Maximize post-acute revenue. Minimize claim denials.
HIPAA-compliant revenue cycle management for home health agencies, hospices, and skilled nursing facilities. PDGM, PDPM, and hospice billing specialists — backed by automated scrubbing and denial prevention — turn clean claims into predictable cash flow.
- Claim submission target
- 48-hr
- Inquiry response
- 1 day
- BAA in place
- Day 1
Revenue cycle command center
Claims pipeline healthy
- Clean claim rate
- 98.5%
- +3.2 pts
- Avg. turnaround
- 48 hr
- −26 hr
- Denial rate
- 1.8%
- −4.1 pts
Claims accepted per week
Last 8 weeks
- NOE acceptedHospice · Day 1 of 5On time
- PDGM final claim paidHome health · HIPPS verifiedPaid
- IPA review flaggedSNF · Triple check queuedReview
Built around the rules that govern post-acute reimbursement
- CMS PDGM
- CMS PDPM
- Hospice CoPs
- HIPAA Privacy & Security Rules
- OIG Compliance Program Guidance
- X12 5010 EDI
- Medicare Claims Processing Manual
- HITECH Breach Notification
Core verticals
Specialists for every post-acute payment model
Home health, hospice, and skilled nursing each run on different rules, deadlines, and assessment data. Our teams are organized by vertical, so the people billing your claims know those rules by heart.
Home Health
Home Health Billing
Every 30-day period managed under PDGM — OASIS review workflows, NOA timeliness, LUPA monitoring, and final claims that match the documentation.
- PDGM 30-day periods
- OASIS review
- NOA tracking
- LUPA monitoring
Hospice
Hospice Billing
Tiered per-diem accuracy, NOE/NOTR timeliness, CTI and face-to-face tracking, and cap monitoring — handled by specialists who bill hospice every day.
- Tiered RHC per diem
- NOE/NOTR timeliness
- Face-to-face compliance
- Cap monitoring
SNF
Skilled Nursing Facility Billing
PDPM optimization grounded in documentation, MDS assessment coordination, structured triple checks, and consolidated billing reconciliation.
- PDPM optimization
- MDS coordination
- Consolidated billing
- Triple check
Closed-loop denial management
Every denial root-caused and worked within 48 hours, with prevention fed back upstream.
Clearinghouse & EDI control
837I, 277CA, FISS/DDE, and 835 ERA workflows monitored daily so no claim goes missing.
HIPAA-first security
BAA before access, encryption everywhere, least-privilege accounts, and full audit logging.
Our commitments
Service standards you can hold us to
Clear, measurable commitments for every client, starting on day one.
Claim submission target
48-hr
From complete documentation to a submitted claim
Claims scrubbed before release
100%
Every claim checked against payer-specific edits before submission
Inquiry response
1 day
A post-acute billing specialist replies within one business day
Cost of your RCM audit
$0
A written findings report with the revenue impact of each issue
BAA signed before we review a single claim
See exactly where your revenue is leaking.
Our free RCM audit benchmarks your clean claim rate, denial trends, timeliness, and aged A/R against post-acute best practice — with a dollar value attached to every finding.