Visit-ready
Keep authorization and coverage aligned before the appointment is booked.
Optimize PDGM 30-day payment periods, OASIS-driven reimbursement, and EVV compliance. See why home health practices choose Unlimited Systems for practice management and RCM software.
Home health agencies bill under the Patient-Driven Groupings Model, where reimbursement for each 30-day payment period is determined by clinical grouping, functional status, and comorbidity adjustments derived directly from OASIS assessment data. Errors or delays in OASIS completion cascade directly into incorrect or delayed payments, while electronic visit verification requirements add another layer of compliance that, if mishandled, can trigger full episode recoupment. Unlimited Systems connects clinical documentation, OASIS scoring, and EVV compliance into a single revenue cycle workflow built specifically for PDGM.
Each 30-day payment period under PDGM is classified using the principal diagnosis, comorbidity adjustments, admission source (institutional vs. community), timing (early vs. late), and functional impairment level scored from the OASIS assessment, all of which combine to place the period into one of many case-mix groups with distinct payment rates. Every visit must be verified through an approved electronic visit verification system capturing the type of service, individual receiving the service, date, location, and time, with mismatches between EVV records and billed visits creating audit and recoupment risk.


Trusted Payer & EHR Integration Partners
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Our connected workflows are built to make you and your work easier to do and increase your revenue.
Keep authorization and coverage aligned before the appointment is booked.
Validate home health codes, modifiers, and documentation before submission.
Give teams one view of denials, margin, and A/R priorities.
Routine home health work clears itself. Your team sees only what needs their judgment.
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.

“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
Drag the sliders to estimate how much unrealized cash remains locked in your current specialty billing cycles before optimization.
Adjust both inputs to match your practice.
Enter your work email to unlock your estimated annual recovery.
Every home health capability, grouped around the way your practice works.
Register, schedule and clear patients before the visit.
Turn documented care into clean claims and work denials.
Post payments, collect patient balances and work open AR.
Measure performance, report it and manage quality programs.
Automation, workflow, integration and the platform underneath.
Each module is configured for the codes, modifiers, and payer rules home health teams work with, not adapted from generic billing software.
These are the places home health practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon home health revenue leaks
The work that generic platforms leave to your staff is the work home health margin actually turns on.

See why home health practices move off general-purpose billing platforms.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.
You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.
That concern is valid, specialty practice operations are too important to disrupt. A conversation with Unlimited Systems doesn't mean an immediate rip-and-replace. We help teams evaluate workflows, identify gaps, and build a realistic path forward based on specialty, volume, payer mix, locations, integrations, and internal readiness.
Most specialty teams are already stretched thin. That's why the evaluation should focus on where the largest operational burden exists today, prior authorization, denials, charge capture, reporting, manual reconciliation, or payer-specific follow-up. The goal isn't to add work. It's to understand where better systems can remove it.
“Good enough” can still hide revenue leakage. Many practices aren't losing revenue because claims aren't being submitted, they're losing it through preventable denials, underpayments, missed modifiers, incomplete documentation, delayed authorizations, manual workarounds, and limited visibility into payer performance.
Unlimited Systems isn't designed to replace the expertise of your billing team. It's designed to give them better tools, cleaner workflows, better visibility, and fewer manual workarounds. Strong teams still need technology that helps them prioritize the right work, catch issues earlier, and reduce preventable rework.
Cash flow continuity is one of the biggest reasons to evaluate carefully and early. Unlimited Systems can help practices understand potential risk areas before a transition plan is ever built, including claim flow, authorizations, charge capture, payer rules, reporting, and operational dependencies.
Change management matters. The right platform should simplify daily work, not create unnecessary complexity. Unlimited Systems focuses on specialty workflows that align with how teams already manage authorizations, charges, denials, documentation, and financial follow-up.
Reporting is often the first visible symptom of a deeper workflow issue. If leadership can't clearly see denial trends, underpayments, authorization delays, payer behavior, or staff workload, it's harder to know what to fix. Unlimited Systems combines workflow tools with Power BI analytics to help leaders see where performance is improving and where revenue is still at risk.
That's a smart approach. A conversation with Unlimited Systems can help identify the financial case before a buying decision. Common areas to evaluate include denial reduction, staff efficiency, underpayment detection, charge capture improvement, prior authorization turnaround, and reduced manual reconciliation.
Specialty practices often depend on EHRs, clearinghouses, payment tools, drug workflows, and reporting systems. Unlimited Systems is designed to act as a connected financial workflow layer that helps reduce fragmentation, not add more disconnected work.
That caution is healthy. Automation should make decisions easier to see, not harder. Unlimited Systems is designed to surface why a claim is flagged, which payer rule applies, and where a human should step in, so your team stays in control while routine work is handled for them.
You don't need to be ready to buy to have a useful conversation. Many practices start by comparing their current workflows against what specialty-specific revenue cycle technology can support. That gives leadership a clearer view of what to fix now, what to plan for, and what questions to ask before the next renewal.
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Coverage and authorization stay tied to the order.
Code, unit, and modifier checks happen before filing.
Denials and A/R are ranked by value and filing risk.
The same connected system handles the operational work that sits either side of billing.
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakeSmart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingAutomated eligibility checks and prior authorization management.
Explore Financial ClearancePre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationEight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with usPart of Multi-Specialty
Family Medicine RCM SoftwareBilling and practice management for family medicine
Internal Medicine RCM SoftwareBilling and practice management for internal medicine
Primary Care RCM SoftwareBilling and practice management for primary care
Geriatrics RCM SoftwareBilling and practice management for geriatrics
Urgent Care RCM SoftwareBilling and practice management for urgent care
General Surgery RCM SoftwareBilling and practice management for general surgery
Ambulatory Surgery Center RCM SoftwareBilling and practice management for ambulatory surgery center
Hospitalists RCM SoftwareBilling and practice management for hospitalists
Hospital Outpatient RCM SoftwareBilling and practice management for hospital outpatient
Emergency Medicine RCM SoftwareBilling and practice management for emergency medicine
Trauma RCM SoftwareBilling and practice management for trauma
Telehealth RCM SoftwareBilling and practice management for telehealth
Hospice RCM SoftwareBilling and practice management for hospice
Chronic Care RCM SoftwareBilling and practice management for chronic care
Population Health RCM SoftwareBilling and practice management for population health
Occupational Medicine RCM SoftwareBilling and practice management for occupational medicine
Clinical Research RCM SoftwareBilling and practice management for clinical research
Oral & Maxillofacial Surgery RCM SoftwareBilling and practice management for oral & maxillofacial surgeryOur grouping engine combines the principal diagnosis category, secondary diagnosis comorbidity adjustments, admission source (institutional or community), period timing (early or late within the 60-day episode), and the functional impairment level derived from specific OASIS items to calculate the correct HIPPS code for each 30-day payment period.
Our system flags OASIS assessments approaching their completion deadline and blocks claim generation for periods with an unlocked or non-compliant OASIS, since late OASIS submission can result in a payment reduction penalty under current home health regulations.
Each 60-day certification period is split into one or two 30-day payment periods for billing purposes, and our system tracks the sequence (early vs. late period), automatically applying the correct timing categorization that affects the case-mix group calculation for each period.
A Low-Utilization Payment Adjustment occurs when the number of visits in a 30-day period falls below the case-mix-specific threshold, converting the period's payment from the full case-mix rate to a per-visit payment. Our system tracks visit counts in real time against each period's specific LUPA threshold and alerts care coordination staff when a period is at risk so additional visits can be scheduled if clinically appropriate.
EVV records capturing visit type, caregiver identity, date, time, and location are matched against the visits billed on each claim before submission, with discrepancies flagged for resolution to ensure compliance with the 21st Century Cures Act EVV mandate and avoid claim denials or recoupments.
Yes. The Notice of Admission must be submitted within 5 calendar days of the start of care for each 30-day period sequence, and our system tracks this deadline, generating and submitting the NOA automatically once admission documentation is complete to avoid the per-day payment reduction penalty for late submission.
Our system calculates estimated visit costs against the case-mix payment for each period and flags periods likely to qualify for outlier payments based on costs exceeding the fixed-dollar-loss threshold, ensuring the outlier payment is correctly calculated and included on the final claim.
We track the OASIS-based and claims-based quality measures used in the HHVBP model, providing dashboards that show agency performance relative to cohort benchmarks so leadership can identify areas affecting the agency's payment adjustment under the program.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
Practices like yours, on what changed after moving to Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.

“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
Connect with a specialized Home Health RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.