F2F Documentation Mastery
We leverage 2026 flexibility allowing NP/PA/CNS to perform the F2F. Our team audits every narrative for the specific requirements that survive high- stakes ADR reviews.
Home Health Agency RCM Specialists
Home Health Billing Services
In 2026, Home Health Agency billing is a high-stakes balancing act. With a net 1.3% aggregate payment reduction and a permanent 1.023% behavioral adjustment, your agency cannot afford administrative leakage. Revix MD’s automation-first billing engine navigates the complexities so you don’t have to.
$0
2026 Base 30-Day Rate
0
Unique PDGM Case-Mix Groups
0%
ADR Pass Rate
<0hr
NOA Submission Guarantee
2026 HHA Landscape
Mandatory RCM Expertise
CMS has updated nearly every facet of the PDGM model, making generic HHA billing companies obsolete for specialized home healthcare. Revix MD is built for the 2026 reality.
5-Day Window
The 5-Day NOA Rule
Failing to file the Notice of Admission (NOA) within 5 calendar days results in a non-reimbursable day for every day it is late. We guarantee 48-hour submissions to ensure your agency never loses a covered day to provider-liable penalties.
National Mandate
HHVBP Quality Reporting
Value-Based Purchasing is now a national mandate. We integrate your quality measure reporting with your billing data to ensure your annual payment adjustment reflects your clinical excellence and Total Performance Score.
−1.023% Permanent
Permanent & Temporary Adjustments
We optimize your case-mix to offset the current −1.023% permanent reduction and the ongoing −3.0% temporary adjustment aimed at recouping retrospective overpayments, protecting your per-period margins.
Billing Handoff
Hospice Transition Coordination
We manage the critical billing handoff when patients transition from Part A Home Health to Hospice, preventing the common overlapping episode denials that strip HHA margins.
Performance Data
HHA Performance Benchmarks
Matrix
Industry Avg
2026 HHA Performance Standards
NOA Submission Speed
4.8 Days
<48 Hours
LUPA Prevention Rate
8.2%
<4.1%
ADR/TPE Pass Rate
74%
99%
F2F Documentation Errors
12%
<1%
Core Solutions
PDGM Case-Mix Optimization & OASIS-E2
Reimbursement under the PDGM model is driven by 432 unique case-mix groups. Our PDGM billing services ensure your agency is placed in the correct category every time.
Comorbidity Subgroup Adjustments
Differentiating between Institutional vs. Community and Early vs. Late episodes to ensure the correct base rate is applied from day one.
Clinical Grouping (12 Categories)
Utilizing ICD-10-CM codes that map correctly to one of the 12 clinical groupings (e.g., MMTA, Neuro Rehab) for the highest justified rate.
Admission Source & Timing
Differentiating between Institutional vs. Community and Early vs. Late episodes to ensure the correct base rate is applied from day one.
OASIS-E2 & Triple-Check Compliance
A single functional impairment scoring error (M1800-M1860) can cost your agency hundreds per period.OASIS Triple-Check
Our proprietary system ensures that the Plan of Care, OASIS-E2 data, and physician orders are perfectly aligned before the claim is sent.
Functional Accuracy
We facilitate the mid-year transition to OASIS-E2, ensuring your clinical team is trained on the functional assessment markers that drive 2026 HHA revenue.
F2F Flexibility
We leverage 2026 flexibility allowing any allowed practitioner (NP/PA/CNS) to perform the F2F, regardless of whether they are the certifying provider.
Medicare Certification
Home Health Certification & Audit Defense
We build your homebound and medical necessity documentation to survive the most rigorous TPE and ADR audits from day one of service.
Getting Started
Seamless 30-Day HHA Onboarding
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Open Episode Mapping
We audit all active 30-day periods and pending NOAs to ensure zero payment gaps during the transition.
EMR & OASIS Sync
Direct synchronization with your EMR (Homecare Homebase, Kantime, WellSky) for automated HHVBP billing services.
LUPA & Compliance Training
We train your clinical staff on real-time LUPA monitoring and OASIS-E2 documentation markers.
High-Velocity RCM
Go-live with 48-hour NOA filings and aggressive home health denial management from day one.
Client Results
What HHA Leaders Are Saying
"
Revix MD mastered our PDGM billing during the 2026 recalibration. Their expertise in comorbidity subgroups increased our average period reimbursement by 12% while keeping us 100% audit-compliant.
David L. — Operations Manager, Evergreen Home Health
"
Their OASIS assessment review caught dozens of functional scoring errors that would have cost us thousands. Transitioning to OASIS-E2 was seamless thanks to their proactive support.
Linda K. — Director of Clinical Services, Coastal Home Care
Don't let −3.0% rate cuts define your year.
Counteract Medicare rate cuts with precision PDGM coding and HHVBP optimization. Revix MD protects your margins, ensuring every 30-day period is billed at the maximum compliant rate.
FAQs
What is the national standardized 30-day payment rate for 2026?
The base rate is $2,038.22. Agencies that fail to submit required quality data or HHVBP metrics are subject to a 2% reduction, bringing the rate down to approximately $1,998.00.
How do you handle HHVBP quality measure reporting?
We synchronize your billing data with your clinical outcome measures. This ensures your HHVBP billing services are optimized for the maximum positive payment adjustment based on your Total Performance Score.
How do you prevent LUPA transitions mid-episode?
We provide real-time alerts as you approach the LUPA threshold for each specific case-mix group. This allows your clinical team to make informed visit-frequency decisions before a payment drop occurs.
Can you manage billing during a CMS Targeted Probe and Educate (TPE) review?
Yes. We have a 99% ADR pass rate. Our team manages the entire documentation packet, ensuring your F2F narratives and homebound status documentation are bulletproof.
Do you support state Medicaid home health waiver billing?
Yes. We manage specialized billing for state-specific 1115 and 1915(c) waivers, ensuring your private duty or community-based services are reimbursed at the correct state-mandated rates.
What happens to our open episodes when we transition to Revix MD?
We perform a “clean-cut” transition. We take over the billing for all open episodes from the date of go-live, ensuring that NOAs and final claims for the current 30-day period are filed without interruption.