Master every dollar from referral to remittance
The complete Medicare home health revenue cycle program — from referral and OASIS to clean claims, PDGM reimbursement, and financial performance — built for agency owners, administrators, and billers who want to run a profitable, compliant agency with confidence.
"You shouldn't need to call your billing company to understand whether your own agency is profitable — and after this program, you won't."— Ashley Brown
What you'll learn
What you'll be able to do
- Accurately interpret OASIS clinical data and map it to PDGM payment categories, functional levels, and comorbidity adjustments to maximize legitimate reimbursement.
- Submit clean Medicare home health claims — including timely Notice of Admission (NOA) filings — and systematically reduce claim rejections, denials, and costly LUPA episodes.
- Build and manage a high-performing accounts receivable process, track key revenue cycle KPIs, and reduce days-to-payment across your agency's entire payer mix.
- Read, analyze, and respond to Medicare cost reports with confidence, using financial dashboards to identify profitability gaps and make data-driven operational decisions.
- Design and implement a proactive denial management and audit-preparedness program that protects agency revenue during ADR requests, RAC audits, and MAC reviews.
- Operate a financially healthy, survey-ready, and fully compliant Medicare-certified home health agency — reducing outside billing dependency and increasing net revenue per episode.
How it works
A school that adapts to you
This isn't a set of static videos. Every lesson is generated live and tuned to where you actually are.
We learn your level
A quick placement check tailors your starting point so you're never bored or lost.
Lessons adapt as you go
Each lesson is written for your pace and your goal, adjusting as your skills grow.
Your AI coach keeps you moving
Checkpoints, feedback, and gentle nudges turn progress into a real result.
The curriculum
What's inside your school
7 modules · 32 lessons
Medicare Home Health Foundations & the Revenue Cycle Blueprint
Establishes the complete conceptual and regulatory foundation every student needs before touching a claim or OASIS form. Covers how Medicare defines home health, the Conditions of Participation (CoPs), and how every downstream process — billing, documentation, and compliance — connects back to these rules. Students build a mental map of the entire revenue cycle so they understand where each future module fits.
- 1.1How Medicare Home Health Works: Coverage, Conditions of Participation, and Payment BasicsIncluded
- 1.2The Revenue Cycle Map: From Referral to RemittanceIncluded
- 1.3Understanding PDGM: The Payment Model That Runs EverythingIncluded
- 1.4Referral Intake & Eligibility Verification: Getting It Right Before the Clock StartsIncluded
- 1.5Physician Certification, Orders Management & Plan of Care ComplianceIncluded
OASIS Mastery: Clinical Documentation That Drives Reimbursement
Deep-dives into OASIS as the engine of PDGM payment. Students learn the OASIS instrument from a reimbursement perspective — not just as a clinical form, but as the primary mechanism through which clinical documentation is translated into payment categories, functional impairment levels, and comorbidity adjustments. Bridges the gap between clinical staff decisions and billing outcomes.
- 2.1OASIS Architecture: What It Is, Why It Matters, and How It Connects to PaymentIncluded
- 2.2OASIS Items That Make or Break Your Payment: Functional Levels and Clinical GroupingsIncluded
- 2.3Comorbidity Adjustments: Capturing Every Legitimate Dollar Through Secondary DiagnosesIncluded
- 2.4OASIS Quality Audits & Clinical-Billing AlignmentIncluded
NOA, Claims Submission & Clean Claim Mastery
Translates OASIS and clinical documentation into compliant, accurate Medicare claims. Students master the Notice of Admission filing requirements, UB-04 claim construction, PDGM billing codes, clearinghouse workflows, and remittance advice reconciliation. The emphasis is on first-pass clean claims — because every rejection and rework is a direct cost to agency cash flow.
- 3.1The Notice of Admission (NOA): Filing Rules, Timelines, and Avoiding the 1/30th Per-Day PenaltyIncluded
- 3.2Building the Clean Claim: UB-04 Form, PDGM Billing Codes, and Revenue Code LogicIncluded
- 3.3Clearinghouses, MACs, and the Submission-to-Adjudication WorkflowIncluded
- 3.4Remittance Advice & Payment Posting: Reading the RA and Reconciling PaymentsIncluded
- 3.5Managing your billing companyIncluded
LUPA Prevention, Denial Management & Appeals
Equips students to protect agency revenue from the two most common and costly revenue leakage points: LUPA episodes and claim denials. Students learn the mechanics of LUPA thresholds, how to build proactive visit utilization protocols, and how to run a systematic denial management and appeals program — including how to write winning redetermination letters.
- 4.1LUPA Deep Dive: Thresholds, Financial Impact, and Prevention ProtocolsIncluded
- 4.2Denial Management: Categorizing, Tracking, and Systemically Eliminating DenialsIncluded
- 4.3Appeals That Win: Building a First-Level Redetermination ResponseIncluded
- 4.4Second-Level Appeals, ALJ Hearings & External Escalation StrategyIncluded
Accounts Receivable Management, KPIs & Revenue Cycle Performance
Builds students' ability to manage the financial engine of their agency — the accounts receivable process. Covers AR aging analysis, priority-based collection workflows, the key performance indicators that reveal revenue cycle health, and cash flow strategy. Students learn to run AR like a financial operation, not an administrative afterthought.
- 5.1AR Fundamentals: Aging Buckets, Priority Logic, and Daily AR WorkflowsIncluded
- 5.2Revenue Cycle KPIs: The Metrics That Tell You If Your Agency Is HealthyIncluded
- 5.3Cash Flow Management, Episode Billing Strategy & Reducing Days-to-PaymentIncluded
- 5.4Reducing Outside Billing Dependency: Building In-House Billing CapabilityIncluded
- 5.5Financial Statements for Home Health OwnersIncluded
- 5.6Owners Dashboard and KPI TrackingIncluded
Medicare Cost Reports, Financial Performance & Compliance Mastery
Elevates students to the owner and executive level of agency financial management. Covers Medicare cost reports, financial dashboard construction, audit defense, and building the compliance and survey-readiness infrastructure that makes a Medicare-certified agency bulletproof. This is where billing mastery meets strategic leadership.
- 6.1Medicare Cost Reports: Reading, Understanding, and Responding to Your Agency's Financial Report CardIncluded
- 6.2Financial Dashboards & Profitability Analysis: Running Your Agency Like a BusinessIncluded
- 6.3ADR Requests, RAC Audits & Audit-Preparedness ProgramsIncluded
- 6.4Compliance Infrastructure & Survey Readiness: Operating Without Fear of a Knock at the DoorIncluded
- 6.5Strategic Agency Leadership: Profitability, Growth & Long-Term Financial HealthIncluded
- 6.6Medicare Cost Report SimplifiedIncluded
- 6.7Revenue Protection Through ComplianceIncluded
Revenue Leakage and Profit Killers
Most home health agencies do not lose money because they lack referrals. They lose money because revenue leaks out of their organization through preventable operational, clinical, documentation, billing, and compliance mistakes. In this module, you’ll learn how to identify, measure, and eliminate the most common sources of lost revenue that impact agency profitability. We’ll examine the entire revenue cycle—from referral to final payment—to uncover where agencies unknowingly lose thousands of dollars each month.
- 7.1Revenue Leakage and Profit KillersIncluded
Who it's for
Is this you?
Agency Owners
You built the agency from the clinical side and now need to command the revenue cycle with the same confidence you bring to patient care.
Home Health Administrators
You oversee operations but want a complete, structured command of PDGM, AR management, and financial dashboards — not just surface-level familiarity.
In-House Billing Staff
You handle claims day-to-day and are ready to understand the full revenue cycle — from NOA rules to denial appeals to cost report interpretation.
Clinicians Moving Into Leadership
You're a nurse, PT, or OT stepping into an administrative role and need to quickly get fluent in the business language of Medicare home health.
Healthcare Entrepreneurs
You're launching or acquiring a Medicare-certified home health agency and want to build the revenue infrastructure correctly from day one.
Compliance & Quality Leaders
You're responsible for audit-readiness and survey preparation and need a deep, practical understanding of the compliance infrastructure that protects agency revenue.
Questions
Frequently asked
Your teacher
A note from your teacher
Ashley Brown
If you've ever stared at a Remittance Advice that didn't match what you expected, watched your days-in-AR creep higher without knowing why, or signed off on a Medicare cost report you didn't fully understand — I want you to know that's not a personal failure. It's a gap the industry created. Home health is one of the most clinically demanding and administratively complex fields in healthcare, and the people who run these agencies are almost never taught the revenue side with any real depth or structure. That's what this program exists to fix.
My name is Ashley Brown, and I come to this work from every angle that matters: clinician, educator, operator, and owner.
I'm a Nurse Practitioner — and I earned every nursing degree level separately throughout my career, not as a shortcut but as a deliberate progression that gave me a deep, layered understanding of how healthcare actually works at every level of the system. Along the way, I've spent years teaching and mentoring healthcare professionals — NCLEX preparation, TEAS preparation, healthcare leadership, and business development — because I believe that making complex material understandable and actionable is one of the most valuable things you can do for someone building a career or running an organization in this field.
But the experience that most directly shapes what I teach in this program comes from ownership.
I have owned and operated multiple healthcare businesses: a Medicare-certified home health agency, a home care agency, a healthcare staffing company, and a medical weight loss practice. I grew my home health agency to approximately 170 patients and my home care agency to approximately 76 clients — and I did it with minimal traditional marketing, by focusing on what actually drives sustainable growth in this industry: operations, quality, leadership, and service. When you build a reputation for doing it right, referral sources notice. When your clinical and administrative teams are aligned, your outcomes reflect it. That's not theory — that's what I lived.
I also want to be honest with you about something, because I think it matters: my entrepreneurial journey has not been a perfect success story. I've faced real business challenges. I've navigated the kinds of operational, financial, and compliance pressures that don't show up in textbooks but show up constantly in ownership. Those experiences — the hard ones alongside the successful ones — gave me lessons in leadership, scaling, compliance, financial management, and risk management that I now teach so that you can avoid the most costly mistakes and make better decisions earlier than I did. I'm not here to perform a highlight reel. I'm here to give you the full picture.
What that means for you as a student is this: when I walk you through Medicare regulations, PDGM reimbursement, clean claim submission, denial management, OASIS documentation, or audit preparation — I'm not teaching from a textbook. I'm teaching from having personally navigated all of it. I've sat with the billing questions, the staffing pressures, the compliance concerns, and the financial decisions that come with actually running a Medicare-certified agency. I understand your world from the clinical perspective, the operational perspective, the compliance perspective, the reimbursement perspective, and the ownership perspective — because I've had to.
This course is not based solely on theory. It is built from real experience building healthcare businesses, managing healthcare teams, confronting real challenges, and learning what it truly takes to create sustainable, compliant, and financially healthy organizations.
You are not just learning the revenue cycle. You are learning it from someone who has lived it.
Ashley Brown, NP Founder, The Healthcare Blueprint
— Ashley Brown
Start your journey today
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- 7 modules, 32 lessons
- AI-adaptive lessons tuned to your level
- Quizzes & checkpoints to lock in progress
- Your own AI learning coach
- Learn on any device, at your pace
- Full access for as long as you're subscribed