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PDGM 2024 · OASIS-E / iQIES · HIPAA COMPLIANT

Built for home health.
Nothing else.

The only PDGM-native, mobile-first EMR with LUPA prevention, a 3-tier ICD-10 rules engine, GPS EVV, and FHIR R4 — all included, no add-on fees, 5-day go-live.

✓ No credit card required ✓ Your patient data ✓ HIPAA BAA included

Agency Dashboard

LIVE
47
Active census
87%
Doc. timeliness
4.1%
Denial rate
2
LUPA risk alerts

LUPA risk: Patient #2241 — 4 days remaining, 1 visit short of threshold. Schedule now →

THE PROBLEM

Three crises every home health agency faces every day.

Legacy EMRs were built for hospitals and retrofitted for home health. The gaps show up as lost revenue.

$84K/yr

LUPA revenue leakage

When an episode falls below CMS visit thresholds, agencies receive ~22% of normal payment instead of $1,548–$2,149 — because their EMR has no real-time alert system.

11.4%

ICD-10 claim denials

Unspecified diagnosis codes get flagged after submission. Each denial costs $125 in rework, plus write-off risk if the 120-day appeal window is missed.

68%

Documentation gaps

Desktop-first EMRs mean nurses complete notes late or incomplete — threatening CMS Star Ratings, physician relationships, and reimbursement.

THE PLATFORM

Everything included. Nothing bolted on.

Every feature below ships in the base platform — not as a $15–40/user/month add-on like competing EMRs.

📋
PDGM 2024 Grouping Engine

Maps principal ICD-10 to clinical group, applies comorbidity tiers (+0/+5%/+13%), and constructs the HIPPS code automatically with embedded CMS rate tables.

No manual rate lookups
⚠️
LUPA Prevention Engine

Real-time visit-count monitoring against thresholds with a 4-day minimum warning window, dispatched via SMS, email, and push.

Recovers $67,200/yr · 50-pt agency
🩺
OASIS-E / iQIES Submission

8-section wizard with branching M-item logic, auto-save every 60 seconds, dual e-signature, and direct CMS iQIES submission with tracking.

Rejection parsing built in
💳
ICD-10 Rules Engine

3-tier validation — hard-stop, error, warning — catches diagnosis specificity issues before submission. Prevents CO-57, CO-4, and CO-22 denials.

4.1% denial rate vs. 11.4% national
📍
GPS EVV / Geofence

300ft Haversine geofence verification at every visit. Full offline sync — visits complete without connectivity and sync when reconnected.

No connectivity required
📱
Native iOS + Android App

Built on React Native, not a web wrapper. 7-step visit note wizard, wound documentation with camera, and medication reconciliation with high-alert flags.

87% docs completed within 24hrs
PROVEN ROI

$125,990 in annual recovery for a 50-patient agency.

Home health runs on 3–7% margins. A single percentage point of denial or LUPA reduction is worth tens of thousands of dollars a year.

LUPA prevention
$67,200
Denial reduction
$28,950
Documentation labor
$18,000
Mileage recovery
$11,840
$125,990
Total annual ROI · 50-patient agency
47 days
Average payback period
PRICING

Transparent per-census pricing.

No per-user fees. No add-on surprises. Every feature included in every tier.

Starter
Independent agencies
$22/patient/mo
10–99 active patients
PDGM 2024 grouping engine
OASIS-E / iQIES submission
ICD-10 3-tier rules engine
GPS EVV + native mobile app
5-day go-live · self-serve migration
Enterprise
Multi-site / 500+ census
$12/patient/mo
Custom contract
Everything in Professional
Multi-agency dashboard
Dedicated customer success mgr
Custom analytics API
99.99% uptime SLA · full-service migration
CensusTierMonthlyAnnual ACV
50 patientsStarter$1,100/mo$13,200
100 patientsProfessional$1,700/mo$20,400
500 patientsProfessional$8,500/mo$102,000
1,000 patientsEnterprise$12,000/mo$144,000
3,000 patientsEnterprise$36,000/mo$432,000
HOW WE COMPARE

Built for home health. Not retrofitted for it.

Feature HomeFirst Homecare Homebase MatrixCare Netsmart
LUPA real-time alerts ✓ 4-day lead ⚠ Limited ⚠ Add-on ✓ Built-in
ICD-10 rules engine ✓ 3-tier engine ⚠ Limited ⚠ Add-on ⚠ Limited
Native iOS/Android app ✓ React Native ✓ Available ⚠ Add-on ⚠ Add-on
FHIR R4 interoperability ✓ Included ⚠ Add-on ⚠ Add-on ⚠ Add-on
Offline mobile sync ✓ Full offline ⚠ Limited ⚠ Limited ⚠ Limited
Setup & go-live 5 business days 4–8 weeks 6–12 weeks 8–16 weeks
Pricing model Per-census, all-in Per-user + add-ons Per-user + add-ons Enterprise contract
GET STARTED

See your agency's numbers
in a free 30-day pilot.

Full-feature access. Your patient data. No credit card. 5-day go-live.

Start your free pilot
1-800-HF-DEMO · homefirsthealth.com · HIPAA BAA included at no charge