Home Health Financial Clearance Software
Verify physician face-to-face encounter documentation and signed plan of care requirements for each episode.
Verify physician face-to-face encounter documentation and signed plan of care requirements for each episode. The workflow is configured around the documentation and payer requirements common to Home Health care.
★★★★★5/5
★★★★★5/5
6,500+ specialty providers
Product screenshot
Home Health workspace preview coming soon
Home Health Financial Clearance Software for Home Health
Built specifically for Home Health practices, not bolted onto a multi-specialty platform, so every rule matches how your team actually gets paid.
Specialty-tuned accuracy
Coding and prior-auth logic tuned to Home Health catches problems before claims go out.
Faster, fuller payment
Automated charge capture and posting speed up cash flow and recover dollars you're leaving on the table.
Work by exception
Automation clears the routine work so your team only touches the claims that need a human.
One system of record
Scheduling, clinical, and financial data live in one place, for a single real-time view of performance.
Deep Dive: System Capabilities & Specialized Workflows
Each 30-day payment period under PDGM is classified using the principal diagnosis, comorbidity adjustments, admission source (institutional vs. community), timing (early vs. late), and functional impairment level scored from the OASIS assessment, all of which combine to place the period into one of many case-mix groups with distinct payment rates. Every visit must be verified through an approved electronic visit verification system capturing the type of service, individual receiving the service, date, location, and time, with mismatches between EVV records and billed visits creating audit and recoupment risk.
Configured Automation Highlights
- Address oASIS assessment errors or delays causing incorrect PDGM case-mix grouping and resulting payment miscalculations.
- Address 30-day payment period billing sequencing errors when patients have multiple consecutive periods within a single episode.
- Address electronic visit verification (EVV) data mismatches with billed visit records triggering compliance audits and recoupment risk.
- Address low-utilization payment adjustment (LUPA) thresholds missed, converting full 30-day period payments into per-visit-only reimbursement.
Direct Comparison
Review the module against your payer mix and current team handoffs.
Frequently Asked Questions
We Love Hearing From Our Users
Using our product doesn't just mean quality software, but also access to a community to keep you connected to your peers and to your product team.
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
I would recommend Unlimited Financials to other specialty practices.
We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
GET STARTED
Your specialty isn't generic. Your software shouldn't be either.
Walk through your specialty's exact billing workflows with an RCM expert who already knows your codes, modifiers, and payer rules.
★★★★★5/5★★★★★5/5