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Gravita SolutionsLLC

Home health RCM · United States

End-to-end revenue cycle management for home health agencies across the United States.

Revenue cycle management is the financial backbone of every home health agency. When your RCM process works, cash flows in, denials stay low, and your team can focus on patient care. When it breaks down, you face delayed payments, compliance risks, and mounting administrative pressure.

At Gravita Solutions, our certified coders, OASIS specialists, and QA teams work as an extension of your agency. We handle the documentation, coding, and prior authorization work that drives clean claims. From Start of Care through discharge, recertification, and visit note reviews, we bring deep regulatory knowledge to every chart we touch.

Request a free 10-chart review. We code up to ten of your charts and send back, in writing, what we found.

A home health nurse writing visit notes at a patient kitchen table

Chart desk · across the Gravita group

Visit notes reviewed600K+
OASIS coded250K+
Chart turnaround48hrs
QA levels per chart2

Volume across Gravita Oasis Review Solutions and Gravita Solutions LLC.

Multi-level QA on every chart before it leaves the desk.

Before any chart is opened

BAA signedevery engagement

EMR systems we work with

WellSkyMatrixCare by ResMedAxxessEpicDataSoftLogicHealthcare SynergyDeveroHomecare HomebaseWellSkyMatrixCare by ResMedAxxessEpicDataSoftLogicHealthcare SynergyDeveroHomecare Homebase

Why it matters

Home health bills in the most unforgiving corner of healthcare.

PDGM requirements, Medicare conditions of participation, ICD-10-CM coding accuracy, and ever-changing CMS regulations mean that even small documentation gaps can lead to claim denials, payment delays, or audit exposure.

A strong revenue cycle process helps your agency:

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01

Accurate and timely payments

Get paid accurately and on time for every episode of care.

02

Reduced claim denials

Reduce claim denials and prevent costly resubmissions.

03

Audit-ready documentation

Stay prepared for ADR requests, UPIC audits, CHAP, Joint Commission, ACHC audits and RAC reviews.

04

Accurate clinical documentation

Optimize documentation so it reflects the true complexity of care.

05

Faster authorization workflows

Streamline prior authorizations so care is never delayed.

06

Less administrative burden

Free internal staff to focus on patient outcomes rather than paperwork.

Full continuum coverage

The revenue cycle doesn't start at billing.

It starts at referral and runs through every clinical and administrative touchpoint until final payment is posted. Gravita manages the full continuum, so nothing slips through the cracks.

ReferralPayment posted
  1. 01

    Patient intake and eligibility

  2. 02

    Care assessment

  3. 03

    OASIS review

  4. 04

    ICD-10-CM coding

  5. 05

    Prior authorizations

  1. 06

    Clinical documentation review

  2. 07

    Visit note auditing

  3. 08

    Claims submission

  4. 09

    Denial management

  5. 10

    Discharge summaries

We align each stage of the revenue cycle with CMS and payer requirements to protect your reimbursement from day one.

EMR expertise

We work inside your system, not alongside it.

Every home health agency runs on a different platform, and our team is experienced across all the major ones. There is no disruption to your existing workflows, and you keep full visibility into every chart, claim, and audit trail.

WellSky
MatrixCare by ResMed
Axxess
Epic
DataSoftLogic
Healthcare Synergy
Devero
Homecare Homebase
01

Seamless integration

A wide range of EMR systems supported, with the safest possible handling of patient information.

02

Data entry accuracy

Precise data entry and careful patient information handling are the basics of our approach.

03

Clinical documentation

Better compliance through billing and clinical documentation that stands up to review.

04

Reduced admin burden

Streamlined workflows through enhanced EMR usage and consistent data accuracy.

Our services

Five ways we take work off your desk.

A comprehensive suite of RCM services tailored to the demands of home health agencies across the United States. Every service is designed to reduce administrative burden, improve documentation accuracy, and protect your reimbursement.

Accurate coding using ICD-10 and PDGM standards, combined with OASIS validation, ensures compliant documentation, cleaner claims, and improved reimbursement outcomes.

Read the full service
ICD-10-CMPDGMOASIS-E1SOC / ROC / RECERT

Gravita ensures accuracy, audit readiness, and competent operations through multi-level QA, HIPAA-compliant systems, and continuous staff training.

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Why choose us

We're not a generalist outsourcing company.

Gravita Solutions was built with a single focus: helping home health agencies optimize their revenue cycle through expert coding, clinical documentation support, and compliant billing. We are home health RCM specialists, and that focus is what sets us apart.

Home health specialists

600K+

Visit notes reviewed

250K+

OASIS coded

100K

Physician orders reviewed

8

EMR platforms supported

Volume across Gravita Oasis Review Solutions and Gravita Solutions LLC.

Why choose our coding services

Certified professionals with hands-on home health domain experience and deep PDGM knowledge.

What sets our coding team apart

24 to 48-hour chart turnaround times, with dedicated teams working across time zones.

Our competitive advantage

A multi-level QA process that catches errors before they ever reach the payer.

Why agencies trust us

HIPAA-compliant systems with strict data access controls and regular security audits.

Support built around your workflow

Personalized support from a team that understands your agency's workflows and payer mix.

Measured financial outcomes

Denial rate, days in AR, and first-pass acceptance are reported to you weekly, so any improvement is shown rather than claimed.

When you choose Gravita, you are not just outsourcing a billing function. You are gaining a partner invested in the financial and operational health of your agency.

Our approach

We build accuracy in, rather than chase denials later.

Our multi-level QA process reviews every chart for clinical accuracy, coding integrity, and OASIS data consistency before submission. We track denial rates, Days Sales Outstanding, and first-pass acceptance. When we spot a pattern in rejections or documentation gaps, we bring it to your team with a corrective workflow already attached.

We also support CMS appeals at every stage. Whether you are responding to an ADR request, a UPIC audit, or a RAC review, our team provides the documentation support and clinical detail needed to build a strong case.

An authorization coordinator on a headset call at a desk
Payer follow-up runs on a schedule, not on reminders.
01

Assessment and gap identification

We measure what is actually happening in your charts and name the gaps before proposing anything.

02

Technology integration

Integration into your EMR for consistent policy enforcement and streamlined compliance workflows.

03

Policy enforcement

Structured compliance policies aligned with federal and state regulations, applied the same way every time.

04

Staff training

Training that takes compliance past the checklist stage, so policies are understood and not just published.

05

Monitoring and risk management

Ongoing monitoring, risk management, and internal audits to hold the standard and reduce legal exposure.

Benefits of outsourcing

What agencies actually get back.

Outsourcing revenue cycle management to a specialized partner delivers measurable financial and operational benefits for home health agencies of every size.

001

Reduced administrative overhead

Lower cost-per-claim compared with maintaining in-house coding and billing staff.

002

Faster reimbursement cycles

Improved cash flow from cleaner, more accurate claim submissions.

003

Lower denial rates

Proactive documentation review and payer-specific coding accuracy.

004

Shorter AR days

Stronger net revenue thanks to expert follow-up and denial management.

005

Improved audit readiness

Consistent, documented QA workflows and clinical review you can show an auditor.

006

Greater operational efficiency

Internal staff shift focus from paperwork back to patient care.

007

Scalable support

Capacity that grows with you, whether you are a single-site startup or a multi-location provider.

Not sure which of these you're losing money on?

Request a free 10-chart review
Hands holding a clipboard of clinical paperwork beside an open laptop
Two sets of eyes on every chart, before the payer gets one.

Specialist focus

Plenty of RCM vendors. Very few who only do home health.

We are a specialized team that has built its entire practice around the clinical and financial complexities of home health revenue cycle management. Certified coding expertise, OASIS accuracy, clinical review depth, and HIPAA-compliant data handling, all from one partner, across the entire cycle.

What that focus buys you

  • OASIS reviews with correct coding and stronger clinical documentation support
  • Capacity that scales with you, from single-site to multi-location
  • Dedication to HIPAA compliance and exceptional staff training
  • One point of contact who can tell you what a payer said and when

Partner with us

Ensure compliance. Strengthen patient trust. Reduce risk.

Partner with Gravita Solutions for tailored, HIPAA-compliant healthcare solutions.

FAQs

Questions we get on the first call.

Still something unanswered? Write to us. A coder replies, not a sales rep.

Healthcare compliance solutions are the frameworks, processes, and tools that help a healthcare organization understand and follow a complicated web of regulations, laws, and ethical standards. The goal is better data privacy and patient safety, and avoiding waste, fraud, and abuse through ongoing monitoring, training, and risk assessment.

Because the cost of getting it wrong lands in three places at once. There are financial penalties and recoupments, there is the risk of losing payer or Medicare participation, and there is the slower damage to patient trust. Consistent compliance also happens to be the cheapest form of revenue protection. Clean documentation is what survives an ADR, a UPIC audit, or a RAC review without a fight.

Patient intake and eligibility, care assessment support, OASIS review, ICD-10-CM coding, prior authorizations, clinical documentation review, visit note auditing, claims submission, denial management, AR follow-up, payment posting, and discharge summaries. Agencies can take the full continuum or pick only the pieces they need.

Standard turnaround is 24 to 48 hours. Dedicated teams work across time zones, so charts submitted at the end of your day are usually back at the start of the next one. Urgent Start of Care episodes can be prioritized by arrangement.

Three come up again and again. Rules change faster than internal policy documents get updated. Documentation is clinically correct but does not evidence what the payer needs to see. And staff turnover quietly resets institutional knowledge. All three are process problems, which is why we treat them with process rather than more headcount.

WellSky, MatrixCare by ResMed, Axxess, Epic, DataSoftLogic, Healthcare Synergy, Devero, Homecare Homebase, and other leading home health platforms. We work directly in your environment rather than exporting data into ours.

Free 10-chart review