Annie verifies eligibility across Medicare FFS and every MA plan, automates prior auth submissions by payer, and monitors reauthorization deadlines so your team stops losing episodes to denials and missed windows.
Home health referrals come from hospitals, SNFs, and discharge planners who expect same-day turnaround. Annie captures every referral immediately, verifies the referral source and physician NPI, flags missing face-to-face encounter documentation, and confirms insurance before your intake coordinator picks up the phone.
Every MA plan has different prior auth rules for home health. Annie verifies Medicare FFS eligibility, checks MA plan-specific authorization requirements, submits prior auth requests automatically by payer, and tracks approved visit counts against LUPA thresholds so your team knows when an episode is at risk of a 50% payment drop.
Reauthorizations expire, MA plans change their rules, and episodes roll into new 30-day windows. Annie monitors reauthorization deadlines before approved visits run out, alerts when patients switch MA plans mid-episode, tracks denial patterns by payer, and flags timely filing windows so appeals never miss a deadline.
Let Annie handle your intake, insurance, and authorizations 24/7.
