What counts as an "active patient"?+
Any patient with an open episode of care during the billing month. Discharged patients stop counting the month after discharge. Re-admissions count as one.
Do you charge per clinician or per note?+
No. We charge per active Medicare patient only. Add as many reviewers, QA staff, coders, or field clinicians as you need.
Is there a minimum term?+
Starter is month-to-month. Pro is a 12-month term with 30-day cancellation for cause. Enterprise is negotiable.
What if my census drops?+
Your bill drops with it. We reconcile monthly against your actual active census — confirmed via EMR census export.
Do you offer non-Medicare pricing?+
Yes — Medicaid and commercial HH patients are billed at 50% of the per-patient rate.
Is implementation extra?+
Starter implementation is free. Pro includes a fixed-fee $8,500 onboarding covering SSO, EMR connector setup, and 2 training sessions. Enterprise is custom.
What if CMS rules change mid-year?+
Rule updates are included. Our Clinical team tracks CMS Final Rule, HHGM, HHPPS change requests, and iQIES updates — you get new logic without a contract amendment.