About us
Built for post-acute care. Accountable to compliance.
We exist so home health agencies, hospices, and skilled nursing facilities are paid fully and correctly for the care they deliver — without trading compliance for cash flow.
Our mission
Deep expertise in a narrow, unforgiving field
Post-acute providers operate on thin margins under some of Medicare's most complex payment rules. A single late NOE, a mismatched OASIS item, or a missed MDS window can erase the margin on an entire admission.
We built 99 Billing Solution to specialize in those rules — and only those rules. Our billers, certified coders, and compliance analysts work exclusively with home health, hospice, and skilled nursing, so the expertise behind your claims is deep rather than general.
“Every claim we submit should be one we'd be comfortable defending in an audit.”
— Our operating standard
- Care settings
- 3
- Claim submission
- 48 hr
- BAA in place
- Day 1
US post-acute compliance
Compliance is the foundation, not a feature
Medicare, OIG, and state Medicaid expectations shape every workflow we run — long before a claim reaches a payer.
Medicare billing rules & Conditions of Participation
Workflows mapped to the Medicare Claims Processing and Benefit Policy Manuals, and to the Conditions of Participation that determine whether a service is billable at all.
OIG compliance program guidance
Our compliance program is organized around the seven elements described in OIG's General Compliance Program Guidance — from written policies and training to auditing, monitoring, and prompt corrective action.
Program integrity readiness
Documentation standards built for the reviews post-acute providers actually face: ADRs, Targeted Probe & Educate, Review Choice Demonstration, UPIC investigations, and RAC audits.
Overpayment safeguards
Potential overpayments are investigated, quantified, and escalated to clients promptly so they can be reported and returned on time under Medicare's overpayment rules.
Leadership philosophy
Four principles that guide every decision
Compliance before cash
We never code or bill beyond what the documentation supports. Revenue that can't survive an audit isn't revenue.
Specialists over generalists
Teams are organized by vertical, and every biller is trained on the payment model they work — PDGM, hospice per diem, or PDPM.
Transparency by default
Clients see the same dashboards we do: A/R, denials, timeliness, and unbilled claims, refreshed every week.
Measured by your outcomes
Success is defined by clean claim rate, days in A/R, and net collections — the numbers that show up on your financial statements.
Security infrastructure
HIPAA-grade safeguards at every layer
Administrative, physical, and technical safeguards are designed in from day one — and documented so they're ready for your compliance officer, auditors, and payers.
Business Associate Agreements
Executed before any access to PHI, with subcontractor BAAs flowing down to every vendor that touches data.
Encryption everywhere
TLS 1.2+ protects data in transit and AES-256 protects data at rest across systems, file transfers, and backups.
Identity & access management
Single sign-on, multi-factor authentication, and least-privilege, role-based accounts reviewed every quarter.
Audit logging & monitoring
System access and PHI activity are logged centrally, with alerts on anomalous behavior.
Secure file exchange
SFTP and encrypted client portals replace email attachments for documents, remittances, and reports.
Workforce security
Background checks, confidentiality agreements, and annual HIPAA privacy and security training for every team member.
Risk analysis & testing
An annual HIPAA security risk analysis, continuous vulnerability scanning, and independent penetration testing.
Incident response
Documented response and breach notification procedures aligned with the HIPAA Breach Notification Rule and client BAAs.
Client PHI is accessed only by our US-based workforce on managed, encrypted devices, under the minimum necessary standard.
How we work together
A transition plan that protects your cash flow
Most agencies complete the full transition within 30–45 days.
- 1
Free RCM audit
We analyze a sample of claims, denials, and aged A/R to size the opportunity before you commit.
- 2
BAA & secure access
Agreements are signed and role-based accounts provisioned in your EHR, clearinghouse, and payer portals.
- 3
Parallel billing & backlog recovery
We take over current billing while working unbilled claims and aged A/R — without disrupting cash flow.
- 4
Steady-state partnership
A dedicated account lead, weekly dashboards, and monthly performance reviews with your leadership team.
BAA signed before we review a single claim
See exactly where your revenue is leaking.
Our free RCM audit benchmarks your clean claim rate, denial trends, timeliness, and aged A/R against post-acute best practice — with a dollar value attached to every finding.