In home health and hospice, you can’t separate care from cash. In this episode, Lisa VonLehmden from Ohio Council for Home Care and Hospice shares how agencies can align clinical decisions with financial reality without losing sight of what matters most. From running a state association like a business to creating real engagement and support for members, this conversation dives into the operational, financial, and human sides of care. You’ll hear why empowering both clinicians and revenue cycle teams is critical, and how having the right conversations can change everything.

• (00:00:03) - Ohio Home Health and Hospice Association's 20th Anniversary
• (00:05:03) - Ohio Healthcare Financially Management Conference
• (00:11:19) - Crucial Conversations: The Home Health Industry
• (00:15:23) - The Hard Talk in Home Nursing

Documentation in home health has always been essential, but it hasn’t always supported clinicians and agencies in the way it needs to. In this episode of Home Health Revealed, we explore the evolution of home health documentation—from paper and pen to EMRs and now ambient AI—and what each stage has solved, as well as what gaps still remain. Joined by Sandeep Banga and Andrew Ostrander from Scribble, the conversation focuses on the space between what happens in the home and what gets captured in documentation, and how that gap directly impacts quality, compliance, and reimbursement. We also dig into how agencies are thinking differently about documentation today, not just as an administrative task, but as a core driver of clinician experience, retention, coding accuracy, and financial performance. Finally, we break down what ambient AI looks like in real workflows and why capturing documentation at the point of care is becoming increasingly important to closing the gap between care and cash. If your agency is thinking about the future of documentation and how it impacts both clinical and operational outcomes, this episode offers a grounded look at where things are headed.

When a surveyor walks through your doors, what are they really looking for?

In this episode of Home Health Revealed, we sit down with Becky Tolson from ACHC to break down the top five deficiencies cited in home health surveys—and why they continue to show up across agencies.

From plan of care and medication management to documentation habits and infection control, Becky shares what surveyors see most often, where agencies fall short, and how to fix it before it becomes a citation.

If your team struggles with documentation, communication, or staying survey-ready, this episode offers practical insights to help you close the gap between care and compliance.

In this episode of Home Health Revealed, we sit down with Alexander Shekaroff from Fin Health, Inc. to explore the emerging concept of profit cycle management—and how it builds on traditional revenue cycle strategies in home health and hospice. While revenue cycle management focuses on cash flow and collections, this conversation dives deeper into what truly drives financial performance: margins, EBITDA, and operational efficiency. Alexander shares how agencies can uncover hidden “margin leaks,” improve financial visibility, and make faster, more confident decisions by connecting data across EMR, accounting, and workforce systems. We also discuss how many organizations can achieve meaningful EBITDA improvement without major structural changes—simply by making small, informed adjustments across departments. With increasing pressure from payers and a rapidly evolving market, having timely, accurate financial insights is no longer optional. Whether your agency is focused on growth, stability, or preparing for future opportunities, this episode highlights how aligning revenue cycle with profitability can create a stronger, more sustainable financial foundation.

• (00:00:03) - Home Health Revealed: Profit Cycle Management
• (00:04:10) - Ohio Conference 2017
• (00:07:17) - Interview with Hannah Hathaway

In this episode of Home Health Revealed, we sit down with Jeremy Collier of the Ohio Council for Home Care and Hospice to explore how home health and hospice are evolving and what it means for providers today.

We discuss the difference between Medicare and Medicaid care models, often described as “pit stops vs lifelong care,” and how those philosophies shape patient experience, care delivery, and long-term outcomes. Jeremy also shares insights on the current state of hospice, including common misconceptions, emerging opportunities, and the importance of education in helping patients and families better understand the benefit.

The conversation also dives into the growing role of collaboration in home care, including clinically integrated networks like OCHN, and how stronger relationships between providers and payers are helping move the industry forward.

As reimbursement pressures, regulatory changes, and care demands continue to evolve, home health agencies are being challenged to rethink how they operate and how they define success.

• (00:00:03) - Jeremy Collier: Home Health and Hospice
• (00:01:48) - Ohio doctor on hospice care
• (00:06:31) - OCHN CEO on the Need for Communication with the Payer
• (00:09:48) - Wonders of the World

In this episode of Home Health Revealed, recorded live at the OCHCH Spring Financial Conference, we sit down with Gavin Michel from KanTime for a conversation that blends industry insight with a bit of personality.

Gavin shares his perspective on what makes KanTime different, from its consulting-first roots to its focus on understanding what agencies actually need to succeed. The conversation highlights an important reminder for providers: technology should support care, not complicate it—and the foundation of everything starts with strong documentation and aligned systems.

Along the way, we also get to know the person behind the role, from his days as a bull rider to his current “hype man” approach to helping agencies find the right solutions.

It’s a candid, on-the-ground conversation about EMRs, problem-solving in home health, and why keeping the patient at the center still matters most.

• (00:00:03) - Home Health Revealed
• (00:00:28) - Bachelor's party
• (00:00:54) - Hype Man for Cantime
• (00:02:36) - In the Elevator With Bull Riding

In this episode of Home Health Revealed, Hannah Vale sits down with Ethan from Flychain to talk about the truth behind AI in home health and hospice, and why agencies are feeling both excitement and uncertainty about what automation really means for the future of the industry.

They discuss how AI is already being used across clinical, operational, and financial workflows, why payers are leveraging automation to review and deny claims at scale, and what providers can do now to stay ahead. The conversation also explores how better data integration, stronger revenue cycle processes, and clearer financial visibility can help agencies protect margin while continuing to grow.

Hannah and Ethan also talk through the importance of having the right tech stack, how financial and operational data need to work together, and why agencies that understand their numbers will be in the strongest position as reimbursement pressure continues.

If you are a home health or hospice leader trying to understand where AI fits into your organization, this episode breaks down the hype, the reality, and what agencies should be doing now to future-proof their operations.

Listeners interested in learning more about the tools discussed in this episode can visit Flychain to explore financial visibility and AI-driven reporting solutions, or learn more about revenue cycle strategy and performance improvement through HealthRev Partners.

• (00:00:03) - Home Health Revealed: The AI CFO
• (00:03:12) - Do You Need to Worry About Your Job?
• (00:05:57) - What AI Looks Like for Home Health?
• (00:10:46) - How Can EMRs Align Their Tech Stack with AI?
• (00:13:41) - Is AI the CFO of the Future?
• (00:15:46) - Should I Buy or Start with an EMR?
• (00:19:19) - Sources of Truth in the EMRs
• (00:20:45) - Payment-side AI: How do we keep up with pay
• (00:24:22) - Home Health Industry's Fight Against AI and the Audit Crack
• (00:29:32) - What Does AI Look Like For Healthcare Operations?
• (00:37:07) - Healthcare Finance: Automation and Data Integration
• (00:43:10) - Are You Scared of AI Taking Jobs?
• (00:43:54) - What Would Home Health and Hospice Leaders Do With AI?
• (00:48:39) - Where to Reach Out to Ethan Glass

In this episode of Home Health Revealed, Hannah Vale sits down with Alex Hartzman, Vice President of Research & Analytics at the National Alliance for Care at Home and Head of Operations at the Research Institute for Home Care, to discuss the policy, payment, and workforce trends shaping the future of home health.

They explore the ongoing pressure from Medicare reimbursement changes, the impact of value-based purchasing and quality metrics, and the growing workforce challenges affecting agencies across the country. The conversation also dives into the increasing demand for home-based care, access-to-care concerns, and why the story of home health is not always reaching policymakers the way it should.

If you're a home health leader trying to prepare for the years ahead, this episode offers an inside look at the data, policy conversations, and industry realities that will define the future of care at home.

Listeners interested in getting involved in advocacy efforts can learn more through the National Alliance for Care at Home Advocacy Action Center and find details about Alliance membership opportunities on their website.
The Alliance DC Advocacy Fly-In will take place September 13–16, and Alliance members will receive registration information directly.

• (00:00:03) - Home Health Revealed
• (00:00:25) - Alex Hartzman on Policy Influence in Home Care
• (00:01:27) - Top 3 issues facing home health agencies
• (00:05:30) - What Can an Average Home Health Agency Do to Improve Their Quality Score
• (00:09:37) - Risk of rehospitalization
• (00:10:35) - Home Health Agency Executives on Staff turnover
• (00:14:15) - The value of home health
• (00:19:49) - Home Health and Hospice: A Conversation