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CMS set July 2028 as the first deadline for states to report caregiver their compensation.The numbers in that report wil...
10/20/2026

CMS set July 2028 as the first deadline for states to report caregiver their compensation.

The numbers in that report will come from 2027. That means your January 1 payroll will already be part of it.

SMD 26-005 asks states to report how much of their Medicaid payments goes to direct care worker pay. It covers homemaker, home health aide, personal care, and habilitation services. States have the option of collecting those figures from providers. If your time codes can’t separate care hours from admin, training, and travel time, 2027 will be hard to rebuild after the fact.

We broke down who’s in scope, what counts as compensation, and five things to set up this quarter. Link in the first comment to the full article!

If you're not sure which of your services fall under this list, reach out to us. Our DMs are open!

Your Compliance & Leadership Consultant
Sharron Williams, BSN, RN, ACHC-Certified Consultant

Just 3 days left to reserve your spot in our next CEU course: Understanding Aging, Cognitive Issues, and Behavior Manag...
10/19/2026

Just 3 days left to reserve your spot in our next CEU course: Understanding Aging, Cognitive Issues, and Behavior Management, Thursday October 22. 4 hours of credit, in person at our Aurora office.

A half day that pays off on every visit to a client living with dementia or cognitive decline, and a state required topic for your staff to be trained on.

We can't wait to see you all later this week!

Your Compliance & Leadership Consultant,
Sharron Williams, BSN, RN, ACHC-Certified Consultant

Families searching for home care are usually in a high-stress situation. They don't just want a list of services, they w...
10/19/2026

Families searching for home care are usually in a high-stress situation. They don't just want a list of services, they want someone they can trust and who will treat their uncertainty with respect.

Putting your actual team on camera to answer FAQs builds an immediate, human connection. It bypasses the clinical facade and makes prospective clients feel comfortable before they even pick up the phone.

Today's Marketing Monday gives you an easy process to follow to build up a video FAQ quickly and efficiently.

How has your agency been using video to attract new clients? Let us know in the comments!

Your Compliance & Leadership Consultant,
Sharron Williams, BSN, RN, ACHC-Certified Consultant

Medicare Open Enrollment opens today and runs through December 7. Changes take effect January 1, 2027.For agencies, this...
10/15/2026

Medicare Open Enrollment opens today and runs through December 7.

Changes take effect January 1, 2027.

For agencies, this matters more than it looks. When a client moves from Original Medicare to a Medicare Advantage plan, or from one Advantage plan to another, your network status, authorization rules, and payment timelines can change with it.

Some agencies find out in January, when the first claims come back.

Add one question to your check-ins between now and December: is your coverage changing next year? Families often don't realize it affects their care team.

The checklist in the graphic breaks down what to handle now and what to handle in January.

If you’d like help getting your intake, billing, or authorization process ready for 2027, send us a message!

Your Compliance & Leadership Consultant,
Sharron Williams, BSN, RN, ACHC-Certified Consultant

This week is National Case Manager's Week. We want to recognize the case managers who keep care connected. You coordinat...
10/14/2026

This week is National Case Manager's Week. We want to recognize the case managers who keep care connected.

You coordinate between physicians, families, payers, and care teams so patients get what they need, when they need it.

Your work rarely gets the spotlight it deserves.

Thank you!

What happens at your agency when a patient goes to the hospital on a Tuesday night and doesn't return to service?Planned...
10/14/2026

What happens at your agency when a patient goes to the hospital on a Tuesday night and doesn't return to service?

Planned discharges usually go smoothly because everyone saw them coming. The unplanned ones - a hospital transfer, a move out of state, or a death at home - are where the paperwork clock starts without your staff even knowing.

For Medicare-certified home health, some of those clocks are short:

- Discharge summary to the physician within 5 business days
- Transfer summary within 2 business days of learning about an unplanned transfer
- OASIS completed within 2 calendar days of the discharge or of learning about the transfer

Build your checklist with a second track for unplanned discharges, starting with a trigger: who usually finds out first, and who they’re expected to tell that same day.

One more item worth adding: a short update to the referral source. Referral partners remember which agencies close the loop with them, and that two-line message tends to come back as the next referral.

For more workflows, tips, and consulting that actually moves the needle for your agency, reach out to us. We're experts in the space and ready to help.

Your Compliance & Leadership Consultant,
Sharron Williams, BSN, RN, ACHC-Certified Consultant

Cognitive changes show up at home long before they show up in a chart. A client who suddenly refuses a shower she's take...
10/13/2026

Cognitive changes show up at home long before they show up in a chart. A client who suddenly refuses a shower she's taken at the same time for years, one who accuses the aide of stealing or a client who's calm at 10 AM and frightened at 4 PM.

Your staff will handle these moments one way or another.

Understanding Aging, Cognitive Issues, and Behavior Management gives them a framework so the response is consistent and safe.

Thursday, October 22nd. 4 CEU hours and in person.

Register for you and your staff on our website!

Your Compliance & Leadership Consultant,
Sharron Williams, BSN, RN, ACHC-Certified Consultant

After a few weeks of teasers, the OHS Home Health or Home Care Bootcamp is officially live, with a 10% launch discount f...
10/13/2026

After a few weeks of teasers, the OHS Home Health or Home Care Bootcamp is officially live, with a 10% launch discount for early registrants.

You’ve decided to open an agency. The next decision shapes everything that follows. This course takes you from business plan to first patient or client, covering regulatory requirements, staffing, insurance contracting, and more in detail.

It’s a strong foundation to have before you bring on a consultant, so that when you do, you’re starting the conversation already knowing what each path demands.

Includes a workbook to complete alongside the course, and a free 63-page eBook on marketing your new agency.

Comment BOOTCAMP below and we’ll send you the registration link.

Your Compliance & Leadership Consultant
Sharron Williams, BSN, RN, ACHC-Certified Consultant

If your agency’s social feed looks like a glossy brochure with stock photos of two seniors smiling over a jigsaw puzzle,...
10/12/2026

If your agency’s social feed looks like a glossy brochure with stock photos of two seniors smiling over a jigsaw puzzle, and a bullet list of your services...you are practically invisible to referral sources.

In home health and home care, trust is the only real currency. Families are vetting a stranger in their mother’s living room. Hospital discharge planners and case managers aren't passing off a generic intake form; they are staking their own professional reputations on whether your team actually shows up.

The bottom line is that familiar, accountable leaders get the referral.

If showing your face feels uncomfortable or you don't know what to say, don't worry about high production value. Try one of these three simple post prompts this week:

- Talk about a genuine operational challenge your team solved this week. Did a schedule blow up at 6:00 AM? How did your office scramble and make sure zero visits were missed? People respect competence over perfection.

- Skip the posed "Employee of the Month" graphic. Snap a real photo of your scheduler or field nurse and share one specific problem they solved for a family yesterday.

- Try answering their questions before they ask. If you know the single most common, panicked question families ask your intake coordinator, answer it in three plain sentences.

You don't have to be the most polished or put-together. You just have to be visible, consistent, and honest.

Your Compliance & Leadership Consultant,
Sharron Williams, BSN, RN, ACHC-Certified Consultant

Tomorrow is the next CEU session, so if you're still deciding whether to send staff, you're running out of time! - Updat...
10/07/2026

Tomorrow is the next CEU session, so if you're still deciding whether to send staff, you're running out of time!

- Updated Licensing Standards & Licensure Requirements
- Preparing for Survey & the Plan of Correction
- Establishing a Governing Body for Medical and Non-Medical
- Consumer Rights
- Understanding the 10 Avoidable Hospital Re-Admission Issues

You still have a few hours to reserve your seat on our website!

Your Compliance & Leadership Consultant,
Sharron Williams, BSN, RN, ACHC-Certified Consultant

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80014

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