Complete RCM & NOA Claim Management for Home Health

A proactive revenue cycle partner is needed to help navigate episode timing, clinical groupings, and changing Medicare Advantage policies. Med Brigade automates pre-service eligibility and signed physician orders, and pre-scrubs 30-day claims before electronic submission, streamlining clinical and financial procedures. We quickly resolve clearinghouse exceptions, monitor Low Utilization Payment Adjustment limits and process secondary insurance claims in an effort to provide fast cash flow for emerging home health businesses.

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Simplified Home Care Revenue Cycle Operations

Working with Med Brigade takes away administrative burdens and secures long-term practice margins across Medicare, Medicaid and commercial home care lines. Your executive billing team handles all facets of your financial operations, including reviewing OASIS functional scoring, maintaining Home Health Value-Based Purchasing KPIs, and pursuing older accounts receivable. We preserve your bottom line with real-time performance insights and strict compliance controls so doctors can focus on treatment.

Strategic Margin Growth

Home health executives can achieve long-term financial development through revenue initiatives that reduce unbilled episode lag times, overturn wrongful ADR audit rejections, and recover aging accounts receivable.

Ongoing Executive Supervision

Specialized account managers provide 24/7 management of your whole revenue cycle, delivering speedy denial resolution, proactive compliance monitoring and responsive communication to assist your executive decision-making.

Compliance & Audit Protection

Comprehensive chart inspections before filing also ensure agency documentation meets current CMS payment criteria, shielding your home health service from UPIC audit penalties while keeping reimbursement performance at peak levels.

Integrity of Reimbursement Throughout

Home Health Agencies' Strategic Financial Systems

Home health organizations frequently encounter substantial delays in cash flow because of missing physician signatures, prior authorizations that have not been confirmed and Notice of Admission forms that have been delayed. Med Brigade streamlines your agency revenue cycle with pre-scrubbing of 30-day claims (TOB 329), tracking of signed plan of care orders (CMS-485) and secondary insurance claims. We quickly resolve clearinghouse exceptions, and we resolve Medicare Advantage payment holds within 24 hours, to accelerate overall agency collections.

Clinician discussing care with a patient
Preventing Revenue Leakage

Prompt Notification of Admission and Management of LUPA Threshold

Failure to file Notice of Admission filings within five calendar days results in significant daily payment penalties that damage agency cash flow. Med Brigade simplifies your intake processes by automating first Type of Bill 32A filings and the clock for physician Face-to-Face documentation. We monitor clinical visit frequency versus 30-day LUPA thresholds, informing your team before revenue declines, and accelerating final period claim submissions (TOB 329).

Optimizing Comorbidity and Case Mix

Experts in billing will compare clinical diagnoses to PDGM comorbidity groupings in an effort to ensure that secondary condition mapping appropriately reflects patient complexity and optimises 30-day HIPPS yields.

Pre-Service Authorization Management

Specialized skilled nursing and outpatient home therapies receive prior authorizations from dedicated clearance staff, removing uncompensated care across all non-Medicare advantage lines.

Efficient Claims Billing

Integrated claim scrubbers evaluate primary ICD-10 coding, clinical grouping rules and NPI identities before electronic batch transmission, reducing front-end clearinghouse rejections.

Recovery of Aged Accounts Receivable

Persistent A/R specialists handle the recovery of underpaid 30 day periodic claims over 60 days old, clearing technical payer holds and reclaiming lost revenue without the administrative overhead.

Risk Mitigation for Pre-Filing Audits

Rigorous pre-submission chart evaluations ensure nursing documentation meets medical necessity regulations, safeguarding agency income from post-payment RAC audits and compliance clawbacks.

Evaluation Tools for Financial Performance

Interactive leadership reports measure unbilled episode lag times, per visit LUPA rates and net cash collections, giving home health executives the confidence to make development decisions.

Resolving Operational Revenue Threats for Home Care

Unexpected LUPA Threshold Adjustments

Not meeting discipline-specific visit thresholds within a 30-day period instantly changes full episodic payments to low-rate per-visit adjustments, resulting in dramatic declines in agency revenue.

Delayed ERA & Secondary Crossover Collections

The slow processing of initial Medicare remittances and the delay in sending secondary insurance claims generate big gaps in cash flow, which makes it hard for growing organizations to pay for their day-to-day operations.

Complex PDGM HIPPS Code Errors

Incorrect primary ICD-10 diagnostic mapping or failure to apply comorbidity modifications results in improper assignment of HIPPS grouping codes, and underpayment to home health agencies for complex clinical treatment, across the board.

Commercial Payer Authorization Delays

Strict commercial plan authorization renewals result in continuous administrative holds, which cause staff to pursue retroactive approvals and postpone the final 30-day periodic claim dispatches (TOB 329).

Why choose us

Streamlined Clinical & Order Management Benefits

Uninterrupted Field Care Focus

Outsourcing clinical coding and billing administration allows your home care clinicians to focus only on patient care plans, direct home visits and increasing clinical outcome scores.

Flexible Multi-Payer Billing Protocols

Our flexible billing engine supports complex commercial and Medicare Advantage authorisation regulations, ensuring prompt pre-certifications and avoiding surprise coverage denials for non-Medicare home care visits.

Audit-Proof Physician Order Clearance

Continuous order monitoring assures signed plans of care and physician CMS-485 Face-to-Face documentation is cleared prior to billing, protecting your agency’s compliance reputation and cash flow.

Certified OASIS-E1 Coding Expertise

Specialized home health coders review OASIS assessment data and primary ICD-10 connections to validate HIPPS grouping codes, which helps to ensure consistent first pass claim acceptance rates across all periods.

Med Brigade's Medical Billing Consultancy Benefits

96.34 %

Claim Approval

95.12 %

Fast Reimbursements

98.44 %

Payer-Provider-Patient

98.89 %

Overall Score

Your Revenue Health is Our Priority!
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