Verigence for Home Health Agency
Confirm OASIS visits before the LUPA cliff, track 30-day PDGM episodes, catch change-in-condition calls outside business hours.
Workflows built for you
Pick a workflow to see how the live demo behaves in this vertical.OASIS Visit Confirmation β Protect the 30-Day Episode From LUPA
Outbound visit-confirmation call for a Medicare home-health patient. Confirms scheduled RN / therapy / HHA visit, captures any change-in-condition, escalates red flags to the RN case manager. When the confirmation averts LUPA (<5 visits in the current 30-day episode), captures ~$1,200 of protected episode payment.
Per call
PDGM episode protection (~$1,800 avg)
At scale
~$54K/yr protected across 60 episodes by avoiding LUPA (<4 visits) reductions
Staff time saved
~25 min of clinical-manager scheduling time per episode
60-Day Recert F2F β Protect the Episode Before the Window Closes
Outbound coordination call to schedule the physician face-to-face encounter required for Medicare home-health recertification. Emits G0179 ($45) when the F2F is scheduled in time. Missing the F2F window voids the entire episode payment.
Per call
$1,800 avg PDGM 60-day episode protected
At scale
~$36K/yr across 20 recertification cycles protected from F2F compliance lapses
Staff time saved
~30 min of case-manager time per recert coordination
Don't see your exact workflow?
Verigence is a configurable platform β every scenario here is a set of knobs. If your exact workflow is not listed, we can still map it in the planning conversation.