Maximize your home health agency revenue with specialized billing expertise. Our OASIS-certified coders understand the complexities of PDGM episode payments, RAP/NOA submissions, and compliance requirements for home health and hospice care.
Proven Results
28% Average Revenue Increase
97% Clean Claim Rate
45% Reduction in Denials
20 Days Faster Payment Collection
Common Billing Challenges
OASIS Documentation Complexity
Home health agencies struggle with accurate OASIS assessments that directly impact payment calculations and quality reporting.
RAP/NOA Timing Requirements
Request for Anticipated Payment and Notice of Admission submissions have strict timing requirements that are difficult to manage.
Episode Payment Calculations
PDGM episode-based payment model requires complex calculations and proper timing of claims for optimal reimbursement.
Medicare Compliance Audits
Home health agencies face frequent audits requiring extensive documentation and compliance with changing regulations.
Therapy Threshold Management
Managing therapy visit thresholds and proper documentation for skilled nursing and therapy services is complex.
HIS-ICD Coding Alignment
Aligning diagnosis codes with Home Health Groupings Model requires specialized expertise.
Our Solutions
OASIS-Certified Billing Team
Our specialized home health billing team includes OASIS-certified coders who understand the intricacies of home health documentation.
Accurate OASIS assessments for optimal payment
Proper case-mix weight calculations
Quality reporting optimization
Reduced OASIS deficiency rates
PDGM Payment Optimization
Expert management of Patient-Driven Groupings Model to maximize episode payments and ensure proper timing.
Optimized 30-day episode payments
Proper LUPA threshold management
Accurate functional impairment coding
Comorbidity adjustment maximization
RAP/NOA Management System
Automated tracking and submission of Requests for Anticipated Payment and Notice of Admission for timely reimbursement.
On-time RAP submissions for cash flow
Proper NOA documentation
Automated deadline tracking
Reduced submission errors
Compliance & Audit Support
Comprehensive audit preparation and compliance monitoring to protect against recoupments and ensure regulatory adherence.
Audit-ready documentation review
Medical necessity validation
Regulatory compliance monitoring
Appeal support for denials
Specialized Services
Skilled Nursing Billing
Expert billing for skilled nursing visits with proper documentation of medical necessity and care progression.
Wound care billing
IV therapy management
Disease education
Medication management
Therapy Services Billing
Specialized billing for PT, OT, and speech therapy with threshold management and functional outcome tracking.
Physical therapy billing
Occupational therapy
Speech-language pathology
Therapy threshold tracking
Hospice Care Billing
Compassionate billing for hospice services including routine care, continuous care, and respite care.
Routine home care
Continuous home care
Respite care billing
General inpatient care
PDGM Episode Management
Complete management of episode-based billing under the Patient-Driven Groupings Model.
30-day episode billing
LUPA management
Case-mix calculations
Comorbidity coding
Client Testimonial
Medtransic's home health billing expertise has been transformative for our agency.
Their understanding of OASIS documentation and PDGM episode payments has increased
our revenue by 35% while significantly reducing our denial rates.