Ep 7Rosa Hart names the crisis no one wants to talk about — and why agencies who don't address it now will be priced out of the market in 24 months.
Rosa HartApr 6, 2026Resources Hub
Explore expert insights, podcasts, videos, case studies, and educational content about AI, compliance, operations, and home health innovation.

Most nursing budgets underestimate staffing by 2 to 6 percent before a schedule is ever built, because replacement staff are calculated from patient care FTEs instead of the total budget. Robert Wingo, RN-BC walks through the 40-year-old math error, why 'non-productive time' language makes it worse, and Care-Centric Modeling, the framework that fixes the calculation and gives nurse managers a data-backed argument with finance.

OASIS compliance isn't just filling in every field, it's making the assessment tell a consistent, clinically supported story that agrees with the rest of the record. This guide covers 12 practical compliance tips, 9 common errors, a pre-submission checklist, what's new in OASIS-E2, and where AI helps (and where it must not).

An ambient scribe listens and drafts a note from the conversation; AI documentation supports a broader capture-to-approval workflow. This guide breaks down the difference, why it matters more in home health (where much of the clinical story is observed, not spoken), a side-by-side comparison, OASIS considerations, and the questions to ask AI vendors.
The CMS-required home health assessment instrument — 23 pages with skip logic.
DefinitionPatient-Driven Groupings Model — case-mix based Medicare payment for home health.
DefinitionBrief Interview for Mental Status — exact-wording required to preserve scoring validity.
Definition
An incomplete visit note rarely creates just one problem, it moves downstream into QA rework, billing holds, denials, and audit risk. This guide breaks down the 7 most common documentation gaps, how they drain revenue, and the workflow (frameworks, real-time QA, prompts, and clinician-reviewed AI) that helps nurses finish accurate notes the first time.

Under PDGM, documentation establishes the clinical picture that supports classification, medical necessity, coding, and payment. This guide breaks down 15 PDGM documentation strategies, a documentation-to-payment framework, weak-vs-strong examples, and a closed-loop workflow to keep charts consistent and audit-ready.
OASIS section that scores self-care and mobility ability and assistance need.
DefinitionAdditional Documentation Request — Medicare's request for records to support a billed claim.
DefinitionHuman-in-the-loop — a human reviews and approves AI output before it's used.
Definition
A Medicare ADR can turn a routine claim into a major administrative project, and the problem usually isn't the care, it's the documentation. This guide breaks down the 10 most common Medicare ADR denial patterns for home health and hospice, with a practical prevention strategy for each.

OASIS-E is the CMS-required standardized assessment behind home health reimbursement, quality, and compliance. This complete guide covers what OASIS-E is, how it differs from D1/E1/E2, the five assessment time points, Section GG, PDGM impact, and documentation best practices.
Home Health Q&A
Short, direct answers on EMR choices, pricing, OASIS, referral management, AI documentation, and reducing denials, written for home health leaders comparing their options.
Browse the Q&APodcast library
Every conversation on the show, grouped by the operational and clinical challenges home health leaders are working on right now.
Home Health Operations
Operators, scheduling leaders, and clinical executives on what it actually takes to run a modern agency.
Ep 7Rosa Hart names the crisis no one wants to talk about — and why agencies who don't address it now will be priced out of the market in 24 months.
Rosa HartApr 6, 2026
Ep 3Gaurav and Kathy unpack the EMR disconnect every home health nurse lives with — and how AI can finally bridge the gap between the visit and the chart.
Kathy DuckettMar 9, 2026
Ep 4Laurel Chiaramonte traces her path from manual 18-hour nurse scheduling to building AI scheduling algorithms now used by the military — and what home health can learn from it.
Laurel ChiaramonteMar 16, 2026Nurse Burnout & Workforce
Burnout, retention, and the real cost of the documentation tail on nurses and patient experience.
Ep 11Nina Stevenson on the under-the-radar AI shift coming for CNAs, medics, and LVNs — and the practical playbook for nurses who want to be on the right side of it.
Nina StevensonMay 4, 2026
Ep 1Kathy Duckett pulls back the curtain on the unfiltered reality of home health nursing — the windshield time, the after-hours documentation, and the parts of the job that never make it to social media.
Kathy DuckettFeb 23, 2026
Ep 2Valerie Choniuk reframes clinician burnout as the upstream cause of the patient experience crisis — and walks through what AI can and cannot do about it.
Valerie ChoniukMar 2, 2026Healthcare AI
Founders, clinicians, and operators on what AI can and cannot do at the bedside.
Ep 14Desiree Paige on the clinical intuition AI can't replicate and what the right AI partnership for the bedside nurse actually looks like.
Desiree PaigeJun 1, 2026
Ep 12Susie Branagan on trauma-informed AI, why the bar for clinical AI is not accuracy alone, and what 'AI's clinical conscience' actually looks like in practice.
Susie BranaganMay 11, 2026
Ep 9Paulo Machado on the next five years of healthcare AI — who gets disrupted, who wins, and how home health operators should position right now.
Paulo J. MachadoApr 20, 2026
Ep 10Nathan Hayman tells the founding story of Rivvi.ai — how watching his wife come home from clinical shifts in tears led to a conversational AI infra company for healthcare.
Nathan HaymanApr 27, 2026OASIS & Documentation
Deep dives into the skip-logic, the goals, the interventions, and the cost of getting any of it wrong.
Ep 6A deep dive into why the OASIS is the single hardest document in home health — the skip-logic, the goals, the interventions, and the cost of getting any of it wrong.
Kathy DuckettMar 30, 2026
Ep 13Part three with Kathy Duckett — can AI actually solve the OASIS crisis, what the human-in-the-loop layer has to look like, and where the future of home health documentation is heading.
Kathy DuckettMay 18, 2026Leadership & Career Growth
Nurses turning clinical experience into leadership, entrepreneurship, and revenue-generating roles.
Ep 5Kimberly Maurer on the false binary nurses are sold — and the third path she built helping nurses reclaim their voice without leaving the profession behind.
Kimberly MaurerMar 23, 2026
Ep 15Luke Adams on Advanced Care Planning and how turning nurses into revenue-generating clinicians changes both margin and meaning in primary care and hospitals.
Luke AdamsJun 8, 2026Patient & Family Experience
Aging in America, family caregivers, and the patient experience side of clinical care.
Ep 8Dr. Pooja Patel walks through what families discover too late about aging in America — and how home health and OT can change the trajectory if engaged early.
Pooja A. Patel, DrOTApr 13, 2026