CaseWhy Hub · CaseWhy Appeals · Facilities · Home health

For home health agencies

The same Notice of Medicare Non-Coverage, the same fast-review right, the same clock — handed over in someone's living room instead of at a nursing station. CaseWhy Appeals explains the notice, writes the request, and tracks the deadline.

CaseWhy Appeals is not affiliated with or endorsed by Medicare, CMS, or any health plan, and is not a law firm.

The clock, precisely

The NOMNC (CMS-10123) is delivered at least two days before covered services end. The request for a fast Quality Improvement Organization review must be made no later than noon of the day before services end. Make that deadline and coverage generally continues while the QIO decides.

What's different about home health

Your clinician hands the notice to a patient who is at home, often alone, usually without a family member in the room. There is no business office down the corridor and no social worker to walk in afterwards. Whatever explaining happens, happens in that visit or not at all — which is exactly the gap a free page the clinician can point to is good at closing.

The appeal right is identical to skilled nursing. The delivery context is not, and that is why this is its own page.

Per-site licence

One licence covers the agency — every visiting clinician and office staffer, one shared counter. A licensed site also gets the resource library: written guides, a video walkthrough, and audio explainers.

Volume

$0 / month per site

No monthly fee, no commitment. $19 a case for the first 15 each month, $15 for 16-40, then $12.

Standard

$249 / month per site

15 cases included each month, then $15 a case.

Growth

$599 / month per site

40 cases included each month, then $12 a case.

Your first 3 cases are free, whichever plan you're on. New home health agencies start on Volume — no plan to pick up front, and you can move to a monthly plan whenever your volume makes it cheaper.

Ask about a licence →