- 8017 Labana Ct, Canton Township, MI 48187
- +1 (734) 418 2537
- info@a2zbillings.com
A2Z Billings runs the complete billing side of your Axxess account. While focusing on patient documentation, the clinician’s team also handles NOA and NOE filing to overcome late-filing penalties. They also maintain OASIS-to-HIPPS accuracy to lock in precise values. Our team is also involved in Low Utilization Payment Adjustment (LUPA) tracking and hospice recertification to keep claims moving accurately thus securing your agency’s cashflow.
Axxess is a home health and hospice-specific platform that ties clinical documentation, OASIS scoring, and billing together in one record. Both care types are run by strict Medicare filing windows and payment models. A mistake in any one of those shows up on the claim, not just the chart.
| Term | What it controls |
|---|---|
| NOA | Notice of Admission for home health, due within 5 calendar days of the start of care date. |
| NOE | Notice of Election for hospice, same 5-day filing rule as the NOA. |
| HIPPS code | Generated from OASIS answers; sets the payment case-mix group for the period. |
| LUPA | Low Utilization Payment Adjustment; triggers when visit counts fall below the period threshold. |
| F2F | Face-to-face encounter required before hospice recertification. |
Axxess is a home health and hospice-specific platform that ties clinical documentation, OASIS scoring, and billing together in one record. Both care types are run by strict Medicare filing windows and payment models. A mistake in any one of those shows up on the claim, not just the chart.
Not documentation problems. Timing and matching problems.
NOA or NOE filed after the window: A late filing shifts the liability period onto the agency and cuts the days Medicare covers.
OASIS answers that don't support the HIPPS code : The coded assessment and the clinical note disagree, so the payment group doesn't match the chart.
Visit counts drifting under the LUPA line: One canceled visit near the end of a period can flip the whole period to a low-utilization rate.
Recertification filed without a current F2F: The hospice recertification goes in before the physician encounter is documented, or after the deadline has passed.
Set up once inside your Axxess environment. Nothing new for your clinical staff to learn.
Tracked from admission date, filed inside the 5-day window every time.
Coded answers reviewed against the visit note before the claim goes out.
Visit counts watched against the threshold through the whole period, not after it closes.
Encounter and recertification dates matched before submission.
ERA posting, denial review, and resubmission on missed items.
Role-based access and audit logging on every account we touch.
We look at your last 90 days of NOA/NOE timing, LUPA incidents, and denials.
We review your Axxess configuration and clearinghouse setup.
A named account manager builds a handoff plan around claims already in progress.
We manage new claims alongside your current process for the first cycle.
You get a report on filing timeliness, LUPA rate, and denial trends.
One person who knows your agency, not a rotating queue.
We work directly inside your Axxess account and clearinghouse. No parallel spreadsheet.
NOA and NOE timing tracked weekly, not surfaced after the period closes.
Yes, A2Z billings can bill directly inside your existing Axxess account. We have no requirement for you to shift to a new system or share your files externally.
If NOA or NOE are filed late, your agency might have to face severe financial penalties and non-reimbursement of your care days. According to medical rules, both forms must be completed and submitted within 5 days of the start of patient’s care.
One shared Axxess instance can not handle both health and hospice as both types of care have different regulatory, billing and clinical requirements.
Tracking of LUPA risk within the open period requires a combination of real-time software alerts and proactive operational management.
Once you are on board, your patient’s data can only be accessed by the authorized person who has to perform billing, coding and denial management functions.
