Purpose-built for home health billers who are tired of spreadsheets, missed deadlines, and preventable denials. Track PDGM episodes, get alerts before NOA and LUPA deadlines pass, and manage denials through all 5 Medicare appeal levels — so you protect every dollar of revenue.
Live dashboard snapshot
Total Billed
$847,250
Collection Rate
92%
NOA Due
2 alerts
LUPA Risk
2 periods
Home health billing is complex. PDGM rules, strict deadlines, and a 5-level appeal process mean small mistakes can cost thousands in lost revenue.
Automatic 5-day countdown alerts for every new episode
A missed NOA can reduce your reimbursement to $0
Real-time visit tracking against HIPPS thresholds
LUPA episodes pay up to 60% less than full PDGM payment
365-day deadline tracking on every draft claim
Never lose billing rights on a valid claim
Real UI from the actual application. Every screen is designed for the daily workflow of Medicare home health billers.
Track every claim from draft to paid
Johnson, Mary (MRN-10042)
01/01/25 - 01/30/25
Billed
$3,842.50
Paid
$3,842.50
Owed
$0.00
Smith, Robert (MRN-10038)
01/05/25 - 02/03/25
Billed
$4,128.00
Paid
$0.00
Owed
$4,128.00
Williams, Susan (MRN-10035)
12/15/24 - 01/13/25
Billed
$3,956.75
Paid
$0.00
Owed
$3,956.75
PDGM billing periods with HIPPS codes and LUPA tracking
01/15/25 - 03/15/25 · Dx: I509 · HIPPS: 3BFKS
| Period | Dates | HIPPS | Visits | Status | NOA |
|---|---|---|---|---|---|
| Period 1 | 01/15/25 - 02/13/25 | 3BFKS | 8 / 6 | Full | Sent 01/16/25 |
| Period 2 | 02/14/25 - 03/15/25 | 3BFKS | 4 / 6 | LUPA Risk | N/A |
Never miss a deadline with automated alerts
Why billing teams trust Medipaid
Designed by people who understand PDGM, LUPA thresholds, NOA deadlines, and Medicare's 5-level appeal process.
Updated for CY2026 PDGM rates. Every validation and deadline calculation follows current CMS guidelines.
AES-256 encryption, row-level security, and HIPAA audit logging built into every layer.
From patient intake to payment posting in one platform
Full demographics, Medicare insurance with encrypted MBI, and complete episode history for every patient.
60-day episodes with automatic billing period creation, HIPPS code validation, and face-to-face documentation tracking.
Log visits by discipline (SN, PT, OT, ST, HHA, MSW) with NPI tracking. Real-time LUPA threshold alerts.
Generate claims from billing periods with revenue codes, claim lines, HIPPS codes, and full EDI transaction history.
Track denials through all Medicare appeal levels: Redetermination, QIC, ALJ, Appeals Council, and Federal Court.
Record payments, track adjustments, monitor collection rates, and manage outstanding balances with aging reports.
A streamlined workflow built for Medicare home health billing
Enter demographics and insurance details. MBI is encrypted with AES-256-GCM on save and never stored in plaintext.
Open a 60-day PDGM episode with HIPPS code, primary diagnosis, and referring physician. Billing periods are created automatically.
Record each clinician visit by date and discipline. Watch your visit count approach the LUPA threshold in real-time.
When the period closes, mark it ready to bill. Generate the claim, submit to Medicare, and track status through payment.
Billed
$3,842.50
HIPPS
3BFKS
Service Dates
01/15 - 02/13/25
Revenue Code
0023
Every HIPPS code is validated, every LUPA threshold is monitored, and every deadline is tracked — automatically. Errors are caught before they reach Medicare.
Import HIPPS codes from your EMR and validate against internal PDGM grouper. Catch discrepancies before they affect payment.
Revenue assurance
Automatic visit counting against period thresholds. Get alerts when periods are at risk of LUPA payment reduction.
Prevent underpayment
NOA deadlines, timely filing limits, and appeal deadlines are all calculated automatically from episode and claim dates.
Zero missed deadlines
Built for compliance
All PHI encrypted in transit and at rest
Medicare IDs encrypted with military-grade encryption
Agency data completely isolated
Updated for current CMS payment rules
Purpose-built for home health billing
Yes. All protected health information is encrypted with AES-256-GCM. Medicare Beneficiary Identifiers are encrypted at rest and never stored in plaintext. Row-level security ensures agencies can only access their own data.
Medipaid works alongside your existing EMR. Import HIPPS codes and patient data, then manage the billing workflow in Medipaid. Direct integrations with WellSky, Homecare Homebase, and Axxess are on the roadmap.
Most agencies are up and running within a day. Add your staff, import your active patients, and start tracking episodes immediately. No complex migration required.
Medipaid is updated to reflect CMS rule changes, including annual HIPPS rate updates and policy changes. You always bill against current guidelines.
Your data is encrypted in transit and at rest. We use row-level security policies so each agency's data is completely isolated. HIPAA audit logging tracks every access to protected health information.
Medipaid is designed for billers who already understand Medicare home health. If you know PDGM, the interface will feel familiar immediately. No specialized training required.
Medipaid is currently in early access for home health agencies. Request access and we will get you set up.
Already have an account? Log in here