business Associate Agreement
Our Advantage

Ohio DODD Billing Is What We Know Best

Most billing companies are generalists who handle dozens of payer types across multiple states. We built Zenith specifically for Ohio home health — and that focus pays off in fewer denials, faster collections, and billers who truly understand your claims.

We know the difference between an IO Waiver claim and a SELF Waiver claim. We know what triggers EVV mismatches in Sandata. We know which Ohio MCOs have the longest processing cycles and how to follow up effectively.

01
Personalized for your agency
We learn your agency's workflows, payer mix, and challenges — and tailor our approach to maximize your specific revenue.
02
Transparent reporting every month
Clear AR reports, denial breakdowns, and collection summaries delivered every billing cycle — no surprises.
03
Built for small to mid-size agencies
We focus on the Ohio agencies that national billing companies overlook — giving you enterprise-level billing at an accessible price point.
How It Works

Up and Running in One Week

Our onboarding is fast, simple, and designed to minimize disruption to your team.

1

Free Consultation

We learn about your agency, your payers, your open AR, and your biggest billing pain points — with no obligation.

2

Agreement & Setup

We sign your MSA and BAA, get authorized on your billing system, and conduct an initial AR review.

3

Billing Begins

Clean claims go out within 48 hours. EVV reconciled, eligibility verified, and denials caught before they happen.

4

You Get Paid

Faster reimbursements, fewer denials, and transparent monthly reporting on every dollar collected.

About Zenith

A Team Built Around Ohio Home Health Billing

Zenith Billing Services was founded with a clear purpose: to give Ohio's home health and I/DD agencies access to billing expertise that is deeply specialized, not generalized.

Our team is made up of experienced, highly qualified billers who have spent years working within the Ohio home health and developmental disabilities billing landscape. We understand the nuances of DODD waiver programs, Medicaid managed care authorization, EVV enforcement, and the specific compliance requirements Ohio agencies face every billing cycle.

We currently serve home health agencies across Ohio, providing each client with the personalized attention and expert execution that produces real, measurable results — maximum reimbursement, minimal denials, and more time for your team to focus on patient care.

HIPAA Compliant
DODD Certified Training
Ohio Medicaid Expert
EVV / Sandata Specialist
PNM Portal Certified
Schedule a Consultation →
🏥
Zenith Billing Services
Ohio Home Health Specialists
88
Ohio Counties Served
3
DODD Waivers Billed
7+
Ohio MCOs We Bill
48h
Avg. Claim Turnaround
FAQ

Common Questions from Ohio Agencies

Everything home health agencies want to know before working with a billing partner.

Ask Us Anything →
No. We work within your existing system. You simply authorize us as a billing user on your current platform — AxisCare, Axxess, CareSmartz360, or any other. We adapt to your setup, not the other way around.
We offer a percentage-of-collections model — you only pay when we collect for you. We also offer flat monthly rates for agencies that prefer budget predictability. We'll discuss both options during your free consultation and find what fits best.
Yes — DODD waiver billing is our specialty. We handle Individual Options (IO), Level 1, and SELF waivers. We stay current with PAWS authorization requirements, billing code updates, and Ohio DODD policy changes so your claims are always submitted correctly.
Before submitting any claim, we reconcile your visit data against Sandata EVV records to confirm a match on all required data points: date of service, billing provider NPI, service code, and member Medicaid ID. We flag and resolve discrepancies before submission — not after a denial.
Every engagement starts with a signed Business Associate Agreement (BAA) as required by HIPAA. We use encrypted email and secure file transfer for all PHI. Access to patient data is strictly role-controlled and audited.
No. We operate month-to-month because we want to earn your business through results — not binding agreements. Most of our clients stay long-term because of the consistent improvement in their collections and the clarity of our reporting.
Most agencies are fully onboarded within 5–7 business days. Once agreements are signed and system access is granted, we begin reviewing open AR and submitting new claims within 48 hours.
Contact Us

Let's Talk About Your Agency

Ready to reduce denials and increase collections? Schedule a free consultation — no commitment required.

Get in Touch
📞
Phone
+1 (419) 320-2636
✉️
Email
zenithbillingservices@gmail.com
📍
Service Area
All Home Health Agencies Across Ohio
Business Hours Monday – Friday  ·  9:00 AM – 5:00 PM ET
We typically respond to emails within 4 business hours.
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