Ep 7WorkforceGrowth
The Hidden Crisis in Home Health (and Why It's Getting Worse)Rosa 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
Resources for the Future of Home Health
Explore expert insights, podcasts, videos, case studies, and educational content about AI, compliance, operations, and home health innovation.
Featured podcasts
Compliance 17 min
Medicaid vs. Medicare for Home Health: What's the Difference?
Medicare and Medicaid can both help cover care at home, but their eligibility, services, documentation, authorization, and billing rules differ. This guide explains what home health agencies need to verify for each payer.
Arvind SarinSep 25, 2026
Operations 18 min
How Voice AI Changes the Clinical Documentation Workflow
Voice AI can turn a natural clinical conversation into a structured draft, identify missing information, and support QA and EMR workflows. The goal is not to remove the clinician; it is to reduce repetitive documentation work while keeping clinical judgment and final approval with the healthcare professional.
Arvind SarinSep 24, 2026
Compliance 15 min
How to Respond to a Medicare ADR in 30 Days: A Step-by-Step Guide for Home Health & Hospice
A Medicare ADR turns an ordinary claim into a time-sensitive compliance project. Not every ADR is due in 30 days, so the goal isn't to "respond in 30 days" but to have a process that moves quickly, consistently, and defensibly. Here's a practical day-by-day workflow for home health and hospice, plus where AI can help.
Arvind SarinSep 23, 2026
GlossaryDocumentation
OASIS
The CMS-required home health assessment instrument — 23 pages with skip logic.
DefinitionGlossaryPayment
PDGM
Patient-Driven Groupings Model — case-mix based Medicare payment for home health.
DefinitionGlossaryClinical
BIMS
Brief Interview for Mental Status — exact-wording required to preserve scoring validity.
Definition
Compliance 15 min
What Is an ABN in Home Health & Hospice? Complete Guide With Billing Instructions
A patient wants to continue care, but Medicare may not pay for it. Who owes the bill? That's where the Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, comes in. Here's when it's required in home health and hospice, what makes it valid, the beneficiary's three choices, and how to bill it correctly.
Arvind SarinSep 22, 2026
Compliance 13 min
Beginner's Guide to Medicare ADRs for Home Health and Hospice Agencies
A letter from Medicare asking for additional records raises fast questions: what do they need, why this claim, how long do we have? That letter is often an Additional Documentation Request (ADR). Here's what an ADR is, why home health and hospice agencies get them, what's requested, the deadlines, and how to respond.
Arvind SarinSep 21, 2026
GlossaryFunctional
GG
OASIS section that scores self-care and mobility ability and assistance need.
DefinitionGlossaryCompliance
ADR
Additional Documentation Request — Medicare's request for records to support a billed claim.
DefinitionGlossaryAI Pattern
HITL
Human-in-the-loop — a human reviews and approves AI output before it's used.
Definition
Workforce 12 min
Why Does Home Health Documentation Take So Long?
Home health nurses don't just document a visit. They assess, manage medications, educate, coordinate, update care plans, and complete OASIS, then document it all. Documentation takes so long because it's spread across an entire workflow, where information is captured, checked, entered, updated, and sometimes entered again.
Arvind SarinSep 18, 2026
OASIS 13 min
What Does Home Health Documentation Actually Include?
Home health documentation is much more than a visit note. Across an episode it spans the initial assessment, OASIS, skilled visits, medications, the care plan, education, physician communication, orders, reassessments, recertification, and discharge: each piece is part of the patient's larger story of care.
Arvind SarinSep 17, 2026
Home Health Q&A
Answer-first responses to the questions operators actually ask
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
Inside Home Health, by topic
Every conversation on the show, grouped by the operational and clinical challenges home health leaders are working on right now.
Home Health Operations
Inside the home health agency
Operators, scheduling leaders, and clinical executives on what it actually takes to run a modern agency.
Ep 7Rosa HartApr 6, 2026
Ep 3TechnologyAI
What's the FUTURE of Home Health EMR?Gaurav 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 4OperationsAI
From 18-Hour Nurse Scheduling to AI Algorithms Used by the MilitaryLaurel 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
The workforce conversation no one wants to have
Burnout, retention, and the real cost of the documentation tail on nurses and patient experience.
Ep 11AIWorkforce
The Nursing Crisis Nobody's Talking About (It's AI)Nina 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 1Clinical ExcellenceWorkforce
A Nurse's Life | The Parts They Don't Post OnlineKathy 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 2WorkforceAI
Clinician Burnout is the Patient Experience Problem | AI in Healthcare, Caregiver CrisisValerie 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
Healthcare AI, from the people building it
Founders, clinicians, and operators on what AI can and cannot do at the bedside.
Ep 14AIClinical Excellence
AI vs Intuition: What Nurses Know Before the Monitors DoDesiree 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 12AIWorkforce
If AI Can't Handle a Nurse's Bad Day, It Shouldn't be in HealthcareSusie 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 9AITechnology
Disrupt or Be Disrupted | The Future of Healthcare AIPaulo 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 10AITechnology
She Came Home Crying Every Day…So He Built an AI CompanyNathan 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
Why OASIS is the hardest document in home health
Deep dives into the skip-logic, the goals, the interventions, and the cost of getting any of it wrong.
Ep 6ComplianceClinical Excellence
What Makes OASIS Documentation So DIFFICULT?A 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 13ComplianceAI
Why OASIS Is Every Nurse's Biggest NightmarePart 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
Career paths the nursing playbook forgot
Nurses turning clinical experience into leadership, entrepreneurship, and revenue-generating roles.
Ep 5WorkforceClinical Excellence
Stay or Leave Nursing? What That Third Path Actually Looks LikeKimberly 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 15Revenue CycleGrowth
The Biggest Mistake Healthcare Makes About NursesLuke 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
What families discover too late
Aging in America, family caregivers, and the patient experience side of clinical care.
Ep 8Clinical ExcellenceGrowth
Aging in America is Broken | Here's What Families Don't KnowDr. 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