Track PDGM episodes, catch NOA and LUPA deadlines before they pass, and manage claims through all 5 Medicare appeal levels — from a single platform built by people who understand home health operations.
Live dashboard snapshot
Total Billed
$847,250
Collection Rate
92%
NOA Due
2 alerts
LUPA Risk
2 periods
PDGM rules are unforgiving. A late NOA can zero out an episode. A LUPA shortfall can cut payment by 60%. A missed timely filing window means the claim is gone forever.
Automatic 5-day countdown alerts for every new episode
Miss the 5-day NOA window and Medicare pays $0 for that episode — regardless of care delivered
Real-time visit tracking against HIPPS thresholds
LUPA reduces your payment by up to 60%. One missed visit can mean thousands lost per period
365-day deadline tracking on every draft claim
After 365 days, Medicare won't accept the claim at all — even if the care was medically necessary
See your revenue pipeline, catch leaks before they happen, and know exactly where every dollar stands — across every episode, claim, and appeal.
Stop chasing deadlines in spreadsheets. Every NOA, LUPA threshold, and filing deadline is tracked automatically — so you focus on billing, not calendar math.
Focus on care delivery. Medipaid handles the billing complexity — visit tracking, HIPPS validation, and documentation requirements — so clinical decisions aren't driven by billing gaps.
Real UI from the actual application. Every screen is designed for the daily workflow of home health agencies.
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 home health agencies choose Medipaid
Designed by people who have run home health billing operations — not generic SaaS developers guessing at healthcare.
Updated for CY2026 PDGM rates and payment rules. When CMS changes the rules, Medipaid updates — so you always bill correctly.
Every layer — encryption, access controls, audit logging — is built for HIPAA from day one. Not bolted on later.
From patient intake to final payment — every step tracked, every deadline guarded, every dollar accounted for
Full demographics, encrypted Medicare IDs, and complete episode history — so every claim starts with clean, verified data.
Create a 60-day episode and billing periods generate automatically. HIPPS codes are validated on entry. Face-to-face documentation is tracked to close compliance gaps.
Log every visit by discipline and clinician NPI. See your LUPA threshold status in real time — so you know exactly how many visits are needed before the period closes.
Generate UB-04 claims directly from billing periods — revenue codes, claim lines, and HIPPS codes pre-populated. Every EDI transaction is logged for audit readiness.
When Medicare denies a claim, Medipaid tracks your appeal through all 5 levels — with deadlines for each stage so you never miss an escalation window.
Post payments, track adjustments, and monitor your collection rate and AR aging — so you always know what has been paid, what is outstanding, and what needs follow-up.
A streamlined workflow built for Medicare home health agencies
Enter demographics and Medicare insurance details. MBI is automatically encrypted on save — your team never sees or stores it in plaintext.
Open a 60-day PDGM episode with the HIPPS code, diagnosis, and referring physician. Billing periods and deadlines are created automatically.
Log each clinician visit by date and discipline. Your LUPA threshold updates in real time — so you always know if a period needs more visits before it closes.
When the period ends, generate the claim with one click. Submit to Medicare and track status through payment — or through the appeal process if denied.
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 the PDGM grouper. Catch discrepancies before they affect payment.
Validates every HIPPS code before submission
Automatic visit counting against period thresholds. Get alerts when periods are at risk of LUPA payment reduction.
Alerts when visits are below threshold with days remaining
NOA deadlines, timely filing limits, and appeal deadlines are all calculated automatically from episode and claim dates.
Tracks NOA, timely filing, and appeal deadlines to the day
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 today. You can enter HIPPS codes and patient data directly, or import via CSV. Direct integrations with WellSky, Homecare Homebase, and Axxess are in development for 2026.
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.
If your team already understands Medicare home health, the interface will feel familiar immediately. Most agencies are billing within the first day — no specialized training, no multi-week implementation.
Medipaid focuses on the billing lifecycle — but it tracks face-to-face documentation requirements, visit counts by discipline, and OASIS-related HIPPS code validation. It is designed to work alongside your EMR, not replace it.
EMR billing modules handle basic claims but miss the nuances of PDGM — LUPA monitoring, NOA deadline tracking, 5-level appeal management, and HIPPS validation. Medipaid is purpose-built for the billing lifecycle that EMR modules underserve.
We're onboarding a limited number of agencies during early access. Share your details and we'll get you set up.
Already have an account? Log in here