For Texas Home Health Agencies · Free to Try

Medicare reviews every claim you submit. ClaimGuard reviews it first.

Upload one patient document — a visit note, face-to-face, or plan of care. In 45 seconds you see every mistake a Medicare reviewer would deny you for, the rule it breaks, and the exact wording that fixes it. Every claim you save is worth $2,200–$3,800. Start with 3 free audits — no credit card.

Live Audit ReportCRITICAL
82
Denial risk score.
This claim would not survive review.
Clinical findings not linked to skilled care97% · FAIL
Homebound status missing entirely92% · FAIL
Start-of-care date not stated88% · FAIL
✓ Corrected wording generated — ready to use$2,200–$3,800 saved
324
Defendants charged, $14.6B intended loss — 2025 National Health Care Fraud Takedown
Source: U.S. Dept. of Justice, June 30, 2025
$28.8B
Medicare FFS improper payments, FY2025 (6.55% rate)
Source: CMS FY2025 Improper Payments Fact Sheet
−1.3%
CY2026 Medicare home health payment cut
Source: CMS CY2026 HH PPS Final Rule
<10%
Of denials are appealed — yet more than half overturn when challenged
Source: Counterforce Health analysis
The Compliance Wave

Denials are rising. Payments are shrinking. And in Texas, every single claim gets reviewed.

TEXAS RCD

Every claim is reviewed before you get paid

In Texas, Medicare reads 100% of home health claims — before payment or after. If your paperwork is missing one required element, the money stops: you either fight an appeal or accept a 25% pay cut on that claim. One missing sentence stops the cash.

Source: CMS Review Choice Demonstration; Texas RCD instructions eff. June 1, 2024
#1 DENIAL

The sentence that gets agencies denied

"This patient would benefit from home health services." That one sentence is the #1 denial trigger in Texas. Medicare needs the doctor's note to connect what they saw — the blood pressure, the swelling, the oxygen level — to the exact care your nurses provide. Most notes don't.

Source: 42 CFR § 424.22(a)(1)(v); CMS CERT improper-payment reporting
2026

The government has AI now. Do you?

2026 brings a Medicare home health pay cut — and Texas is one of six states where the government is now using AI to review claims (the WISeR pilot, running through 2031). Their AI reads your paperwork. ClaimGuard is the AI that reads it first, on your side.

Source: CMS CY2026 HH PPS Final Rule; CMS Innovation Center, WISeR Model
How It Works

Catch it. Fix it. Get paid.

ClaimGuard is built on Claude by Anthropic — the most advanced AI in the world — and made simple: no software to install, no training, no IT person. If you can attach a file to an email, you can use it. And every finding shows you the exact Medicare rule it comes from — so you never have to take the AI's word for it.

STEP 01

Drop in your document

Upload a PDF or paste the text — visit notes, face-to-face notes, plans of care, OASIS assessments. Patient names removed first (we'll remind you).

STEP 02

See every problem in 45 seconds

Each issue shows you three things: the exact sentence that's wrong, the Medicare rule it breaks, and how likely it is to get your claim denied.

STEP 03

Fix it with one click

ClaimGuard writes the corrected wording using only the facts already in your document. Anything missing gets flagged for your clinician to fill in — nothing is ever made up.

STEP 04

Submit with confidence

Audit every claim before it goes out the door. Your audit history becomes the paper trail you stand on if a review letter ever shows up.

Live Audit Engine

Try It Now — 3 Audits Free

No account needed. Use the de-identified sample below, or your own de-identified document.

📋
Drop document here or click to upload
PDF, TXT — face-to-face notes, CMS-485, OASIS, visit notes, physician orders

The sample contains intentional documentation deficiencies — watch ClaimGuard catch them.

One rule: remove patient names first. Before uploading, strip out patient names, record numbers, addresses, and birth dates. Your document is analyzed by AI in the moment and immediately discarded — it is never stored and never used to train anything. The details: Privacy Policy · Security & HIPAA.
Pricing

Don't rent software. Own your agency's AI.

We build your agency its own AI — on Claude, the most advanced AI in the world — to protect your billing the right way, and we make it simple enough that if you can attach a file to an email, you can use it. One denied claim costs $2,200–$3,800 — your AI pays for itself the first time it saves one.

Free Trial
$0
No credit card required
  • 3 full RCD audits
  • All CMS criteria checked, with citations
  • Specific fix language per finding
  • Denial risk scoring
  • Works on any document type
Your Own Agency AI
Built on Claude · Yours to Keep
$2,500one-time  +  $499/mo care plan
Cancel the monthly anytime — the AI stays with you
  • Your agency's own AI — your name on it, built to protect your billing the right way
  • Built on Claude by Anthropic, the most advanced AI in the world — made simple for your team
  • Unlimited audits, every claim, before it goes out — with one-click corrected wording
  • Runs on your own private AI account — your documents stay entirely yours
  • Sign your own HIPAA agreement directly with the AI provider
  • White-glove setup — we build and install everything for you
  • $499/mo covers maintenance, upgrades & Medicare rule updates — cancel anytime, keep the AI
Get My Agency AI →
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