Late NOA penalty calculation and filing, for home health and hospice
A late notice of admission cuts the period payment one-thirtieth per day until filing. Our AI agents generate the notice, file it and confirm acceptance; our experts handle rejections and document exceptions.
A missed day on the notice clock costs money
The biller files from the admissions list and checks the federal system the next day, so a rejection fixed on day seven is still late. In hospice, days before a late notice of election are the hospice's liability.
Our AI agents hold the clock so no day is lost
When our AI agents hold the clock, a rejection on day four is corrected and refiled with days still left, and our experts document every exception request with the claim.
- Every notice filed within the deadline
- Filed and confirmed accepted
- Exceptions documented
How the notice gets filed on time
Your admission records, the same day
Bring complete admission records the day care starts and access to the systems the notices are filed through.
Filed and confirmed accepted
Each notice our AI agents generate from the admission record is filed, and its acceptance is confirmed with the claim.
Rejections corrected in the window
A rejected notice is corrected and refiled, and our AI agents confirm the new filing was accepted.
Exceptions taken and documented
Each exception request is documented with the claim by our experts, so a late day has its reason on file.
Start here because this clock never forgives a late day
This filing work tops the study on every re-run, so starting here means the safest first workflow with the clearest ground to gain.
The full study, PDF · 636 KB
The winner is the dullest job in the building
Claim editing and cash posting beat every clever idea in the study, and they beat it every single time we re-ran the numbers.
Cost, the EMR and who files, answered before the call
What does this cost and how is it priced?
You pay a fee plus a portion tied to outcomes, and the number follows the workflows we automate together. Seats never affect it; scope does.
Does our EMR stay, or does this replace it?
No. You keep your EMR. Our AI agents work beside the systems you already run, and your data stays yours.
Who actually files, and who makes the calls?
Your staff do. The software makes no clinical decisions; it flags what needs a person, and your own staff review each flag and make the call, on your rules.
What if our admission records are not complete the same day?
Then it gets fixed first: our experts sit with your intake team and repair the records before any agent files anything. Incomplete data is solved at its source.

Every notice filed inside the five-day clock
The first conversation covers this workflow only: where your notices go late today, what those days cost, what our AI agents would take over, and what your team keeps.
Next in claim assembly and submission
Visit-verification-to-claim matching
Clearinghouse and federal system return handling
Claim status inquiry
Common questions
What is the penalty for submitting a late Notice of Admission (NOA) to Medicare?
A late notice of admission reduces the 30-day period payment by one-thirtieth for each day from the start of care until the notice is filed. The cut accrues by the day.
What is a Notice of Admission (NOA) in Medicare?
A home health agency must file it with Medicare within five calendar days of the start of care. A late filing cuts the period payment by one-thirtieth for each day until it is filed.
What is a notice of admission (NOA) in home health?
A home health agency must file it with Medicare within five calendar days of the start of care. A late filing cuts the period payment by one-thirtieth for each day until it is filed.