Home health physician orders, tracked and signed before the claim
Moative builds custom AI inside home health and hospice agencies: our AI agents track every physician order, certification and face-to-face window, and our experts set the rules beside your teams.
Where we would start in your certification and order file
- Face-to-face encounter and certification tracking against the windowsIn the top 25 of 169 workflowsWorth it, ready now
- Hospice certification of terminal illnessIn the top half of 169 workflowsWorth it, ready now
- Eligibility documentation readinessIn the top half of 169 workflows
- Plan of care and order managementIn the top half of 169 workflowsWorth it, ready now
- Certifying practitioner validationIn the top half of 169 workflows
- Recertification decision supportIn the top half of 169 workflows
- Physician office relationship and signature turnaround managementIn the lower half of 169 workflows
- Notice of Medicare non-coverage and advance beneficiary noticesIn the lower half of 169 workflows
Tell us which of these your agency tracks by hand today.
Talk about your order workflow
The claim waits on a window nobody was watching
Certification and order work leaks days and dollars before the claim ever goes out.
Encounter windows on a spreadsheet
The intake nurse tracks each window by hand, and the note is chased after the denial.
Certifications signed in a stack
Generic narratives and late certifications become non-covered days the agency eats.
Unsigned orders hold claims
Orders are faxed and chased by phone for weeks before billing can release anything.
Every order tracked within its window
Each workflow below closes a piece of the certification and order file before the claim goes out.
Tracked while the clock runs
The window sits on a spreadsheet, and the note is chased after the denial. Our AI agents set the obligation at referral with its dates and elements, request the note and hold the claim; our experts take exceptions.
- Every referral leaves with its window dates set
- Claims held only while the file is open
- Follow-ups on the record, off your mind
Hospice certifications signed before the period starts
Certifications get signed in a stack at the meeting, and late ones become non-covered days. Our AI agents set each certification with its dates, draft the narrative and escalate late risk; our experts take flags.
- Every period opens with its certification dated
- Narratives drafted from the record, physician edits
- Late risk escalated before the period starts
Eligibility evidence ready before the claim goes out
The evidence is judged at the additional documentation request, too late to fix. Our AI agents read the assessment and notes against coverage criteria and return gaps to the clinician; our experts set the checklist with your managers.
- Coverage gaps returned to the clinician pre-claim
- One checklist, visible to your clinical managers
- Evidence filed as the period closes
The order file is built where the orders actually move
For any workflow: work backwards from the outcome, fix data first, observe, then release our AI agents live.
01What your agency brings
Your referral flow, your EMR and payer portals as they are, and the practitioner offices you work with. Our experts watch the order file as it runs today.
02What our experts do
They map the workflow with your staff, fix the data behind it, and set the rules our AI agents check against: the encounter windows and the five elements.
03What our AI agents do
They generate obligations at referral, chase signatures per office cadence, hold the claim until complete, and flag what your team reviews.
Your claim still waits on a signature the software never chased
Every home health agency owns at least one of these three. Here is what each does to the certification and order file, and where it stops short of closing it.
Custom AI made for your order file
Our experts build the agents around your practitioner roster and windows; our AI agents run inside your EMR and portals, and your staff edit every rule.
- Every window date set at referral
- Unsigned orders visible on one list
- Rules your staff can edit
Billing and RCM software
Good at organizing the billing you already do; it usually runs the same steps for every agency, so signature chases stay manual.*
Your EMR's billing module
Good at holding the chart; it usually covers the standard certification path, and office follow-up lands on your staff.*
An outsourced billing company
Good at clearing the pile, usually per claim; their billers follow their own playbook, so your windows live in their queue.*
* Each category is described here as commonly sold; any vendor may do more or less. Terms, service levels and coverage vary by contract and by agency; check the specifics of any offer before you compare.
Your EMR stays, your staff make the calls
How is this priced?
Pricing follows the workflows our AI agents take over, with a part tied to outcomes. Adding users never changes the number; adding workflows does.
Do we replace our EMR?
No. Our AI agents run beside your EMR, clearinghouse and payer portals, and you keep your data. Your staff review what the agents flag and make the call.
Who makes the calls to physician offices?
Our AI agents send the follow-ups on a cadence per office, and our experts handle the escalations the agents flag. Your liaison keeps the relationships.
What does our agency need to have ready?
Nothing special. Our experts need access to your EMR and portals, and a list of the physician offices you work with; we do the watching first.
Orders signed, claims released, nothing held unsigned
The first conversation is about one workflow: the windows tracked by hand today and what our AI agents would take over. You bring no patient data.
Common questions
What is a notice of Medicare non-coverage?
A notice of Medicare non-coverage tells the patient which days Medicare will no longer pay for before home health care ends. Our AI agents generate it from each discharge and hold it to signature.
Can a nurse practitioner certify a patient for hospice?
For the first hospice benefit period, the certification comes from the hospice medical director, a physician designee or the interdisciplinary group physician, plus the attending physician when there is one.
What are the CMS guidelines for home health recertification?
Medicare expects recertification orders signed and dated before the claim is billed, with verbal orders authenticated and dated in the record. Our AI agents assemble the evidence each period; your clinicians decide.
What is a physician certification statement?
A physician certification statement is the physician's statement that the patient meets home health eligibility, and it must contain five required elements.
Can a non-physician practitioner order home health?
It depends on the practitioner type, since the face-to-face encounter must be performed by an allowed practitioner type, and state law sets the rest. Orders must be signed and dated before billing.
The full study, PDF · 636 KB
Take the documentation fights once the plumbing works
The highest-value work left on the table is hard for honest reasons: the data is messy and the rules bend to the patient in front of you.