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 DocuFindr Principle

21
Days avg delay from referral to first payment in US home health
40%
Of home health claim rejections trace to documentation gaps
5 days
The Notice of Admission window under CMS billing rules
$118
Average cost per denied-claim appeal your agency eats

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. Four gaps, repeated across every agency we've seen, account for most of the revenue quietly leaving through the back door.

01

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.

Typical cost · entire episode at risk
02

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.

Typical cost · 2–4 week billing lag
03

OASIS–POC misalignment

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

Typical cost · PDGM case-mix revenue
04

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.

Typical cost · 100% episode write-off
05

ADR response scramble

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

Typical cost · TPE escalation risk
06

Review Choice Demonstration burden

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

Typical cost · affirmation rate drop

Six outcomes we commit to — measured, every quarter.

We don't sell a dashboard. We sell a validation layer with numeric targets written into your agreement. Here are the six outcomes your DocuFindr deployment is built to produce, measured on your own data from day one.

01

Cut F2F-related denials to near zero.

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.

< 2%
F2F denial rate target within 90 days of go-live
02

Hit the NOA 5-day window, every admission.

DocuFindr tracks every new admission against the CMS 5-day NOA clock. Coordinators see one queue, color-coded by hours remaining. No spreadsheet. No missed episode.

100%
NOA filed on-time as contractual target
03

Shorten referral → first billable visit.

Structured intake from fax, portal, or EHR in minutes — not days. Payer eligibility, authorization requirements, and documentation completeness all validated before SOC is scheduled, so your RNs go out on a clean case.

−5 days
Reduction in avg referral-to-SOC lag across pilot agencies
04

Pass RCD pre-claim review on first submission.

If you operate in Illinois, Ohio, Texas, North Carolina, or Florida, your RCD affirmation rate is board-level metric. DocuFindr validates every RCD packet against MAC requirements before you submit.

> 95%
Target first-submission RCD affirmation rate
05

Protect PDGM episode revenue.

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.

100%
OASIS-to-POC alignment check on every episode
06

Turn ADR responses into a one-click packet.

When an ADR arrives, DocuFindr assembles the complete response packet — F2F, POC, OASIS, orders, visit notes, therapy eval — from your connected systems. Your billing team reviews, approves, and sends.

< 30 min
Target time to fully assembled ADR response

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.

Between referral and submission — where the leak happens.

DocuFindr is not another EHR. We are the thin, pre-submission validation layer between every inbound document and the claim your billing team submits.

1
Stage 01

Referral received

2
Stage 02

Intake & SOC

Docufindr layer

Pre-submission validation

4
Stage 04

Billing submitted

5
Stage 05

Episode paid

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. We read what comes in, validate it, and push the gap alerts back into the queue they already use.

WellSkyHCHBAxxessMatrixCareBrightreePointClickCareFHIR R4X12 EDIDirect messaging

Built for the scrutiny your agency already faces.

We handle PHI every day. That means HIPAA safeguards, a BAA ready to execute within 24 hours, audit logging on every document, and a SOC 2 Type II program actively underway.

HIPAABAA ReadyCMS-0057-FSOC 2 Type IITLS 1.3AES-256

One platform fee. One implementation. No per-seat surprises.

Home health agencies run lean operational budgets. Our pricing respects that — a flat monthly platform fee, transparent per-document overage, and a paid 60-day pilot.

Home Health Package

Custom/ month
  • Pre-submission validation on all docs
  • Role-specific dashboards
  • ADR / TPE response packet assembly
  • Native EHR connectors (WellSky/HCHB)
  • Monthly ROI & episode protection reports
Request a scoped quote

Typical mid-market agencies: $3K–$8K/mo all-in.

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.