Contract management for home health and hospice
Contract Logix helps a home health and hospice organization manage contracts, maximize profitability, and streamline compliance, with the terms inside those contracts turned into structured intelligence.
Contract intelligence starts with structured data
Contract Logix models the terms inside a home health and hospice organization’s contracts, the PDGM case-mix and LUPA thresholds in payer contracts, the hospice aggregate cap, physician face-to-face attestations, and Conditions of Participation vendor requirements, with Custom Data Objects that fit those structures, and captures them with AI data extraction at line-item granularity. Those terms become operational data, the foundation for managing contracts, capturing their value, and staying compliant.
Run contract operations end to end
Execute contracts faster across physician, payer, and vendor agreements and many locations, with full version control.
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Establish a single source of truth. Every physician, payer, and vendor agreement across locations connected, with version history, role-based access, and a 6-year audit trail.
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Manage every physician agreement. Medical-director and physician-services agreements are held with their compensation terms, face-to-face attestations, and renewal dates, so every physician arrangement stays current and defensible per location.
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Author contracts faster. Managed templates with conditional clause logic, structured intake, and no-code workflow automation.
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Stay ahead of every obligation and due date. Automated alerts on payer renewals, physician face-to-face attestations, and vendor attestation cycles.
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Review contracts in minutes, not hours. AI first-pass, playbook-driven redlines inside Microsoft Word and Google Docs.
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Turn contract intelligence into business insight. Dashboards into payer performance, reimbursement exposure, and obligations across every location.
Track cap, case-mix, and quality obligations
PDGM case-mix, hospice aggregate cap exposure, and quality-reporting obligations are tracked against the contracts that carry them, so financial risk is visible before it hits.
Capture the value in every contract
Protect reimbursement under PDGM and the hospice cap, and control spend.
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Revenue capture. Track PDGM case-mix and LUPA exposure across payer contracts and hospice per-diem rates so reimbursement holds against each payer’s methodology.
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Exposure and risk. Monitor hospice aggregate cap exposure against the federal threshold and carry MAC demand-letter documentation when overpayment events occur.
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Cost avoidance. Catch unfavorable vendor and staffing auto-renewals before they cost money.
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Reduce outside counsel spend. AI-assisted review handles routine agreements in-house.
Build compliance into every contract
Build Conditions of Participation, quality reporting, and physician attestation requirements into the workflow, and stay audit-ready.
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Enforce required terms and certifications. Conditions of Participation vendor gates under 42 CFR Part 418, plan-of-care, background-check, and annual attestation, applied before a vendor is engaged.
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Stay audit-ready. Per-location physician face-to-face attestation chains and medical director evidence, produced on demand.
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Prove compliance across every location. HOPE and OASIS quality reporting obligations and payment-penalty risk linked to the contracts that carry them.
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Prevent non-compliant terms from the start. Pre-approved templates and playbook-driven review keep off-standard language out.
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Reduce regulatory exposure. Surface lapsing attestations or vendor compliance before they become violations.
Healthcare compliance, in depth
Contract Logix supports the specific regulatory requirements your contracts carry. Go deeper on:
Common questions
How does Contract Logix track PDGM and LUPA exposure?
PDGM case-mix and LUPA thresholds are tracked across payer contracts against each payer’s methodology, so case-mix exposure is visible across the portfolio.
Does it manage the hospice aggregate cap?
Yes. A cap ledger monitors aggregate cap exposure against the federal threshold and carries MAC demand-letter documentation when overpayment events occur.
How does it enforce Conditions of Participation on vendors?
A vendor compliance gate under 42 CFR Part 418, covering plan-of-care, background check, and annual attestation, applies before a vendor is engaged.
More than 60,000 users across hundreds of organizations run their contract operations on Contract Logix.
Microsoft Azure · SOC 2 Type II · HIPAA · FISMA
See Contract Logix for your agency.
Request a demo and see how Contract Logix manages your contracts, captures their value, and keeps you compliant.
