Billing
OASIS frequency vs prior auth: don’t leave PTA/G0157 off the UCLA request
HH prior auth pitfalls: match episode dates, request PT eval plus units, and include PTA (G0157) when assistants may treat.
Blog
Home health billing & compliance, explained
Practical guidance on PDGM, OASIS, Medicare claims, and running a clean revenue cycle.
Billing
Home Health Notice of Admission (NOA): The 5-Day Rule, the Penalty, and How It Works
Every Medicare home health admission starts with the NOA. Here's what it is, the 5-day filing window, what a late NOA costs under the 1/30th-per-day rule, and where agencies trip up.
Industry & Policy
The CY 2027 Home Health Proposed Rule Is Almost Here — What Owners Should Brace For, and Do Now
CMS releases the CY 2027 home health proposed rule in the coming weeks, and the cuts aren't slowing down. Here's the payment picture heading into 2027, why it keeps happening, and the operational levers owners actually control.
Billing
PDGM Made Simple: How Automatic HIPPS Coding Protects Your Home Health Revenue
Every home health claim hinges on a 5-character HIPPS code. Here's what each character means, where agencies lose money getting it wrong, and how an EMR that builds the code from your OASIS keeps revenue clean.