Home health accounting
Home Health Agency Accounting Services
CPA-led accounting for home health agency owners: Medicare cost reports, PDGM-aware books, payroll, and tax from one team.
- CPA firm since 1985
- 20+ years in healthcare
- 5.0 on Google · 16 reviews
Why it matters
CPA-Led Accounting Built for Home Health Agencies
We serve home health agencies nationwide, fully remote, from our office in Lisle, Illinois. Running a home health agency 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.
Soriaga & Associates, LLC has been a CPA firm since 1985, with 20+ years in healthcare accounting. We work with home health agencies, hospices, and home care providers, and we know how your revenue and reporting actually work.
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
Medicare cost reports at a flat fee
Medicare-certified home health agencies file an annual cost report with CMS. We prepare and file it for a flat fee of $1,599.99, or $500 if your agency had no utilization.
See Medicare cost report filing for what is included and how the process works.
How much does home health accounting cost?
Monthly retainers starting from $800 per month. A retainer can include bookkeeping, payroll, tax planning and filing, and Medicare cost report support. The exact fee depends on the size and scope of your agency, and we confirm it in writing after your free 20-minute call.
We serve home health agencies in all 50 states, fully remote. See our pricing page for every fee.
How we work with your agency
Getting started is simple, and you know the cost before we begin.
- 01Free 20-minute call. We learn about your agency, your books and what you need help with.
- 02Written flat-fee quote. You get the price in writing before any work starts.
- 03Onboarding and catch-up. We take over your books and clean up anything that is behind.
- 04Monthly close and review. We close your books each month and review the numbers with your CPA.
We work in QuickBooks Online and QuickBooks Desktop, and Xero if needed. Ready to start? Book a free 20-minute call.
Why home health agencies choose us
Most CPA firms treat home health like any other healthcare client. We don't. We understand:
- 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 and Chicagoland home health agencies
Our office is in Lisle, so Chicagoland agencies can meet us in person. We know Illinois-specific regulations for home health licensure and financial reporting, and we prepare IDOA, DHS, and CILA cost reports for Illinois agencies.
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 firm has prepared Medicare cost reports since 2004.
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.
How much does home health agency accounting cost?
Our monthly retainers start from $800 per month. A retainer can include bookkeeping, payroll, tax planning and filing, and Medicare cost report support. The exact fee depends on the size and scope of your agency and is confirmed in writing after your free 20-minute call. We serve home health agencies in all 50 states, fully remote.
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.
Related pages: Home health cost report benchmarks · Home health cost report preparation · Switching accountants · New Home Health Agency: Accounting Setup Before and After Medicare Certification · Home Health Consulting: What a Consultant vs. a CPA Should Fix First
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