Every Part of Agency Operations, Connected
LEMR is one system of record for clinical documentation, billing, compliance, scheduling, and workforce — so your team enters data once and trusts it everywhere.
A Patient Chart That Is the Single System of Record
Clinical documentation lives in the chart and adapts to each patient's service line — the Medicare set for home health, the personal-care set for home care.
OASIS-E1, Complete
The full instrument across all RFA timepoints — Start of Care, Resumption, Recert, Transfer, Death, and Discharge — with consistency-edit checks, derived BIMS/PHQ/functional scores, and an iQIES-style export.
CMS-485 Plan of Care
A locator-faithful plan of care with a structured Locator 21 frequency editor and a survey-grade PDF. Finalizing a 485 pre-populates the schedule for the certification period.
Discipline Evaluations
One structured instrument for the SOC evaluation, the 30-day reassessment, and the discharge summary across SN, PT, OT, SLP, and MSW — each with its own discipline template and PDF.
Per-Discipline Visit Notes
CoP-grade visit documentation for every discipline, with the 30-day therapy reassessment and 14-day aide-supervision timing logic built in.
Wounds & Aide Care Plans
Structured wound assessment with staging, measurements, drainage, and photo capture — plus the Home Health Aide Care Plan required under 42 CFR 484.80(g).
Goals & Outcomes
Measurable care goals authored at the evaluation, referenced by the 485 and visit notes, re-rated at each visit, and rolled up into agency-wide goal attainment.
Scope of practice is enforced, not assumed. Every clinical role maps to a discipline and a tier. A PTA cannot sign a PT evaluation; an LPN cannot complete an RN-only OASIS. The rules are enforced in the interface and again at the database layer.
Clean Claims, Fewer Denials, No Surprise LUPAs
LEMR ships with real CMS data and generates compliant X12 files — then watches the metrics that quietly cost agencies money.
PDGM Grouping
Built on the real CY2026 CMS data — a 43,000-code ICD-10 grouper table and all 432 case-mix payment groups, weights, and LUPA thresholds.
Medicare 837I
Institutional claim generation for 60-day certification episodes, with billable-visit classification driven by encounter type — not a guess.
NC Medicaid 837P
Professional claims with prior-authorization tracking, a pre-submission scrubber, batch submission, and a submissions log per outbound file.
Claim Scrubber & Responses
A pre-submission scrubber catches errors before they leave; inbound 835, 999, and 277CA transactions are parsed and applied automatically.
LUPA Early-Warning
Every open 30-day period is projected to its end against the LUPA threshold, with risk tiers and estimated revenue at risk — early enough to act.
Denial Management
Denied remittances become worklist cases automatically — with CARC-code reference, aging buckets, assignment, and appeal tracking.
Eligibility Verification
X12 270/271 eligibility inquiry and response parsing on the patient intake tab, with parsed coverage stored on the chart.
Invoicing & Payments
Per-patient invoicing with your agency logo, plus Stripe payment links so private-pay families can pay online from the patient portal.
QA & Coding Review
A QA review workflow on OASIS, visit notes, and evaluations, with a cross-patient review queue and approve / return-with-notes actions.
The Whole Reporting Calendar, Tracked in One Hub
Medicare home health has a dozen obligations beyond the claim. LEMR's CMS Reporting hub tracks every clock so deadlines and penalties don't catch you off guard.
OASIS Transmission
The 30-day iQIES transmission clock, monitored per assessment.
NOA Timeliness
The 5-day Notice of Admission deadline with a late-penalty estimate.
PECOS Revalidation
Revalidation reminders folded into license tracking.
QRP Completeness
OASIS submission and timeliness rates against the APU threshold.
HHVBP Standing
Interim Performance Report import and Total Performance Score trend.
PEPPER Review
Target-area percentiles with outlier flags at the 80th percentile.
HHCAHPS
Monthly survey-eligible sampling and vendor file export.
Beneficiary Notices
NOMNC, HHCCN, and ABN generation with a signature pad.
Quality Measures
OASIS-based HHQRP and Care Compare measure computation.
Cost Report Package
Worksheet S-3 and A data aggregated for your cost-report preparer.
Physician E-Signature
In-app signing, or a secure link emailed to an outside physician.
Audit Trail
Every key clinical and administrative action recorded and reviewable.
From a Signed Plan of Care to a Verified Visit
Schedule Auto-Population
A finalized 485 spreads each ordered visit frequency across spaced weekdays for the certification period, with a suggested clinician for continuity of care.
GPS Visit Verification
Clinicians clock in and out from the patient's home; LEMR captures location and raises exception flags for late or early visits automatically.
EVV Export
The six-element 21st Century Cures Act Electronic Visit Verification record is derived from every completed visit and exported in a batch.
Visit-Cadence Tracking
Ordered-vs-delivered visits per discipline, prorated against weeks elapsed, surfaced as cadence chips and a "behind cadence" oversight panel.
Pre-Admit Intake
A pre-admit intake stage captures referral, payer, physician, and face-to-face data — and pre-populates the Start-of-Care OASIS, every prefill clinician-verified.
Mileage Tracking
Drive distance is calculated for visits so reimbursement and payroll mileage are accurate without manual logs.
Pay Your Team and Keep Them Compliant
Timesheets & Payroll
Weekly per-clinician timesheets with overtime, holiday, night, weekend, and surge differentials, flowing into W-2 payroll with ACH and ADP export.
1099 Contractors
A dedicated independent-contractor payroll path so agencies that staff with 1099 clinicians pay and report them correctly.
Credential Tracking
Licenses and credentials tracked with expiry reminders, so a lapsed certification surfaces before it becomes a survey finding.
Staff Onboarding
A staff-side onboarding checklist with agency-side review and acknowledgments, so every new hire's paperwork is complete and signed off.
Policy Library
A version-tracked agency policy manual with an acknowledgment audit trail — every clinician's sign-off on every revision.
Classroom & Training
A built-in classroom for role-based training, so onboarding and in-service education happen inside the same system staff already use.
Keep Patients and Families in the Loop
A separate, secure portal gives patients and their families visibility without giving them access to your staff workspace.
- View upcoming visit schedules and the current care plan
- Read shared documents and message agency staff securely
- Pay invoices online through Stripe
- Patient-education materials tailored to the patient's diagnoses
Built for Clinicians Who Work From a Phone
LEMR runs on the web and as native iPhone and Android apps from the same account — so the office and the field see the same data in real time.
- Native iPhone & Android apps with camera, location, and push notifications.
- Face ID / Touch ID sign-in and a HIPAA background-lock that re-authenticates after inactivity.
- Offline support so a home with no signal doesn't stop documentation.
- AI assistance — patient summaries, schedule drafting, and diagnosis-based patient education, on HIPAA-eligible infrastructure.
Want to See It on Your Own Workflow?
A demo is the fastest way to know if LEMR fits your agency. We'll map it to your service lines, payers, and disciplines.