Home health billing, from OASIS to PDGM payment.
End-to-end home health billing for U.S. agencies — RAP/NOA filing, OASIS-driven coding, PDGM-optimized claims, LUPA prevention, and aggressive AR recovery. Built for the rules of home health, not retrofitted from physician billing.
99.0%
First-pass clean-claim rate
On 32x type-of-bill claims
−38%
LUPA-rate reduction
Through visit-planning support
< 5 days
Average NOA turnaround
Under the 5-day CMS window
Built for home health billing,, end-to-end.
Home health billing has its own rules — PDGM case-mix, NOA filing deadlines, OASIS-driven HIPPS coding, LUPA thresholds, sequential billing requirements, and a payer mix that combines Medicare, managed Medicaid, and a growing share of Medicare Advantage plans with their own auth and review processes. None of that maps cleanly onto physician billing.
We specialize in home health. Our team works inside the platforms your agency already uses — Axxess, Alora, KanTime, WellSky, Homecare Homebase, MatrixCare, HHAeXchange, Sandata — and runs your full billing operation from OASIS lock to final payment posting. Our model is transparent: weekly cash reports, KPI accountability, and visit-planning support to keep LUPA risk down.
A complete home health billing, engagement
One scope. One accountable team. Every step of the revenue cycle covered with the same rigor and reporting cadence.
OASIS review & HIPPS coding
OASIS scrubbing for accuracy, ICD-10 primary diagnosis coding aligned to PDGM case-mix, and HIPPS code assignment by certified coders.
NOA & RAP filing
Notice of Admission filing within the 5-day CMS window, automated tracking, and corrected-NOA workflow if data changes.
PDGM-optimized claim submission
Final claim preparation with PDGM case-mix validation, sequential billing controls, and clean 32x type-of-bill submission.
LUPA prevention support
Visit-count monitoring and proactive alerts to your scheduling team when episodes are at risk of falling below LUPA thresholds.
Denial & ADR management
ADR response handling, denial root-cause work, structured appeals, and TPE / RAC audit support.
AR follow-up & cash recovery
Payer-by-payer aged-AR work across Medicare, managed Medicaid, Medicare Advantage, and commercial — with weekly cash reporting.
Measurable performance — not promises.
Benchmarks our clients consistently hit within their first two quarters of partnership.
100%
On-time NOA filing
All NOAs filed inside the 5-day CMS window across active agency clients — zero payment penalties in the last 12 months.
−38%
LUPA-rate reduction
Reduction in LUPA-driven revenue loss through proactive visit-count monitoring and scheduling alerts.
99.0%
First-pass clean-claim rate
On 32x type-of-bill claims — driven by OASIS accuracy, HIPPS validation, and sequential billing controls.
< 24h
ADR response time
Average turnaround from ADR receipt to packet submission — preserving Medicare cash flow.
A repeatable five-step process, engineered for transparency.
No black box. Every handoff documented, every metric reported, every change owned by a named specialist on your team.
Agency intake
We map your payer mix, EMR (Axxess / KanTime / WellSky / others), and current KPI baselines under a signed BAA.
Workflow setup
Roles and access configured inside your EMR; LUPA-alert thresholds and NOA deadlines wired into your daily queues.
Daily operations
OASIS review, HIPPS coding, NOA filing, claim release, denial work, and AR follow-up by a dedicated team.
Weekly reporting
Cash recovered, NOA on-time rate, LUPA risk, denial trends, and aging movement — every Friday.
Continuous improvement
Denial root causes and LUPA near-misses feed back to scheduling and clinical to prevent the next month's losses.
Agency intake
We map your payer mix, EMR (Axxess / KanTime / WellSky / others), and current KPI baselines under a signed BAA.
Workflow setup
Roles and access configured inside your EMR; LUPA-alert thresholds and NOA deadlines wired into your daily queues.
Daily operations
OASIS review, HIPPS coding, NOA filing, claim release, denial work, and AR follow-up by a dedicated team.
Weekly reporting
Cash recovered, NOA on-time rate, LUPA risk, denial trends, and aging movement — every Friday.
Continuous improvement
Denial root causes and LUPA near-misses feed back to scheduling and clinical to prevent the next month's losses.
Specialty-tuned. System-native.
We work inside the platforms your team already uses — across every clinical specialty your organization serves.
Industry specialties
Home health disciplines covered
We bill across every clinical discipline your agency provides, with payer-specific rules baked in.
Technology integrations
Home health EMRs we work in
Every major home health and hospice platform. No system migration required.
What changes inside your operation
The day-to-day improvements your team will notice in the first 60–90 days of working with us — quantified, not implied.
NOAs filed inside the 5-day window
Automated tracking and dedicated NOA specialists keep your on-time NOA rate at or near 100% — avoiding payment penalties.
LUPA rate cut by a third or more
Active visit-count monitoring and scheduling alerts typically reduce LUPA-driven revenue loss by 30–40% in the first quarter.
Faster final claim cash
Cleaner OASIS, accurate HIPPS, and sequential-billing controls accelerate final claim payment — typically 7–10 days faster.
ADR responses on time, every time
ADR letters worked within 24 hours with the right clinical packets — preserving Medicare cash flow.
Audit-ready compliance
HIPAA-compliant workflow, BAA-backed access, and a documented audit trail on every claim — defensible under TPE / RAC review.
Office staff back on patients
Your intake and clinical teams stop chasing billing problems and refocus on referrals, scheduling, and quality of care.
Patient data, treated like patient care.
Home health data is high-stakes. Patient PHI, OASIS clinical detail, and payment authority all live in the same EMR. We protect that with a signed BAA, role-based access only to the surfaces our team needs, encrypted transfer, and a documented audit trail on every claim — defensible under TPE, UPIC, and RAC review.
HIPAA-compliant by design
Encrypted in transit and at rest. Role-based access controls. Annual security review.
BAA-backed engagements
Every engagement starts with a signed Business Associate Agreement before any PHI is shared.
Credentialed coders only
AAPC and AHIMA credentials, continuous QA scoring, and quarterly compliance recalibration.
US-based oversight
Account leadership, QA, and client communication operated and supervised inside the US.
Outcomes that change how teams talk about billing.
“Our NOA on-time rate went from 78% to 100% in the first month. The LUPA alerts alone saved us six figures — visits we would have lost. This is the first billing partner that actually understands PDGM.”
Maria S.
Practice Administrator · Multi-site home health agency, FL
“ADRs used to derail our cash flow. Now they're worked within 24 hours and we don't even feel them in our weekly cash. Their team knows our EMR better than ours does.”
Robert K.
Director of Operations · Skilled home health, OH
“Onboarding inside Axxess took two weeks. By month three, days in AR were down by 18 and our LUPA rate dropped by a third. The weekly cash report is the highlight of our Friday.”
Linda M.
Owner & CEO · Pediatric home health agency, GA
A partner — not just a vendor.
Six reasons U.S. providers trust us with the most accountable part of their operation.
Home health is our specialty
Not a side line. We bill home health every day — PDGM, OASIS, HIPPS, LUPAs, ADRs are core to what we do.
All major home-health EMRs
Axxess, Alora, KanTime, WellSky (Kinnser), Homecare Homebase, MatrixCare, HHAeXchange, Sandata — we work inside your platform.
Transparent reporting
NOA on-time rate, LUPA risk, clean-claim rate, denial trends, aging — all visible in your dashboard, all the time.
HIPAA-secure operations
BAA-backed access, role-based controls, encrypted transfer, and an annually reviewed compliance program.
US-based oversight
Account leadership, QA, and client communication operated and supervised inside the United States.
Performance-aligned pricing
Most agencies engage on a percentage-of-collections model — we earn when you collect, not when we submit.
Everything you wanted to ask about home health billing,.
Can't find what you need? Ask a specialist.
See what your home health billing should be doing for you.
30 minutes with a senior home-health specialist. We'll review your recent NOAs, LUPA exposure, and AR aging — then hand you a written 90-day plan. No contract required.