Home Health billing
PDGM changed home health billing completely. We manage NOAs, 30-day periods, OASIS-driven coding, and Medicare compliance so your agency gets paid correctly and on time.
The problem
How we handle it
NOAs filed within 5 days to avoid non-timely penalties.
Primary diagnosis and comorbidity coding that drives correct HHRG grouping.
Visit counts monitored against LUPA thresholds.
F2F, POC, and orders checked before final claims go out.
Workflow
Client example
The situation. Late NOA filings caused penalties, and OASIS coding was dragging down case-mix.
What we did. NOAs went out within 48 hours of start of care, and OASIS and diagnosis coding were reviewed before final claims.
Client details anonymized. Results vary by practice.
ABA Therapy, Behavioral Health, Mental Health, Primary Care, Cardiology, Orthopedics, Physical Therapy, Laboratories, and Specialty Clinics.
Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.
We sign a BAA before any patient data changes hands.
