Home health accounting
Home Health Agency Accounting Services in Illinois
CPA-led accounting for home health agency owners: Medicare cost reports, PDGM-aware books, payroll, and tax from one team.
- CPA firm since 1985
- 25+ years in healthcare
- 5.0 on Google · 15 reviews
Why it matters
CPA-Led Accounting Built for Home Health Agencies
Based in Lisle, Illinois, we serve home health agencies nationwide, fully remote. 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.
At Soriaga & Associates, we've spent 25+ years focused on 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
- 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 tax preparation and planning, coordinated with the owner's personal return
- 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
Most CPA firms treat home health like any other healthcare client. We don't. We understand:
- How PDGM 30-day payment periods affect your monthly revenue
- The difference between no-utilization and full-utilization cost reports — and which applies to your agency
- How PDGM's 30-day payment periods and LUPA thresholds affect your monthly revenue
- Illinois-specific regulations for home health licensure and financial reporting
What happens next
- 01
Free 20-minute call
Tell Christian about your agency and what is on your plate. No pitch deck, no pressure.
- 02
Written fee quote
You get a clear written quote for the work before we start. No surprises.
- 03
We handle it
Your CPA team takes it from there and keeps you posted until it is filed.
Client reviews
What our clients say
5.0 from 16 Google reviews
“Soriaga & Associates LLC has expertly handled our Medicare Cost Report preparation and filing for several years. They are reliable professionals ensuring compliance and efficiency in filling out cost reports. They respond quickly to emails and provide proactive support.”
“Working with Soriaga & Associates has been a worthwhile experience. They exhibit at all times, high professional standards and ability to educate on complex IRS/CMS requirements.”
“I've been working with this Accounting firm for many years across multiple companies, and they've consistently delivered exceptional service... a team you can truly depend on.”
FAQ
Frequently asked questions
Still have questions? Ask them on a free 20-minute call.
What is a Medicare cost report and does my home health agency need to file one?
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 home health cost reports for over 25 years.
What is PDGM and how does it affect my accounting?
The Patient-Driven Groupings Model (PDGM, 2020) replaced 60-day episodes with 30-day periods and removed therapy visit counts from payment, shifting payment toward patient characteristics. 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.
How is home health accounting different from regular accounting?
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 money.
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.
Free 20-minute call
Talk to a CPA who knows home health.
Talk directly with Christian Soriaga, CPA. No pitch deck, no obligation.
On the call we’ll cover
- Your situation and what is due next
- Deadlines and filing status
- A clear written fee quote
- Clear next steps, no obligation
Christian Soriaga, CPA
Soriaga & Associates, LLC