CPA-Led Accounting Built for Home Health Agencies

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Running a home health agency in Illinois means navigating one of the 
most complex reimbursement environments in healthcare. Between PDGM 
billing, Medicare certification requirements, cost-based reporting, 
and caregiver payroll compliance, your financial picture demands more 
than a general accountant can provide.

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At Soriaga & Associates, we've spent 25+ years working exclusively 
with home health agencies, hospices, and home care providers across 
Chicagoland. We know this industry the way your clinical team knows 
patient care — from the inside out.

WHAT WE HANDLE FOR HOME HEALTH AGENCIES

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• Medicare cost report preparation and filing (no utilization, low utilization, and full utilization)

• PDGM-aware financial reporting and cash flow analysis

• Monthly bookkeeping and financial statements

• Caregiver and administrative payroll processing and compliance

• Business and individual tax preparation and planning

• Fractional CFO services for growing agencies

• IDOA, DHS, and CILA cost report preparation

• Audit defense and documentation support

 

WHY HOME HEALTH AGENCIES IN CHICAGOLAND TRUST US

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Most CPA firms treat home health like any other healthcare client. 
We don't. We understand:

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• How PDGM episodic payment groupings affect your monthly revenue

• The difference between no-utilization and full-utilization cost  reports — and which applies to your agency

• How Medicare CAP calculations work and how to stay compliant

• Illinois-specific regulations for home health licensure and financial reporting

 

FREQUENTLY ASKED QUESTIONS

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Q: What is a Medicare cost report and does my home health agency 
need to file one?
A: If your home health agency is Medicare-certified, you are required 
to file an annual cost report with CMS. Filing errors or late 
submissions can result in payment adjustments or penalties. Our team 
has filed hundreds of home health cost reports over 25+ years.

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Q: What is PDGM and how does it affect my accounting?
A: The Patient-Driven Groupings Model (PDGM) changed how Medicare 
pays home health agencies from volume-based to value-based. Payments 
are now based on patient characteristics, diagnoses, and care timing 
— making accurate financial tracking more important than ever. We 
align your bookkeeping with how PDGM actually pays.

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Q: How is home health accounting different from regular accounting?
A: Home health agencies deal with Medicare reimbursements, cost-based 
reporting, complex caregiver payroll classifications, and state 
licensing financial requirements. A general CPA unfamiliar with these 
systems can miss deductions, misclassify employees, or file cost 
reports incorrectly — any of which can cost your agency thousands.

Serving home health agencies in Lisle, Naperville, Westmont, Chicago, 
Downers Grove, Oak Brook, Aurora, Joliet, and throughout Illinois.

 

Call 630-491-1268 for a free consultation with a home health 
accounting specialist.