What we do

Home Health Agencies 

Home health agencies play a vital role in delivering skilled nursing, therapy, and other clinical services to Medicaid beneficiaries in their homes, making effective reimbursement, utilization oversight, and regulatory compliance essential for program success. Myers & Stauffer partners with state Medicaid agencies to evaluate home health reimbursement methodologies, analyze service utilization, strengthen program integrity, and support data-driven oversight of home-based clinical services.

Senior woman with caregiver smile while sitting on a living room sofa in a nursing home.

Supporting Oversight of Home-Based Clinical Services 

Home health services provide clinical care to Medicaid beneficiaries in their homes, including skilled nursing, therapy, and related services. These services are often reimbursed through fee schedules or episodic payment methodologies and may be delivered through both fee-for-service and managed care arrangements. 

Myers & Stauffer supports state agencies in evaluating and overseeing home health services to ensure appropriate reimbursement, utilization, and compliance with program requirements. 

Comprehensive Home Health Oversight Services

Our home health consulting services help state Medicaid agencies strengthen reimbursement accuracy, monitor service utilization, and enhance program integrity through data-driven analysis and oversight.

Reimbursement & 
Payment Analysis 

We assist agencies in assessing home health reimbursement methodologies and payment structures. 

Our services include: 

  • Evaluation of fee schedules and episodic payment models. 
  • Analysis of reimbursement trends and policy impacts. 
  • Review of managed care payment arrangements. 
  • Financial analysis to support program decision-making. 
Utilization & Service Pattern Analysis 

Home health services can vary significantly based on patient needs and provider practices. 

We support agencies through: 

  • Analysis of claims and encounter data. 
  • Identification of utilization trends and service patterns. 
  • Evaluation of visit frequency and service mix. 
  • Identification of potential outliers or anomalies. 
Program Integrity &
Compliance 

We assist agencies in maintaining oversight of home health services. 

Our work includes: 

  • Support for audit and program integrity activities. 
  • Review of documentation and billing practices. 
  • Identification of risks related to utilization and coding. 
  • Development of monitoring approaches and controls. 

Supporting Medicaid Program Oversight 

Our work related to home health services is part of a broader approach to Medicaid reimbursement, managed care, and program integrity. 

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The Transformative Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Ryan Farrell, CFE
Principal

Email: rfarrell@mslc.com
Phone Number: 512-342-0800

Tim Guerrant, CPA
Member

Email: tguerrant@mslc.com
Phone Number: 317-815-2935

In the Words of our Clients…

Myers & Stauffer is a trusted audit partner with extensive knowledge of Medicaid and Medicare programs and finances.  Their staff have high levels of professionalism and integrity and are reliable subject matter experts when it comes to Medicaid reimbursement.” 

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