For Home Health Agencies

The intake desk that never misses a physician order.

DocuFindr is the pre-submission validation layer for US home health. We read every fax, portal upload, and EHR attachment the moment it arrives — and flag the missing F2F, the unsigned 485, the OASIS mismatch, and the NOA deadline before your episode is at risk.

"Every home health episode begins with a documentation packet that's already incomplete. We give your coordinators the one thing they're asking for: a system that catches what's missing before the episode is locked."

The numbers that matter to your bottom line.

21
Days avg delay from referral to first payment
40%
Of home health claim rejections trace to docs
5 days
The Notice of Admission window under CMS
$118
Average cost per denied-claim appeal

Your coordinators are heroes. The paperwork around them is what's costing you episodes.

Home health is drowning in a documentation burden that no other care setting shoulders alone. Six gaps account for most of the revenue quietly leaving through the back door.

Missing or late Face-to-Face

The F2F encounter note arrives without the required certifying statement, the exact date, or the ordering practitioner's signature — and billing finds out weeks later.

Plan of Care (CMS-485) delays

POCs sit unsigned with the physician's office. Your RNs chase signatures manually. Recertifications slip past the 60-day window.

OASIS–POC misalignment

OASIS M-items don't support the POC diagnoses or visit frequency. Errors surface only at audit, triggering costly re-certification cycles.

NOA 5-day window misses

Notice of Admission filed late means zero payment for that billing period. One missed NOA can cost an entire episode of reimbursement.

ADR response scramble

An Additional Documentation Request arrives with a 45-day clock. Your team hunts across the EHR, fax server, and physician portal.

Review Choice Demonstration

If you operate in an RCD state, every submission must clear pre-claim review. Missed elements mean resubmission, delay, and scrutiny.

Twelve documentation checkpoints, before the claim leaves your agency.

Our validation layer runs structured, payer-aware checks against every document type that determines whether your episode gets paid.

F2F · ENCOUNTER

Face-to-Face completeness

Encounter date, homebound status, skilled need rationale, certifying statement, practitioner credentials.

CMS-485 · POC

Plan of Care validation

Required sections, diagnoses, goals, visit frequency, signature presence, signature timeliness.

OASIS · M-ITEMS

OASIS alignment check

M-items reconciled against POC, diagnoses, and visit plan. Case-mix grouping pre-validated for PDGM.

NOA · 5-DAY

Notice of Admission timing

Admission-to-filing clock tracked per episode. Queue sorted by hours remaining, not alphabetical.

ORDERS · VO

Physician / verbal orders

Signature status, 48-hour verbal-order rule, order matching against visits delivered.

RECERT · 60-DAY

Recertification eligibility

Continued homebound status, skilled need, and physician re-cert signature before the window closes.

RCD · MAC

RCD affidavit readiness

Pre-claim review packet assembled and validated against MAC requirements for IL, OH, TX, NC, FL.

ADR · TPE

ADR / TPE response packet

Complete response assembly from connected systems: F2F, POC, OASIS, orders, visit notes, therapy eval.

ELIGIBILITY

Payer eligibility verification

Active coverage, benefit maximums, and home health rider confirmed before SOC is scheduled.

AUTH · PA

Prior authorization packet

Managed care and Medicare Advantage PA requirements checked and packet pre-assembled.

HOMEBOUND

Homebound documentation

Taxing effort narrative, confinement evidence, medical contraindication support, ongoing validation.

DISCHARGE

Discharge summary completeness

Goals met, final OASIS, transfer or discharge notification, and final billing packet validation.

Six outcomes we commit to — measured, every quarter.

Goal 01 & 02

Cut F2F-related denials and hit NOA deadlines.

Every referral is checked for F2F presence, encounter date, practitioner credentials, and the certifying statement before it enters your episode workflow. Missing elements are flagged to the referring office before your RN goes out on SOC.

  • F2F denial rate target < 2% within 90 days of go-live
  • NOA filed on-time as contractual target (100%)
  • DocuFindr tracks every new admission against the CMS 5-day clock
  • Coordinators see one queue, color-coded by hours remaining
See concrete outcomes →
Pre-SOC Validation
F2F and NOA accuracy
1
Referral packet received via fax/portal
2
DocuFindr identifies F2F details & compliance
3
NOA timer started & prioritized in queue
RN sent to SOC with 100% complete docs
PDGM & RCD Protection
Pass audits on first submission
1
OASIS M-items validated against POC
2
Pre-claim review packet assembled for RCD
3
ADR response compiled across EHR and systems
Full case-mix grouping supported & billed
Goal 04, 05, 06

Protect PDGM revenue and pass RCD pre-claim review.

We validate that OASIS, POC, and physician orders support the case-mix grouping you're billing — before submission. LUPA risk is surfaced at day 15, not at claim reconciliation. When an ADR arrives, DocuFindr assembles the complete response packet.

  • Target first-submission RCD affirmation rate > 95%
  • 100% OASIS-to-POC alignment check on every episode
  • Target time to fully assembled ADR response < 30 min
  • Shorten referral to first billable visit by avg 5 days
Protect your episodes →

Connects into the systems your agency already runs.

DocuFindr sits behind your existing home health EHR and fax infrastructure. Coordinators and billers never switch tools. Built for the scrutiny your agency already faces.

Home Health EHRs

WellSky Home Health, HomeCare HomeBase, Axxess, MatrixCare, Brightree, and PointClickCare native connectors.

Standard Protocols

Integrates smoothly via FHIR R4 API, X12 EDI, and Direct messaging for robust interoperability.

Security Standards

We handle PHI every day with HIPAA safeguards, TLS 1.3 in transit, and AES-256 encryption at rest.

Compliance Ready

BAA ready to execute within 24 hours, CMS-0057-F aware, and SOC 2 Type II program actively underway.

Let's find the revenue your agency already earned.

Give us one afternoon. We'll review a sample of your last 30 days of referrals, flag the documentation gaps we would have caught, and show you the episodes at risk.