Compliance guides, OIG screening best practices, and eligibility verification insights for home health agencies.
Everything agency owners and billing managers need to know about physician orders: the lifecycle, common problems, compliance requirements, and the modern approach to automation.
Read article →Intelligent document triage uses AI to classify incoming faxes into eight categories automatically. Learn how it works and why it eliminates...
Read →Most home health agencies have a gap between what they bill and what they collect. Learn what a revenue gap analysis reveals and how consult...
Read →If the ordering physician is not enrolled in PECOS, Medicare denies the claim. Most agencies never check until a survey or denial forces the...
Read →Home health agencies receive 50 to 150 faxes daily. The real cost is not the machine. It is the staff hours spent sorting documents that add...
Read →PDGM classifies home health episodes into 432 payment groups across 5 dimensions. Learn how each dimension affects your case-mix weight and ...
Read →Most home health agencies underbill under PDGM through suboptimal coding, missed comorbidities, and eligibility lapses. Learn how to capture...
Read →Home health claims denial rates in 2026 average 11.8% overall and 16.7% for Medicaid MCOs. Learn the top denial reasons, current benchmarks,...
Read →A practical billing code compliance checklist for home health agencies in 2026. Covers ICD-10, HCPCS, PDGM grouping, and pre-submission vali...
Read →Roughly a third of denied home health claims are never resubmitted. Learn why agencies leave recoverable revenue on the table and how to fix...
Read →Most EHR pre-billing QA checks code format, not CMS billing rules. Learn what EHR validation misses and why home health agencies need a sepa...
Read →Unsigned physician orders are one of the biggest hidden revenue leaks in home health. Learn how a single missing signature can cost your age...
Read →CMS reduced home health payments in the 2026 Final Rule. Learn how PDGM coding optimization, diagnosis sequencing, and billing validation pr...
Read →Medicaid eligibility checking prevents denied claims, revenue loss, and compliance risk for home health agencies. Learn why continuous verif...
Read →Most home health agencies only verify eligibility at intake. That leaves months of exposure. Learn why rolling verification is the new stand...
Read →Denied claims cost home health agencies thousands per year. Learn the most common denial reasons, how to prevent them, and why eligibility m...
Read →Eligibility verification confirms a patient has active insurance coverage before you provide services. Learn why home health agencies need a...
Read →A practical compliance checklist for home health agencies in 2026. Covers OIG screening, eligibility verification, documentation, HIPAA, and...
Read →Manual OIG screening with exact name matching misses excluded individuals. Learn how fuzzy matching and AI-powered tools close the accuracy ...
Read →OIG enforcement actions show what happens when agencies employ excluded individuals. A look at real penalties, how they accumulate, and how ...
Read →Medicaid eligibility churn costs home health agencies thousands in denied claims. Learn why coverage lapses happen and how to catch them bef...
Read →The OIG exclusion list bars certain individuals from participating in federal healthcare programs. Learn what it is, who gets excluded, and ...
Read →Most home health agencies have compliance blind spots they don't know about. Here are the five most common gaps and how to close them before...
Read →OIG guidance recommends monthly LEIE screening. Learn why quarterly or annual checks leave dangerous gaps and how to implement a compliant s...
Read →The LEIE and SAM.gov are two different exclusion databases. Learn who maintains them, what they cover, where they overlap, and why you need ...
Read →Prior authorization requirements for home health vary by payer. Learn the rules for Medicare, Medicaid MCOs, and Medicare Advantage, plus ho...
Read →Medicaid redetermination is the annual process that causes coverage gaps for home health patients. Learn how it works, when it happens, and ...
Read →Manual OIG screening costs more than you think. Break down the hidden costs of labor, accuracy risk, documentation gaps, and survey exposure...
Read →A fair comparison of eligibility monitoring tools for home health agencies in 2026. Covers ClientCare, Approved Admissions, Availity Essenti...
Read →You do not need to rip out your EHR to automate eligibility verification. ClientCare works alongside Axxess, WellSky, KanTime, and any syste...
Read →The Medicaid unwinding disenrolled over 25 million people. In 2026, redeterminations are back to normal but the structural risks remain. Her...
Read →Billing a patient who lost Medicaid coverage triggers denied claims, write-offs, and potential False Claims Act exposure. Here is exactly wh...
Read →Upload your roster and see your first risk tickets in under 5 minutes.
Start Free Trial