Effective Date: January 1, 2026
Last Updated: January 1, 2026
1. INTRODUCTION AND ACCEPTANCE
Welcome to the “Home Health Coding Hub“. These Terms and Conditions (“Terms,” “Agreement”) govern your access to and use of our websites, software applications, tools, and services (collectively, the “Services”), including:
HomeHealthEncoder.com – Our SaaS platform providing PDGM grouping, ICD-10 validation, LUPA threshold calculators, and coding automation tools (“Software”)
HomeHealthCodingHub.com – Our consulting, training, OASIS review, Plan of Care audits, quality assurance, and certification services (“Professional Services”)
By registering for an account, clicking “I Agree,” accessing the Services, or downloading any materials, you acknowledge that you have read, understood, and agree to be bound by these Terms. If you do not agree, you must immediately cease use of our Services.
For Organizations: If you are entering into this Agreement on behalf of a company, agency, or other legal entity, you represent and warrant that you have the authority to bind such entity to these Terms.
1.1 MANDATORY ACKNOWLEDGMENT
BY CREATING AN ACCOUNT OR USING OUR SOFTWARE, YOU EXPRESSLY ACKNOWLEDGE AND AGREE THAT:
✓ The software tools provided (including PDGM groupers, ICD-10 validators, and LUPA calculators) are for educational and assistance purposes only
✓ These tools do not replace professional medical judgment, clinical expertise, or the responsibilities of licensed healthcare providers
✓ You will independently verify all coding outputs before submission to payers or use in patient care
✓ You are solely responsible for ensuring compliance with all applicable healthcare regulations, including but not limited to CMS guidelines, HIPAA, and state licensing requirements
Failure to independently verify coding recommendations may result in claim denials, audit penalties, or legal liability for which we bear no responsibility.
2. DEFINITIONS
“User,” “you,” “your”: The individual or organization using our Services
“Account”: The registered profile created to access our Services
“Subscription”: Paid access to features within the Software or Professional Services
“Content”: Any data, text, graphics, or materials uploaded, submitted, or generated by you
“Protected Health Information (PHI)”: Any individually identifiable health information as defined under applicable healthcare privacy laws
3. SCOPE OF SERVICES
SECTION 3.1 – Software Services (HomeHealthEncoder.com)
We provide cloud-based coding tools including, but not limited to:
PDGM episode grouping and payment calculators
ICD-10-CM code validation and mapping
LUPA threshold alerts and visit optimization
Audit compliance scoring
IMPORTANT NOTICE: These software tools are provided for educational and assistance purposes only and do not replace professional medical judgment, clinical decision-making, or the expertise of licensed healthcare providers. You remain solely responsible for all coding decisions and patient care determinations.
The Software is licensed, not sold. You receive a non-exclusive, non-transferable, revocable license to access the Software for the duration of your paid Subscription.
3.2 Professional Services (HomeHealthCodingHub.com)
We provide expert consulting services, including:
OASIS-D1 documentation review and recertification support
Plan of Care (485) audits
QA compliance audits and corrective action planning
BCHH-C certification exam training
Revenue cycle defense strategies
All Professional Services are delivered based on the information and documentation you provide. We do not practice medicine and are not responsible for clinical decision-making.
4. ACCOUNT REGISTRATION AND SECURITY
4.1 Eligibility
You must be at least 18 years of age and legally capable of entering binding contracts. Accounts created for organizations must be authorized by a designated officer or administrator.
4.2 Account Credentials
You agree to:
Provide accurate, current, and complete registration information
Maintain the confidentiality of your username and password
Notify us immediately of any unauthorized access to your Account at security@homehealthcodinghub.com
You are solely responsible for all activities conducted under your Account, whether authorized or not.
4.3 Account Suspension
We reserve the right to suspend or terminate Accounts that:
Violate these Terms or applicable law
Engage in fraudulent, abusive, or harmful behavior
Fail to pay Subscription fees within the grace period
5. ACCEPTABLE USE POLICY
You agree NOT to:
Reverse-engineer, decompile, or attempt to extract source code from the Software
Use the Services to transmit viruses, malware, or harmful code
Share your Account credentials with unauthorized users
Scrape, mine, or harvest data from the Services using bots or automated tools
Use the Services for any unlawful purpose, including but not limited to healthcare fraud or false claims submission
Resell, sublicense, or redistribute access to the Services without our prior written consent
Violation of this policy may result in immediate termination without refund.
6. SUBSCRIPTION FEES, BILLING, AND REFUNDS
6.1 Payment Terms
Subscriptions are billed in advance on a monthly, quarterly, or annual basis as selected during registration
Payment is due upon receipt of invoice or at the start of each billing cycle
We accept payments via credit card, debit card, UPI, bank transfer, or other methods as specified on our website
6.2 Auto-Renewal
Your Subscription will automatically renew at the end of each billing period unless you cancel at least 7 days prior to the renewal date. You will be charged the then-current Subscription rate.
6.3 Price Changes
We reserve the right to modify Subscription pricing with 30 days’ prior written notice via email. If you do not accept the new pricing, you may cancel your Subscription before the increase takes effect.
6.4 Refund Policy
SaaS Subscriptions: We offer a 7-day money-back guarantee for first-time subscribers. After 7 days, all fees are non-refundable.
Professional Services: Fees for completed work are non-refundable. Cancellations must be made in writing at least 48 hours before a scheduled consultation or training session.
6.5 Late Payments
If payment is not received within 15 days of the due date, we may suspend your access to the Services until payment is received. A late fee of ₹500 or 2% of the outstanding balance (whichever is greater) may be applied.
7. DATA OWNERSHIP, PRIVACY, AND SECURITY
7.1 Your Data Ownership
You retain full ownership of all Content and data you upload to the Services. We do not claim any ownership rights over your Content.
7.2 Our License to Use Your Data
By using the Services, you grant us a limited, non-exclusive, royalty-free license to:
Store, process, and display your Content as necessary to provide the Services
Use aggregated, de-identified data for product improvement, analytics, and research
We will never sell your personal data to third parties.
7.3 Data Security
We implement industry-standard security measures including:
256-bit SSL/TLS encryption for data in transit
AES-256 encryption for data at rest
Multi-factor authentication (MFA) options
Regular security audits and vulnerability assessments
However, no method of electronic storage is 100% secure. You acknowledge that you use the Services at your own risk.
7.4 Data Breach Notification
In the event of a security breach involving your personal data, we will notify you within 72 hours via email and provide details of the breach, affected data, and remedial actions taken, as required under India’s DPDP Act 2023.
7.5 Data Retention and Deletion
Upon termination or expiration of your Subscription:
You may request a full export of your data within 30 days
We will delete your Content from our active servers within 90 days, except where retention is required by law
Backups may be retained for up to 180 days for disaster recovery purposes
7.6 Compliance with DPDP Act 2023
As a Data Fiduciary under India’s Digital Personal Data Protection Act, 2023, we:
Collect and process personal data only with your explicit consent
Allow you to access, correct, or erase your personal data by contacting privacy@homehealthcodinghub.com
Maintain records of consent for a minimum of 7 years
Appoint a Data Protection Officer (contact details available on our Privacy Policy page)
8. INTELLECTUAL PROPERTY RIGHTS
8.1 Our IP
The Services, including all software code, algorithms, user interfaces, graphics, logos, trademarks, and documentation, are the exclusive property of Home Health Coding Hub and are protected by Indian Copyright Act 1957, Trademark Act 1999, and international intellectual property laws.
8.2 Restrictions
You may not:
Copy, modify, distribute, or create derivative works based on the Services
Use our trademarks, trade names, or branding without prior written permission
Remove or alter any copyright, trademark, or proprietary notices
8.3 User Feedback
Any suggestions, ideas, or feedback you provide regarding the Services become our property and may be used for any purpose without compensation or attribution.
9. MEDICAL AND PROFESSIONAL DISCLAIMER
SECTION 9.1 – Not Medical Advice
CRITICAL DISCLAIMER:
THE SERVICES, INCLUDING ALL SOFTWARE TOOLS FOR HOME HEALTH CODING (PDGM GROUPING, ICD-10 VALIDATION, LUPA CALCULATORS), ARE PROVIDED FOR EDUCATIONAL AND ASSISTANCE PURPOSES ONLY. THEY DO NOT CONSTITUTE MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT AND DO NOT REPLACE PROFESSIONAL MEDICAL JUDGMENT OR CLINICAL EXPERTISE.
Our Software provides coding assistance tools only. The ultimate responsibility for:
Accurate ICD-10-CM code selection
PDGM episode grouping and payment optimization
Clinical documentation integrity
Patient care plans and treatment decisions
Compliance with CMS regulations and Medicare guidelines
…rests exclusively with the licensed healthcare provider, certified coder, and home health agency.
You acknowledge that reliance on the Software without independent professional verification is at your own risk.
9.2 Not a Substitute for Professional Judgment
Our Professional Services provide guidance and recommendations based on industry best practices and regulatory requirements. However:
We do not guarantee specific reimbursement outcomes or audit results
We are not liable for decisions made by agencies based on our recommendations
You must independently verify all coding and documentation for accuracy and compliance
9.3 No Guarantees of Regulatory Compliance
While we strive to keep our Services aligned with current CMS regulations and PDGM guidelines, you are solely responsible for ensuring compliance with all applicable federal, state, and local laws.
10. SERVICE LEVEL AGREEMENT (SLA) AND UPTIME
10.1 Uptime Commitment
We strive to maintain 99.5% monthly uptime for the Software, excluding:
Scheduled maintenance (notified 48 hours in advance)
Force majeure events (natural disasters, cyberattacks, infrastructure failures beyond our control)
Downtime caused by your actions or third-party services
10.2 Downtime Calculation
Downtime is measured as the total minutes per calendar month during which the Software is unavailable. Scheduled maintenance windows are excluded from this calculation.
10.3 Service Credits
If we fail to meet the 99.5% uptime commitment:
99.0% – 99.4% uptime: 10% service credit
98.0% – 98.9% uptime: 25% service credit
Below 98.0% uptime: 50% service credit
Service credits are your sole and exclusive remedy for SLA failures and will be applied to your next billing cycle. Credits must be requested within 30 days of the incident.
11. TERMINATION AND ACCOUNT CANCELLATION
11.1 Termination by You
You may cancel your Subscription at any time by:
Logging into your Account and selecting “Cancel Subscription”
Sending a written cancellation request to billing@homehealthcodinghub.com
Your access will continue until the end of the current billing period. No partial refunds will be issued for unused time.
11.2 Termination by Us
We may suspend or terminate your Account immediately if:
You breach these Terms
Your payment method fails or is declined
We are required to do so by law or regulatory authority
We discontinue the Services (with 60 days’ prior written notice)
11.3 Effects of Termination
Upon termination:
Your access to the Services will be revoked
All unpaid fees become immediately due and payable
You must cease all use of our trademarks and confidential information
We may delete your Content after the data retention period (Section 7.5)
12. LIMITATION OF LIABILITY
TO THE MAXIMUM EXTENT PERMITTED BY LAW:
12.1 Indirect Damages Waiver
We shall not be liable for any indirect, incidental, special, consequential, or punitive damages, including but not limited to:
Loss of profits, revenue, or business opportunities
Loss of data or use of the Services
Costs of substitute services
Damage to reputation or goodwill
12.2 Liability Cap
Our total aggregate liability arising out of or related to these Terms or your use of the Services shall not exceed the greater of ₹50,000 or the total fees paid by you in the 12 months preceding the claim.
12.3 Exceptions
This limitation does not apply to:
Our gross negligence or willful misconduct
Liabilities that cannot be excluded under Indian law (e.g., personal injury caused by our negligence)
Our obligations under data protection laws
13. INDEMNIFICATION
You agree to indemnify, defend, and hold harmless Home Health Encoder, its officers, directors, employees, agents, and affiliates from any claims, damages, losses, liabilities, and expenses (including reasonable legal fees) arising from:
Your violation of these Terms
Your misuse of the Services
Your violation of any third-party rights, including intellectual property or privacy rights
Any false, inaccurate, or misleading information you provide
14. DISCLAIMERS AND WARRANTIES
14.1 “AS IS” Basis
THE SERVICES ARE PROVIDED “AS IS” AND “AS AVAILABLE” WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, including but not limited to:
Merchantability
Fitness for a particular purpose
Non-infringement
Uninterrupted or error-free operation
14.2 Third-Party Services
We may integrate with or link to third-party services (e.g., cloud storage providers, payment processors). We are not responsible for the availability, accuracy, or content of third-party services.
15. FORCE MAJEURE
We shall not be liable for any failure or delay in performing our obligations under these Terms due to events beyond our reasonable control, including:
Acts of God (earthquakes, floods, pandemics)
War, terrorism, or civil unrest
Government actions or regulatory changes
Cyberattacks, server failures, or internet outages
During a force majeure event, our obligations will be suspended for the duration of the event.
16. CONFIDENTIALITY
16.1 Confidential Information
Each party agrees to keep confidential any proprietary or sensitive information disclosed by the other party, including:
Trade secrets, business strategies, and financial information
User data, PHI, and patient records
Software code, algorithms, and technical documentation
16.2 Exceptions
Confidentiality obligations do not apply to information that:
Is publicly available through no fault of the receiving party
Was independently developed without use of the confidential information
Must be disclosed by law or court order (with prior notice to the disclosing party)
16.3 Duration
Confidentiality obligations survive for 3 years after termination of these Terms.
17. GOVERNING LAW AND DISPUTE RESOLUTION
17.1 Governing Law
These Terms shall be governed by and construed in accordance with the laws of India, specifically the laws of the State of Telangana, without regard to conflict-of-law principles.
17.2 Jurisdiction
Any disputes arising out of or relating to these Terms shall be subject to the exclusive jurisdiction of the courts located in Hyderabad, Telangana, India.
17.3 Arbitration (Optional)
Before initiating litigation, the parties agree to attempt resolution through good-faith negotiation for 30 days. If unresolved, either party may pursue binding arbitration under the Arbitration and Conciliation Act, 1996, with arbitration conducted in Hyderabad in the English language.
18. CHANGES TO THESE TERMS
We reserve the right to modify these Terms at any time. Changes will be effective:
Immediately for new users upon publication
30 days after email notification for existing users
Continued use of the Services after the effective date constitutes your acceptance of the revised Terms. If you do not agree, you must discontinue use and cancel your Subscription.
19. ENTIRE AGREEMENT AND SEVERABILITY
19.1 Entire Agreement
These Terms, together with our Privacy Policy and any Order Forms or Subscription Agreements, constitute the entire agreement between you and us regarding the Services and supersede all prior agreements, understandings, or representations.
19.2 Severability
If any provision of these Terms is found to be invalid, illegal, or unenforceable, the remaining provisions shall continue in full force and effect.
19.3 Waiver
Our failure to enforce any right or provision of these Terms shall not constitute a waiver of such right or provision.
20. CONTACT INFORMATION
For questions, concerns, or notices regarding these Terms, please contact us at:
HOME HALTH ENCODER
Hyderabad, Telangana, India
Email: legal@homehealthcodinghub.com
Phone: +91-99 99 99 99 99
Data Protection Officer: privacy@homehealthcodinghub.com
By using our Services, you acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions.