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  1. Live Demo
  2. Home Health Agency
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healthcare

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.

~$1,600/episode protected against LUPA reduction
Medicare-certified HHAs, ~8–50 RN case managers

Workflows built for you

Pick a workflow to see how the live demo behaves in this vertical.
Live voice demo
~2–4 min · tap to start

OASIS Visit Confirmation — 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.

Pine Ridge Home Health Services, Inc.
WA
What you capture from this workflow
CMS PDGM 30-day 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

Without Verigence: LUPA-reduced episodes reimburse as per-visit (~$200) instead of full episode — losing ~$1,600 each.
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Live voice demo
~2–4 min · tap to start

60-Day Recert F2F — 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.

Pine Ridge Home Health Services, Inc.
WA
What you capture from this workflow
CMS PDGM recertification requirements

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

Without Verigence: Missing F2F documentation causes claim denial — 100% of episode revenue at risk per missed cert.
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Don't see your exact workflow?

Verigence is a configurable platform — every scenario here is a set of knobs. If your exact workflow is not listed, we can still map it in the planning conversation.

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