01
Intake & Eligibility
Eligibility verification, benefits, and intake coordination within two hours of referral receipt to protect downstream timing.
- →Faster starts of care
- →Reduced front-end denials
- →Cleaner downstream documentation
Helping home health, hospice, infusion, respiratory, and DME providers overcome staffing shortages and payer complexity through specialized revenue cycle management. No empty promises — just operational throughput.
Operational Performance View
Q3 · Engagement LedgerDays in A/R
34
-22%
Clean-Claim
96%
+31%
Denial Rate
3.8%
-72%
Cash Posted
$4.2M
MTD
We work exclusively with home-based care organizations. Every workflow, coder, and analyst is calibrated to your segment.
We don't sell software. We provide the operational foundation required to scale your agency without the friction of billing backlogs and denial surges.
Standardizing intake and eligibility workflows so claims go out clean the first time.
Dedicated denial management teams that identify root causes in documentation and payer behavior.
Augmenting your staffing to maintain throughput regardless of internal turnover or geographic expansion.
Throughput, denial, and aging reporting at every step — not just month-end summaries.
Average A/R Reduction
Clean-Claim Rate Improvement
Denial Recovery Rate
Days in A/R (median)
Aggregate engagement performance. Individual results vary by segment and baseline.
Intake-to-Cashflow Lifecycle
01
Referral & Intake
Eligibility within 2 hours
02
Prior Authorization
Payer-specific workflows
03
Documentation Review
Clinical scrubbing
04
Coding & Billing
PDGM / HCPCS / per-diem
05
A/R & Denials
Root-cause follow-up
06
Cash Posting
Reconciled to utilization
Most leakage is invisible on the P&L. We instrument each handoff and report on throughput, denials, and aging at every step.
01
Eligibility verification, benefits, and intake coordination within two hours of referral receipt to protect downstream timing.
02
Payer- and therapy-specific prior auth workflows with proactive renewal tracking to prevent therapy gaps.
03
PDGM, OASIS, HCPCS, J-codes, and per-diem billing executed by post-acute–experienced staff inside your EMR.
04
Segmented denial workflows by payer and reason, with root-cause feedback into intake, coding, and documentation.
05
Worklist-driven A/R follow-up segmented by aging, payer, and balance with measured daily throughput.
06
End-to-end RCM operations management for organizations that need a partner, not a vendor.
Multi-state home health agency · PE-backed
Faced with staffing turnover and PDGM transition delays, this regional operator saw 90+ day A/R balloon. We deployed an augmented staffing model to clear the backlog while re-engineering intake workflows. Within six months, throughput, denial rates, and cash conversion had all returned to operating-plan targets.
Anonymized client scenario · Representative of typical engagement
Before / After (6-month engagement)
Days in A/R
72
41
Denial Rate
14%
3.8%
Clean-Claim Rate
78%
96%
>90-day A/R
31%
9%
Home Health
What separates agencies hitting clean-claim targets from those still bleeding LUPAs and timing penalties.
8 min · Read article →
Reimbursement
Technical denials are migrating into clinical territory. Here is how to read the shift.
6 min · Read article →
Operations
Most intake problems are workflow problems, not software problems. The fix is operational.
5 min · Read article →
Connect with our operational advisory team to evaluate your current intake-to-cash workflow and identify leakage points.
Confidential Operational Reviews · Post-Acute Specialists Only