Compliance Statement

Scope of Services

LMNS Billing & Consulting provides administrative billing and revenue-cycle support to home health agencies operating in California. All services are performed on the basis of provider-supplied records, documentation, and written or verbal authorization from the provider or its designated representative.

LMNS does not provide clinical services, determine or certify medical necessity, create or alter source documentation, issue physician orders, or substitute for provider judgment in any clinical or regulatory matter. LMNS acts solely in an administrative support capacity.

Provider Responsibility

Final responsibility for claim accuracy, physician orders, certifications, documentation integrity, and regulatory compliance remains at all times with the provider. This includes, but is not limited to:

• Accuracy and completeness of all clinical documentation submitted to LMNS
• Validity and timeliness of physician orders and certifications
• Compliance with Medicare Conditions of Participation and applicable state licensure requirements
• Accuracy of patient eligibility and coverage verification
• Compliance with all applicable HIPAA privacy and security requirements
• Ensuring all claims submitted reflect services actually rendered and properly documented

Regulatory Framework

All billing activities performed by LMNS are conducted in accordance with applicable federal and state regulations, including:

• Medicare Home Health Prospective Payment System (HH PPS) billing guidelines
• Centers for Medicare & Medicaid Services (CMS) Claims Processing Manual
• California Medi-Cal home health billing requirements
• Health Insurance Portability and Accountability Act (HIPAA) — Privacy and Security Rules
• False Claims Act (31 U.S.C. §§ 3729–3733)
• Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b))

Authorized Access and Data Use

LMNS accesses payer systems, remittance data, and claim-status information exclusively through client-authorized credentials and payer-approved reporting workflows. LMNS does not access, store, or transmit protected health information (PHI) beyond what is necessary to perform authorized billing functions, and does so in compliance with applicable HIPAA Business Associate Agreement (BAA) requirements.

Providers engaging LMNS services are responsible for ensuring that any access credentials or authorizations provided to LMNS are valid, current, and appropriately scoped under their own compliance programs.

No Guarantee of Outcomes

LMNS does not guarantee specific billing outcomes, payment amounts, claim approval rates, or revenue results. All outcomes depend on the accuracy and completeness of provider-supplied documentation, applicable payer policies, and regulatory determinations outside of LMNS's control. Any figures or statistics referenced in LMNS marketing materials reflect historical administrative observations and are not guarantees of future performance. Individual results will vary.