Home health agencies lose revenue to missed NOA 5-day filing windows, OASIS errors that undercut PDGM payment, and LUPA visits that slip below threshold unnoticed. MedTaskly's certified home health billing team protects every 30-day payment period so your agency collects full, timely reimbursement without adding administrative staff.
Book Free RCM AuditMost PDGM underpayments trace to two errors: inaccurate OASIS responses that assign a lower case-mix group, and late Notices of Admission. Medicare requires the NOA within 5 calendar days of the start of care; every late day reduces payment for that 30-day period. Fixing OASIS accuracy and NOA timeliness typically recovers the largest share of lost home health revenue.
Small documentation and timing errors compound across every payment period.
Home health billing runs on 30-day payment periods under PDGM, and every period is scored by your OASIS assessment. A single inaccurate functional or clinical response can drop the claim into a lower case-mix group and shave hundreds of dollars off reimbursement. The Notice of Admission adds another trap: Medicare requires the NOA within 5 calendar days of the start of care, and each late day triggers a payment reduction for that entire period. Add LUPA thresholds that vary by case-mix group, and revenue leaks from every direction.
Face-to-face encounter documentation is another frequent denial trigger, since claims fail when the certifying physician note does not support homebound status and skilled need. Most agencies discover these problems only after RAPs, final claims, or ADRs come back denied. MedTaskly manages the full cycle, from NOA submission and OASIS review to final claim and appeal, with AAPC-certified coders and a 98% clean-claim rate across 1,500+ providers, so your agency captures the full value of every 30-day period.