Home health agencies lose $240K+/year to miscoded patients. We find every dollar.

Patient-by-patient audit. 48-hour turnaround. No EHR access needed.

The Audit Process

From Roster to Revenue Report in 48 Hours

No EHR integration. No system access. Just send us your patient list and we'll show you exactly where your money is going.

01

Share Your Roster

Send us your patient list — 10–15 patients to start, or your full census. We work from a simple CSV or spreadsheet export. No EHR access, no system integration required.

Takes about 5 minutes on your end.

02

We Run the Audit

We analyze every patient's diagnosis codes, comorbidity combinations, episode sequencing, and PDGM grouping against current CMS guidance.

Delivered within 48 hours.

03

You Get a Report

A patient-level breakdown showing which patients are miscoded, how much you're losing per episode, and the exact ICD-10 changes that would recapture that revenue.

With dollar amounts per patient.

Find the Revenue You Didn't Know You Were Losing

Enter an agency name and state. We'll estimate annual revenue exposure based on that state's Medicaid disenrollment rate. Works for your own agency or your clients'. No signup required.

Data sourced from NPPES, OIG/LEIE, and CMS. No patient data is accessed or stored.

Live Demo

See the Revenue Loss Before It Happens

Watch what happens when a patient loses Medicaid and nobody tells you.

Patient Name

Maria Santos

Basic Eligibility Check
ClientCare

Simulated for demonstration purposes. No real patient data is used.

The Revenue Gap

The Math Is Simple — And Startling

Most agencies don't know how much they're undercoding. That's exactly what makes PDGM miscoding so expensive — the loss is invisible until someone audits the roster and runs the numbers.

0days

Industry average to discover a patient lost Medicaid — if you discover it at all

$0

Average annual revenue that quietly disappears from home health agencies

0hours

ClientCare detection time

A typical 90-patient agency with 27% miscoding rate is leaving $240K–$350K on the table annually. That's not a software problem — it's a coding problem we can find and fix in 48 hours.

“Most agencies don't know what they don't know. That's the whole problem.”

What We Do

Start With the Audit. Build From There.

PDGM coding optimization is the fastest path to recaptured revenue. Everything else can be added once you've seen what you're missing.

Most Requested

PDGM Audit

One-time or quarterly audit of your full patient roster. We identify every comorbidity gap, resequencing opportunity, and case-mix weight error — and quantify the exact dollar impact.

Comorbidity capture across all 432 PDGM payment groups
Diagnosis resequencing for maximum case-mix weight
Episode sequencing and clinical group analysis
Patient-level report with $ recapture per episode
ICD-10 recommendations included
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Also Available

Ongoing Monitoring

Quarterly refresh audits as your census changes, plus the full suite of compliance and eligibility tools for agencies that want continuous coverage.

Quarterly PDGM re-audits as new patients are admitted
OIG/LEIE federal staff exclusion screening
Medicare & Medicaid eligibility monitoring
Policy & procedure documentation support
Billing code validation (ICD-10 + HCPCS)
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Revenue Blindness Calculator

How Much Revenue Is Disappearing Without You Knowing?

When coverage lapses go undetected, agencies keep sending caregivers — but never get paid. Calculate how much your agency (or your clients' agencies) may be losing.

Your Agency

50 patients
10200+
$30/hr
$15$75
20 hrs/week
4 hrs40 hrs

Estimated Annual Loss

$51,429

Revenue that disappears without you knowing

Coverage Drops per Year

30 patients

Each one means ~20 days of unpaid visits — lost without a trace

ClientCare Catches Drops In

4x faster

New patients checked daily. All Medicaid patients monitored weekly.

* Based on 5% Medicaid churn rate and 20-day average discovery lag (industry averages).

What we audit. Who we are.

What We Audit

PDGM coding gaps

Missed comorbidities, wrong clinical group assignments, and episode sequencing errors — with a dollar amount per patient.

Billing code accuracy

Expired codes, invalid primary diagnoses, and CMS rule violations before you submit.

Insurance eligibility

Coverage lapses and Medicaid gaps caught before claims bounce back.

Federal staff screening

OIG/LEIE and SAM.gov exclusion checks on every employee.

Who You're Working With

M

Matt Saucedo

Founder, ClientCare

I built ClientCare after working with home health agencies struggling to understand why their revenue didn't match the care they delivered. Every audit we run is reviewed by me personally before it leaves.

We're not a software platform with automated alerts. We're a small team that audits your roster, finds what your EHR missed, and sends you a report you can hand to your biller tomorrow.

If we don't find recoverable revenue, you don't pay for the audit.

Ready to See How Much Your Agency Is Leaving on the Table?

Book a free 30-minute discovery call. We'll review your situation, explain exactly what we audit and why, and tell you what we typically find for agencies your size. No commitment required.

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Built for:

Home HealthHospiceSNFsStaffingBehavioral HealthAssisted LivingBilling Consultants
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