Advertise on podcast: Home Health Revealed (+Palliative and Hospice)

CMS released the CY 2027 Home Health Prospective Payment System final rule on November 4, 2026, and it runs 447 pages. In this episode of Home Health Revealed, Hannah Vale, CEO of HealthRev Partners, walks through what's in it in plain English and what your agency should do before January 1. The short version: rates go up a little, the big cut agencies were bracing for didn't happen, and some deadlines get tighter. Hannah covers: The headline: CMS estimates home health payments rise 2.4% in 2027, about $415 million. That is a 2.1% payment update plus about 0.3% from the outlier change, in line with July's proposal. The national 30-day base rate goes from about $2,038 to $2,092.69, before wage index and case mix. Your agency's number will differ from the national average. No new permanent PDGM cut for 2027, but CMS kept the -3% temporary adjustment. It still aims to recover about $4.9 billion it believes was overpaid through 2025. Outliers get easier to reach: the fixed-dollar loss ratio drops from 0.37 to 0.29. LUPA thresholds: 10 paymeents drop by one visit, and one group goes up by one visit. Comorbidity groups grow to 22 low groups and 103 high combinations (proposed: 21 and 100), with recalibrated case-mix weights and functional levels. OASIS deadlines tighten: starting with 2027 data, submissions and corrections are due by the 15th day of the second month after the quarter ends. For Q1 2027, that's May 17, 2027. Missing quality reporting still costs 2 percentage points. Medicare enrollment gets stricter: new grounds for denial and revocation, broader retroactive revocations, and reapplication bars after a denial for any reason. What's not in the rule: no HHVBP model changes and no changes to the Review Choice Demonstration. A five-step to-do list before January 1. Correction: In the episode, Hannah says the fixed-dollar loss ratio drops from 0.39. The correct figure in the final rule is 0.37, dropping to 0.29. Read the rule (Federal Register public inspection, document 2026-22750): https://www.federalregister.gov/public-inspection/2026-22750/calendar-year-2027-home-health-prospective-payment-system-rate-update-requirements-for-the-hh Missed our California RCD episode? Listen to episode 137: https://healthrevpartners.com/podcast/137-california-rcd-what-home-health-agencies-need-to-know/ Want a second set of eyes on how 2027 hits your agency? HealthRev Partners helps home health agencies with coding and OASIS review, billing and revenue cycle, and RCD pre-claim review. Reach out at https://healthrevpartners.com/ Timestamps: 00:00 Intro: Home Health Revealed 00:20 The final rule is here: 447 pages, the short version 01:27 What the annual home health payment rule does 02:12 The headline: payments up 2.4% (about $415 million) 02:43 How the final rule compares to the July proposal 03:02 The new national base rate per 30-day period 03:39 No new permanent cut, but the 3% temporary cut stays 04:51 Outliers get easier to reach 05:29 LUPA thresholds shift 06:13 Coding and comorbidity groups 07:09 OASIS deadlines get much tighter 08:35 Medicare enrollment gets stricter 09:15 What's not in the rule: HHVBP and RCD 09:40 What changed from the proposal 10:19 Your to-do list before January 1 12:09 Recap, and how HealthRev Partners can help Chapters (00:00:02) - Intro: 2027 Final Rule Drops(00:02:09) - Headline Numbers and Payment Update(00:03:37) - Temporary 3% Cut Stays(00:04:51) - Outlier Payment Changes(00:05:16) - LUPA Threshold Shifts(00:06:07) - Coding and Comorbidity Updates(00:07:09) - OASIS Deadline Changes(00:08:10) - Medicare Enrollment Rules Tighten(00:08:40) - What Didn't Change / Proposal Comparison(00:10:13) - To-Do List Before January 1st(00:11:57) - Wrap Up and How We Can Help

California is next for the Review Choice Demonstration (RCD). On November 2, 2026, CMS announced plans to expand RCD to California home health agencies. In this breaking-news episode of Home Health Revealed, Hannah Vale, CEO of HealthRev Partners, explains what the change means and how agencies can prepare before the selection window closes. California agencies bill through Jurisdiction 6, now served by Wellpoint Federal. The selection period runs from November 16 to December 16, 2026, and the demonstration is set to start for billing periods on or after January 18, 2027, pending OMB approval. Agencies in Illinois, Ohio, Texas, North Carolina, Florida, and Oklahoma have already been through RCD with Palmetto GBA (Jurisdiction M). For California, this conversation needs to happen now. Hannah covers: What RCD is: the Medicare home health benefit stays the same, but the level of review rises Option 1, pre-claim review: documentation goes to the contractor before the final claim, and an affirmed request gets a unique tracking number (UTN) Option 2, postpayment review: claims are paid and then may be selected for ADRs. Agencies that make no selection default to this option. How a 90% or higher full affirmation rate (on at least 10 requests in a 6-month period) can lead to less intensive review options Why every document in a packet has to tell one consistent story: diagnosis, face-to-face, homebound status, skilled need, plan of care, and orders The operational questions: who pulls, reviews, submits, and tracks each request, and who follows up on non-affirmations Three questions to ask now: Do we have a defined process? Do we have the people and capacity? Do we have the technology and reporting? Why California agencies can't bundle billing periods: plan for one request per 30-day billing period Read the full California RCD guide and download the free RCD pre-claim review checklist: https://healthrevpartners.com/resource-center/blog/home-health-review-choice-demonstration-california/ Need a partner for pre-claim review, coding, OASIS review, or billing? HealthRev Partners works with agencies in RCD states every day: https://healthrevpartners.com/ Timestamps: 00:00 Intro: Home Health Revealed 00:20 California is next for RCD 01:24 What CMS announced, and the key dates 02:42 What RCD is, and what it doesn't change 04:09 Why RCD is an operational issue, not just a billing issue 04:32 Option 1: Pre-claim review (PCR) and the UTN 05:49 Option 2: Postpayment review, and the default if you don't choose 06:44 The 90% affirmation path to lighter review 07:17 The added workload and staff capacity 08:04 The biggest challenge: documentation that tells one story 09:05 What goes into a pre-claim review packet 10:51 The operational impact: who owns each step? 12:01 Three questions every California agency should ask 13:38 Postpayment review still needs a disciplined process 14:12 How HealthRev Partners helps 16:20 Technology helps, but experts make the call 16:43 What I would do as a California agency leader 18:55 No bundling in California: one request per 30-day period 19:12 Final thought: build a stronger organization 20:58 Wrap-up: the clock is ticking Chapters (00:00:02) - Introduction: RCD Expands to California(00:00:47) - Timeline and Key Dates for California RCD(00:02:13) - What is Review Choice Demonstration (RCD)(00:04:32) - Pre-Claim Review vs Post-Payment Review Options(00:08:10) - Documentation Requirements for Pre-Claim Review(00:09:56) - Building a Cohesive Documentation Story(00:10:51) - Operational Impact and Hidden Workload Questions(00:12:17) - Key Questions California Agencies Should Ask Now(00:13:55) - How Health Rev Partners Can Help(00:16:34) - CEO/CFO Action Plan and Readiness Assessment(00:18:24) - California-Specific Submission Rules(00:19:03) - Long-Term Benefits Beyond Compliance(00:20:51) - Closing Thoughts and How to Get Help

What should home health agencies look for when they choose software and AI tools for clinicians in the field? An agency owner and a nurse practitioner who runs his Northern Virginia agency discuss it in a conversation recorded live at the Alliance conference in Washington, DC. On this episode of Home Health Revealed, Arsen Kazaryan, owner of West Coast Valley Home Health, East Coast Valley Home Health, and the home health software company CuraSoft, joins Liana, a nurse practitioner who is CEO, administrator, and director of nursing at East Coast Valley Home Health. Why does patient education work better at home? Liana compares hospital and home care. In the hospital, patients are anxious and short on sleep. At home they are in their comfort zone, and clinicians have time over several visits to teach, for example, diabetes care, and to help keep patients out of the hospital. Why does trust matter so much? Home health clinicians work in the patient's own space, and referral sources need to know the agency will do the right thing. How should agencies evaluate technology? Arsen's answer is simplicity for field staff. Many clinicians work per diem across several agencies and several systems, so tools in the field should be easy to pick up. Office teams can handle more complex features. Liana sees AI as a way to cut down on documentation so clinicians can focus on the patient, and she stresses that clinicians still have to review its output and use their own critical thinking. In this episode: Hospital vs. home health: where patient education sticks Trust with patients and referral sources All-in-one systems vs. add-on apps Making field documentation simple for nurses and therapists Where AI helps clinicians, and where clinical judgment has to lead Guests: Arsen Kazaryan: owner, West Coast Valley Home Health, East Coast Valley Home Health, and CuraSoft (curasoft.org, per the guest) Liana, NP: CEO, administrator, and director of nursing, East Coast Valley Home Health (Northern Virginia) Timestamps: 00:00 Intro: Home Health Revealed 00:20 Meet Arsen Kazaryan and Liana of East Coast Valley Home Health 02:33 Hospital vs. home health: teaching patients where they live 06:20 Building trust with patients and referral sources 07:33 At the Alliance, and looking ahead to Seattle 08:15 Why CuraSoft was built as an all-in-one system 10:55 A nurse practitioner's view of documentation in home health 14:45 Serving Northern Virginia 15:05 How should agencies evaluate AI and software? 16:30 Keep it simple for field nurses 17:50 One tool vs. extra apps 19:40 AI as a helper, not a substitute for clinical judgment 20:50 Where the technology is going 22:35 Keep critical thinking, plus wrap-up Want cleaner coding and OASIS behind your documentation? Learn how HealthRev Partners supports home health agencies: https://healthrevpartners.com/oasis-poc-review/ Chapters (00:00:02) - Introductions and the Valley Home Health Companies(00:00:45) - Curasoft Software Origins and Vision(00:01:43) - Nursing Background: Hospital vs Home Health(00:02:39) - Patient Education and Compliance in Home Health(00:04:14) - Quality Ratings and Building Trust with Referrals(00:07:31) - Conference Presence and Plans for Seattle(00:08:14) - How Curasoft Solves Industry Problems(00:10:31) - AI Documentation and User-Friendly Design(00:13:33) - Staying Current with Technology and Patient Safety(00:14:44) - Evaluating AI Solutions: Simplicity for Field Staff(00:18:16) - All-in-One Tools and Communication Benefits(00:19:33) - Debate on AI's Role and Limits in Healthcare(00:22:39) - Closing Remarks and Contact Information

How does a family-owned home health agency keep its clinicians, use its data, and stay transparent from leadership to the field? Two RN administrators from Capitol Home Health in Texas talk it through, recorded live at Alliance 2026 in Washington, DC. On this episode of Home Health Revealed, Amanda Kiss, RN, administrator of Capitol Home Health's Austin agency, and Angela Campos, RN, administrator of its San Antonio branch, describe how a family-owned agency picks the right technology and keeps its clinicians engaged. How do they choose among AI tools and platforms? They look ahead before their clinicians ask, run interoffice polls, and use daily standups so the team buys in before a change. How does data support transparency? Clinical supervisors run outcome reports constantly. QAPI is reviewed in real time rather than "put on the back burner," and the results are presented to the governing board and then to clinicians. How do they keep clinicians? They review every patient survey, recognize clinicians by name in weekly case conferences and the monthly newsletter, and stay open to feedback because, as one guest puts it, "healthcare is a thankless job." In this episode: Choosing AI and software without losing sight of patient care Transparency from owners to administrators to clinicians Using QAPI and CMS reports as a live tool Recognizing clinicians through patient surveys and reviews Leadership takeaways: what to start, stop, and continue Questions about the moratorium and the Review Choice Demonstration Guests: Amanda Kiss, RN: administrator for Capitol Home Health's Austin, Texas agency, with a branch in Temple, Texas Angela Campos, RN: administrator for Capitol Home Health's San Antonio branch Capitol Home Health on LinkedIn: https://www.linkedin.com/company/capitol-home-health/ Timestamps: 00:00 Intro: Home Health Revealed 00:20 Meet Amanda Kiss & Angela Campos of Capitol Home Health 00:56 Choosing AI and platforms while protecting patient care 03:00 Low turnover and staying ahead of clinicians' needs 04:56 Transparency from owners to the field 06:01 How data and QAPI drive transparency 07:48 Sharing QAPI results with clinicians 10:02 Reviewing every patient survey and recognizing clinicians 11:33 Conference takeaways: start, stop, continue 14:45 The moratorium and Review Choice Demonstration 15:43 Seeing the industry face to face Want cleaner OASIS and coding behind your data? Learn how HealthRev Partners supports home health agencies: https://healthrevpartners.com/oasis-poc-review/ Chapters (00:00:02) - Introductions at Alliance 2026(00:00:45) - Scaling challenges and finding the right tech solutions(00:02:06) - Learning from other agencies across regions(00:02:56) - Supporting clinicians and preventing turnover(00:04:36) - Transparency and communication with staff(00:05:57) - Using data and QAPI for continuous improvement(00:07:48) - Open feedback culture and family-owned advantage(00:09:40) - Recognizing and rewarding clinicians(00:11:07) - Key takeaways from the conference(00:12:20) - Leadership growth and listening to staff(00:14:26) - Final thoughts on moratorium and regulatory uncertainty

Everyone is talking about AI, but what does it actually look like inside an agency? In this episode of Home Health Revealed, Hannah Vale sits down with John Atkinson, CTO of AxisCare, to move beyond the buzz and explore practical ways AI can support agency operations. Drawing on survey responses from more than 400 industry leaders, John shares where agencies stand on adoption, what’s holding them back, and how to find a useful starting point. From reviewing care notes to reducing administrative busywork, they discuss where AI can make a difference while preserving the human connection at the heart of care. Plus, John explains why delegating work to AI doesn’t mean delegating responsibility. Chapters (00:00:02) - Introduction and Guest Welcome(00:00:51) - Overview of the AI Industry Survey(00:01:17) - Where Agencies Stand on AI Adoption(00:03:16) - Getting Started: Finding AI's Best Use Cases(00:03:51) - AI as a 'Genie in a Bottle' for Ambitious Goals(00:06:34) - Embedded AI vs. Bolt-On Tools(00:07:49) - Care Analytics and Prioritization Benefits(00:10:48) - Fears That AI Will Make Home Care Less Human(00:12:03) - Addressing Concerns: What Should AI Do?(00:13:56) - Freeing Caregivers for More Human Connection(00:15:46) - Delegating Work, Not Responsibility(00:17:17) - Predictions: AI's Impact Over the Next Few Years(00:19:43) - Closing Remarks and Where to Learn More

Good intentions don’t eliminate compliance risk. Could your agency be overlooking something that puts its future at stake? In this episode of Home Health Revealed, Hannah Vale sits down with Jamie Davis, attorney, fractional chief compliance officer, and founder of Build and Comply Consulting Group, to explore the compliance blind spots agency owners can miss. From the liabilities you may inherit when buying a business to the risks of misclassifying employees as independent contractors, Jamie brings both a legal and owner-operator perspective to the conversation. They discuss enrollment moratoriums, marketing arrangements that raise kickback concerns, and how everyday business decisions can create unexpected exposure. Tune in for a practical conversation about asking better questions, strengthening your processes, and making compliance part of your agency’s foundation for growth. Chapters (00:00:02) - Introduction and Guest Background(00:02:34) - Due Diligence When Buying a Healthcare Business(00:07:48) - DME Moratorium Lessons for Home Health(00:09:52) - Preparing for Moratorium Extension or Lift(00:14:05) - Biggest Myths That Get Operators in Trouble(00:16:46) - Operation Gold Rush and Rising Fraud Scrutiny(00:20:22) - 1099 vs W2 Misclassification Risks(00:23:17) - What Triggers an Audit or Investigation(00:25:38) - Fixing Misclassification Before It Becomes a Problem(00:28:58) - How to Get Compliance Support and Closing Thoughts

A box of donuts might be remembered for a day. A referral relationship takes a lot more work. In this episode of Home Health Revealed, Hannah Vale talks with John Dalton, founder and president of Optimum RTS, about what helps home health sales teams earn trust and grow. John shares how reps can help referral sources recognize the right patient, ask better questions, follow through on what they promise, and confidently ask for the referral. They also get into the leadership side of sales: hiring and coaching reps, planning territories, measuring conversations that move business forward, and building a culture where sales and clinical teams can work together. If your team is busy making calls but you’re unsure which activities are leading somewhere, this conversation is for you. Chapters (00:00:02) - Introduction of John Dalton(00:01:05) - Why Donuts and Lunches Don't Build Referral Relationships(00:03:20) - Painting the Picture: Identifying the Right Patient(00:06:50) - What Sales Reps Really Need to Know(00:09:58) - Thinking on Your Feet and Hiring Fresh Talent(00:13:56) - Asking for the Referral and Consultative Selling(00:16:16) - Circle Marketing: The Dr. P Story(00:19:33) - Building Trust Through Listening and Questions(00:21:26) - Interviewing and Onboarding Salespeople(00:25:19) - Sales Metrics: Calls, Meetings, and Referrals(00:27:18) - Territory Management and Avoiding the Jellyfish Approach(00:34:00) - Compensation Structure and Salary Benchmarks(00:37:20) - Separating Clinical, Sales, and Operational Leadership(00:39:58) - Building Company Culture Through Employee Benefits(00:44:25) - Optimum RTS Offerings and Sales Boot Camp(00:46:03) - Who the Boot Camp Serves and Closing Thoughts

Your managed care contract called. It might be time for a raise. In this episode, Hannah is joined by Joe Russell, founder and CEO of YieldHealth, to unpack what home health agencies need to know about managed care contracts, payer negotiations, and the revenue (or terms) that may be hiding in plain sight. Joe explains why agencies are often underpaid by contract, not by accident, and why a payment is not necessarily the same thing as the right payment. They discuss how outdated rates, missed escalators, auto-renewals, underpayments, denials, and administrative requirements can quietly reduce an agency’s actual margin. You’ll learn: • The difference between your contracted rate and your realized rate • What to review first in your managed care contracts • How to build leverage before approaching a payer • Which quality and operational metrics matter during negotiations • Why smaller agencies can win through better terms, timing, and proof • How clinically integrated networks can give providers greater collective power If your managed care contracts have been sitting untouched for years, consider this your reminder to pull them out, check the dates, and do the math. Chapters (00:00:02) - Introduction and Guest Background(00:01:22) - Founding Yield Health(00:03:22) - Dog Talk and Personal Updates(00:04:59) - Denials, Authorizations, and Underpayment Roots(00:08:18) - When to Pursue Managed Care Contracts(00:10:49) - Data Providers Need for Negotiations(00:13:16) - Understanding Your Realized Rate vs Contracted Rate(00:14:53) - What to Review First in Your Contract(00:18:02) - Contract Terms: Escalators, Notice Windows, and Timely Filing(00:21:22) - Recoupment Timelines and Payment Delays(00:22:49) - Payers Playing Games and Power in Numbers(00:26:13) - Industry Shifts Toward Value-Based Care(00:30:43) - Where Provider Leverage Really Comes From(00:35:22) - Quality Metrics as Currency and Timing Strategy(00:37:38) - Payer Strategy: Regional vs National Plans(00:39:22) - What Yield Health Offers Clients(00:44:41) - Clinically Integrated Networks and Contact Info

What is the biggest problems inside your organization aren't the ones you can see?  In this episode of Home Health Revealed, Hannah Vale sits down with Chris Taylor, author of The Corporate Cure, to talk about the hidden issues that can quietly undermine culture, leadership, accountability, and performance.  Chris brings more than 30 years of executive leadership, operational, sales, and consultative experience to his approach, including his C.U.R.E.S. framework: Clarity, Unity, Readiness, Execution, and Sustainability. His personal story and approach to helping organizations diagnose what's broken is helping agencies build what lasts.  Hannah and Chris dive into some uncomfortable, and important leadership questions:  What are the warning signs that an organization is becoming unhealth?  How can leaders distinguish healthy accountability from fear-based leadership? Which part of organizational health do leaders most often underestimate?  Whether you're a CEO, executive, healthcare leader, or someone working in a team, this conversation will challenge you to look beneath the symptoms and ask a better question: What's really going on inside your organization?  Learn more a bout The Corporate Cure and Chris Taylor: https://taylordgrowth.com/the-corporate-cure Home Health Revealed,  hosted by HealthRev Partners.

Hospice providers are facing more scrutiny than ever—and audit readiness can no longer be treated as an occasional compliance project. In this episode, Hannah is joined by Annette Lee of Provider Insights to unpack what today’s hospice leaders need to know about audits, denials, documentation, and compliance. They explore common operational breakdowns, the growing importance of a culture of compliance, and why audit readiness should extend across the entire organization—from sales and intake to clinical teams, IDG, billing, and leadership. Annette also shares the metrics and risk indicators hospices should be watching, how stronger processes can help agencies move from reactive to proactive, and why good patient care and strong compliance ultimately go hand in hand. Amid increased oversight and changing regulations, the conversation comes back to what matters most: delivering the best possible care to patients and families while building an organization that is ready for whatever comes next. Chapters (00:00:02) - Home Health Revealed: Palliative Care and Regulatory Issues(00:00:39) - Palliative Care: The Middle Child Syndrome(00:01:15) - Hospice Audit Threats(00:05:25) - Hospice Adherence to the Code(00:10:06) - Hospice Board of Directors: Top 3 Denials(00:17:46) - Questions about medications in hospice care(00:21:11) - Palliative Care in Home Health, Compliance(00:24:58) - Hospice leadership on palliative care(00:33:28) - Home Health and Hospice: A Positive Message(00:35:04) - Hospice Leaders on Business(00:37:12) - Hospice Compliance: Annette Lee

Palliative care has been hanging out in the gray area of healthcare for a long time. CMS may finally be ready to do something about it. In this episode of Home Health Revealed, Hannah sits down with Annette Lee of Provider Insights to unpack what the proposed rule could mean for home health agencies, and why the details matter. They get into the big questions around medical necessity, documentation, quality measures, and whether palliative care could become the bridge between home health and hospice that patients actually need. They also talk about something that matters just as much as the policy: the patient. What if we stopped measuring palliative care by whether someone can walk farther and started paying more attention to whether they're comfortable, supported, and able to stay where they want to be? CMS is asking for feedback. Annette has some thoughts. And yes, you probably should too. Want to dig into the details? Read the CY 2027 Home Health Proposed Ruler here! Chapters (00:00:03) - Home Health Revealed: Palliative Care Proposal(00:00:48) - Annette Lee on CMS and the Home Health and Hospice Care(00:01:59) - MS: What Can We Do Different About Palliative Care?(00:05:17) - CMS Proposed Rule on Palliative Care RNs(00:10:00) - Are home health and palliative care compatible?(00:20:22) - Palliative Care in Home Health(00:27:19) - Palliative Health Care Comment(00:35:37) - On the Need to Be More Vocal(00:37:05) - Annette Lee on Provider Insights

Every patient has a different definition of what matters most. The challenge is making sure their care reflects it. In this episode of Home Health Revealed, Hannah Vale sits down with Raianne Melton, Senior Director of Clinical Services at Axxess, to discuss the Age-Friendly Care framework and how it helps home health and hospice providers deliver more personalized, patient-centered care. Drawing from both her clinical expertise and her own personal health journey, Raianne shares why understanding a patient's priorities can change the entire care experience. Together, Hannah and Raianne explore the four pillars of Age-Friendly Care: What Matters Most, Medication, Mentation, and Mobility. They also discuss practical ways agencies can incorporate these principles into everyday care, improve patient engagement, support quality outcomes, and strengthen collaboration across care teams. Whether you're a clinical leader, agency executive, compliance professional, or frontline clinician, this conversation offers practical ideas for putting patients at the center of every care decision. Chapters (00:00:03) - Hospice and Palliative Care Leader Raeanne Melton(00:01:44) - Honorizing the Seafood Industry(00:02:51) - Americans talk about the time change(00:05:52) - One Woman's Fight Against Breast Cancer(00:10:05) - Hospice Care's 4M Age Friendly Care(00:13:23) - Age-Friendly Care: The 4M's(00:23:00) - Palliative Hospice CAHPS Survey(00:30:51) - Hospice and Home Health: What We Need to Do to(00:38:44) - Home Health Leaders on the Hospice Conference(00:43:24) - Ray Melton on the Future of Hospice Care

Patients are coming home from the hospital sooner, sicker, and with more complex needs than ever before. For home health agencies, that shift is changing everything from clinical workflows and documentation to staffing, caregiver support, and revenue cycle performance. In this episode of Home Health Revealed, Hannah Vale sits down with Rachel Trombly, Director of Clinical Services at Mosai, to discuss what higher-acuity care really means for today's home health providers. Together, they explore how agencies can move from reactive to proactive care through stronger risk stratification, better care coordination, more meaningful documentation, and empowered caregivers. Tune in to learn: Why patient acuity is increasing—and what it means for your agency How documentation can better capture patient complexity The critical role caregivers play in preventing rehospitalizations Why risk stratification is becoming essential for operational success How agency leaders can better support clinicians while improving quality and financial performance Whether you're a clinician, operational leader, or revenue cycle professional, this conversation offers practical strategies to help your agency adapt to the new reality of higher-acuity home health. Access Rachel's recently published a blog, "Why Risk Stratification Is Becoming Essential Amid Staffing Shortages in Home-Based Care" which expands on many of the themes discussed in the interview: www.mosai.com/blog/why-risk-stratification-is-becoming-essential-amid-staffing-shortages-in-home-based-care Chapters (00:00:03) - Home Health Revealed: The Shift towards higher-acuity patients(00:01:39) - Interviews with Home Health Agency Executives(00:02:50) - Home Health Care: Higher Acuity in the Home(00:04:39) - Home Health Care: Complex Care Needs(00:08:12) - OASIS 12, Documentation(00:10:56) - What are the biggest gaps or risks when agencies are managing higher ac(00:13:27) - The Plan of Care for High-Acuity Patients(00:15:59) - Caregiver-centered care(00:22:35) - What are the biggest drivers of home health hospitalizations?(00:25:53) - Capacity planning for complex patients(00:30:11) - How to better support complex cardiac patients?(00:37:36) - What's the One Thing Home Health Companies Need to Do to Man(00:39:53) - Interviews with Mosay On Home Based Care

In this episode, we break down the CMS nationwide six-month moratorium on new home health agency and hospice Medicare enrollments—effective May 13, 2026—and what it means for your agency, your growth plans, and your revenue cycle. We’ll cover exactly what the moratorium blocks (new enrollments, certain ownership changes, branch and practice location expansions), what it does not block (existing provider operations, billing, and routine compliance), and why agencies are seeing intensified scrutiny through targeted investigations and advanced analytics during this period. You’ll get a clear action plan for how to respond.  This episode is designed for home health and hospice leaders, RCM specialists, compliance officers, and operations teams who need practical, compliance-focused guidance to stay ahead of the rules. Whether you’re planning acquisitions, branch expansions, or ownership changes, this conversation will help you make smarter decisions and keep your agency operating with excellence during a period of heightened regulatory pressure. Want to be audit ready? Check out healthrevpartners.com to learn about coding, OASIS review, and RCM services.  Chapters (00:00:03) - CMS Home Health and Hospice Moratorium

Revenue cycle management has long been a cornerstone of financial success in home health, but what if there was a way to connect revenue, capacity, margin, and cash flow into one complete picture? In this episode of Home Health Revealed, host Hannah Vale sits down with Victoria Kuklina and Alex Shekaroff, founders of Fin Health Inc., to discuss the emerging concept of Profit Cycle Management (PCM). Drawing from decades of experience in healthcare finance, operations, and technology, Victoria Kuklina and Alex Shekaroff explain how PCM helps agencies move beyond measuring performance to understanding the drivers behind it. Together, they explore how home health organizations can gain greater visibility into their financial operations, identify hidden revenue and profit leakage, improve accountability across departments, and make more informed decisions about growth, staffing, and cash flow. They also share the story behind Fin Health Inc. and how their platform is helping agencies turn complex data into actionable insights. Whether you're focused on financial stability, operational efficiency, or sustainable growth, this conversation offers a fresh perspective on what it takes to build a stronger healthcare organization in today's evolving landscape. Home Health Revealed is proudly hosted by HealthRev Partners- your tech-enabled, people-led revenue cycle management partner! Chapters (00:00:03) - Pcm: Profit Cycle Management in Home Care(00:01:11) - Victoria and Alex's Personal Capital Management(00:05:01) - Profit Cycle Management(00:09:35) - FinHealth Agency's Profit Cycle Management Platform(00:13:27) - Pricing and Accountability in Home Healthcare(00:16:15) - Finn Health's Home Health Innovation