Home Health Intelligence

Your EMR shows 1,200 visits scheduled. You billed 890. Where did 310 visits disappear?

We audit your EMR, EVV, payroll, and supply chain remotely—connect what your systems show to what actually happens on the field—and show you exactly where $30-50K/month is leaking.

Home health operations funnel showing visit leakage from 1200 scheduled to 890 billed with losses at missed visits, documentation gaps, and EVV-EMR mismatch

Your EMR Tracks Visits. Not Where Operations Break

Nurse Utilization Mystery

You have 15 RNs on payroll with agreed 32 hours/week each. But actual productive visit hours? Unknown.

 

Some nurses at 95% utilization, others at 60%. Your EMR shows visit counts, not productivity.

 

Payroll bleeds $8-12K/month in underutilization—hidden from your reports.

EMR-EVV-Payroll Disconnect

Five systems running disconnected. EMR schedules visits. EVV tracks completion.

 

Payroll runs separately. DME supplies ordered in another system. Billing reconciles manually.

 

Nobody connects daily operations to your P&L. You’re managing blind.

Operational Leakage

Missed visits not flagged until week-end. Overtime patterns not tracked. Agency staff overused. DME supplies not reconciled to patient usage.

 

Documentation gaps caught at billing.

 

Each small issue adds up—$30-50K monthly loss that doesn’t show in your EMR dashboards.

We audit the field reality. Then connect it to your bottom line.

What Home Health Data Audit Does for Your Agency?

How We Work

We find opportunities to recover revenue, fix operational leakages, and build systems to track performance daily.

Remote Operations Audit

We audit EMR, EVV, scheduling, payroll, and supply chain data remotely. Match system data to field reality. Find where operations break and revenue leaks.

 

Deliverable: Action report with exact recovery areas and dollar impact per issue

Timeline: 1-2 weeks

Analytics & Dashboards

Dashboards built for your KPIs—nurse utilization, visit completion rates, overtime tracking, area-wise performance, EVV-billing reconciliation. Real-time visibility across all systems in one view.

 

Deliverable: Live dashboards showing operations and performance tracking—web or mobile

Timeline: 2-3 weeks

AI-Powered Daily Intelligence

Smart alerts when things need attention—missed visits spike, nurse utilization drops, overtime patterns emerge, documentation gaps widen, reimbursement delays extend.

 

Deliverable: Daily intelligence briefings to WhatsApp or email—what to fix today

Timeline: 1-2 weeks

Recent Work - Multi-Region Agency Audit

Visit Reconciliation

Scheduled vs completed vs billed mismatch—EVV timestamps don’t match EMR documentation, billing catches errors late, claims denied for documentation gaps, revenue lost to reconciliation failures

Nurse Utilization

Agreed hours vs actual productivity not tracked—some RNs at 95%, others at 60%, no performance visibility, payroll leakage $8-12K/month

Overtime & Agency Staff

Overtime patterns not monitored by nurse or territory—agency staff used reactively without cost analysis, no early warning system

Area-Wise Performance

Territory profitability unknown—no comparative data across regions, high missed-visit zones not identified, resource allocation guesswork

EVV-Payroll Reconciliation

Manual weekly reconciliation—hours mismatch creates payment disputes, overtime approval gaps, caregiver time entries not validated against completed visits

DME & Supply Chain

Medical supplies not reconciled to patient usage—expired inventory written off, over-ordering untracked, supply costs eating margin invisibly

Built by an Operator

Founder of Home Health Intelligence, former Interim CEO of a US home health BPO

Narayanan Krishnamoorthy,

Founder & Chief Strategist, Varada Innovate

Former Interim CEO – US Home Health BPO

“In home health, problems don’t start in audits.
They start when visits, staff load, documentation, and payroll stop lining up.

I built this audit and analytics approach from running operations when things were breaking—so leaders can see issues early, act faster, and run a calmer, more profitable business.”

Start With an Operations & Delivery Audit

Before dashboards or analytics, we audit your home health operations to see where visits break, staff load goes out of balance, and revenue slips.

Audit investment: Fixed-fee | 1–2 weeks
Outcome: Clear dollar impact across visits, delivery gaps, and operating cost

Next steps: Analytics and monitoring scope shared only after audit findings