Home health star ratings, reported before they surprise you
We build custom AI for home health and hospice agencies: our AI agents compute your star ratings from your own records; our experts set the rules and handle what the agents flag.
The report to fix first is the one your team argues about
- Denial, review, AR and cash reporting with root causeIn the lower half of 169 workflows
- Quality, star rating and value-based program reportingIn the lower half of 169 workflows
- Clinician productivity and documentation timelinessIn the lower half of 169 workflows
- Payer mix and reimbursement per period, day and visit by payer, case-mix group, level of care and branchIn the lower half of 169 workflows
- Daily operating dashboardIn the lower half of 169 workflows
- Capacity and utilization reportingIn the lower half of 169 workflows
Your numbers arrive late, argued with, and full of holes
Reporting is where home health and hospice agencies lose hours and confidence long before any money moves.
Numbers nobody trusts
Quarterly productivity figures contested by the clinicians they describe, so nothing gets decided.
Denials with no causes
An aggregate denial rate hides each denial's reason in the remittance.
Star ratings you cannot explain
A quality measure drops, cause unclear (assessment? claim?), so fixes stall.
Reporting your team stops arguing about
Three reporting workflows, each computed continuously from the record your agency already keeps.
Clinician numbers your clinicians will actually sign
Productivity reporting today is pulled quarterly and contested by the clinicians it describes. Our AI agents compute visits, drive time and note completion continuously from the schedule and the verified record, per clinician and branch.
- Every figure traceable to a verified visit
- Late documentation visible the morning it happens
- Productivity talks that end in accepted numbers
Denials, AR and cash, with the cause named on every line
Most agencies see aggregate denial rates and nothing behind them. Our AI agents report denials, reviews, AR and cash by payer, service line, branch, reviewer and reason, naming the root cause; our experts take the causes worth fixing.
- Every denial arrives with its reason spelled out
- AR aging current, by payer and reviewer
- Cash trends you can defend to your bank
Star ratings you can explain line by line
This reporting is abstracted by hand today, and the preview report arrives with gaps nobody can trace. Our AI agents trace each measure to its assessment, claim or survey response, and track compliance thresholds per provider number.
- Every measure traced to its assessment or claim
- Compliance tracked per provider number
- Value-based performance shown against the payment adjustment
How reporting your team trusts comes together
For any workflow: work backwards from your outcome, fix data first, observe before automating, then roll agents live.
01You bring the numbers you already have
Your agency brings its EMR, its payer portals, its ledger and the reports it lives with today. Nothing is replaced, and your data stays yours.
02Our experts watch and set the rules
Our experts sit with your billing, intake and clinical teams, watch the reporting as it runs, fix the data behind it, and set the rules with your staff.
03Our AI agents compute and flag
Our AI agents compute the measures from the schedule, the verified visits, the ledger and the remittances, and flag what needs a person. Your team makes the call.
Off-the-shelf reporting stops where your agency's quirks start
Reporting you already pay for shows the average agency. Here is what custom AI built inside your operation does instead.
Custom AI built inside your operation
Our engineers build inside your agency, for your workflows, your payer mix. No two agencies get the same reporting. Our AI agents compute the measures where the work happens; our experts take the exceptions.
- Figures traced to a visit or a claim
- Rules your team can see and change
- One price per workflow automated, however many users
Billing and RCM software
Good at standard reports on your billing. Most dashboards show the same fields for every agency, so your payer's quirks stay manual.*
Your EMR's billing module
Good at the chart's own numbers. Its reports usually cover the standard path; your branches' own measures usually ride on exports.*
An outsourced billing company
Good at clearing the accounts you hand over, usually per claim. Their reports mirror their own process, so branch questions stay yours.*
* This describes each category as the market commonly sells it; particular vendors vary. Terms, coverage and pricing vary by company and contract, and the right choice depends on your agency's workflows, payer mix and systems.
Your EMR stays, your team decides, and you pay by workflow
Do we have to replace our EMR?
No. Nothing gets replaced. Our AI agents work inside the EMR and payer portals you already run, and your data never leaves your operation.
Who makes the calls on what the numbers mean?
Your team does. Our AI agents compute and flag; your staff review what the agents flag and decide. Our experts set the rules with your people.
How is this priced?
A fee plus a part tied to outcomes. The rate changes only when we automate a new workflow.
What do we need to have ready?
Very little. Access to your systems for our experts, and a point person in billing who can tell us which figures get contested most.
Reporting your owner can defend, every morning
Start with the report nobody trusts. Our experts walk your figures with you and pick the first workflow; our AI agents take it over.
Common questions
How to calculate payer mix in healthcare?
Payer mix is each payer's share of your volume or revenue, grouped by payer. Our AI agents compute it continuously, by case-mix group, level of care and branch.
What are the steps of denial management?
Denial management means reading each denial, naming its cause, routing it to whoever can fix it, and tracking it to resolution. Our AI agents do the reading, naming and routing.
How are hospice star ratings calculated?
Hospice star ratings summarize the quality measures a hospice reports, computed from its patient records and survey data. Our AI agents compute and track yours per provider number.
What is the best CRM software for home health care agencies?
No single software is best for every agency. What matters is whether referrals, admissions, census, visits, charges, collections and denials are visible by branch, daily; our AI agents produce that.
The full study, PDF · 636 KB
The work worth automating is the work whose mistakes travel
The work worth automating is not the easy work. It is the work whose mistakes travel.