Home health, hospice and home care accounting
Accounting tips, Medicare cost report guidance and regulatory updates for home health, hospice and home care agency owners.
Latest · Home Health Accounting
What Medicare cost report preparation costs for home health and hospice: flat fee vs hourly billing, what drives the price, and what late filing costs.
Christian Soriaga, CPA · · 7 min read
Fractional CFO
Fractional CFO cost depends on scope, volume and entities. Compare it with a full-time hire using BLS pay data, plus a payoff example for agencies.
· 11 min read
Dental Accounting
Months behind on dental bookkeeping? See the records a catch-up needs, the order of work, and what waiting can cost in IRS penalties. Sourced to irs.gov.
· 11 min read
Tax Strategy
Bookkeeper vs accountant vs CPA: what each does, how credentials differ, signs you have outgrown a bookkeeper, and how to choose for your business.
· 8 min read
Tax Strategy
How to hire a CPA for your business: when you need one, how to verify the license, 10 questions to ask, red flags, the first 90 days, and how to switch.
· 10 min read
Fractional CFO
What is a fractional CFO? See how fractional, virtual, outsourced and part-time CFOs differ from a controller or bookkeeper, and when you need one.
· 10 min read
Home Health Accounting
Home health consulting covers survey and OASIS work; a CPA fixes books, cash flow and the cost report. See who fixes what first, with CMS data.
· 13 min read
Homecare Accounting
Caregiver payroll for home care agencies: overtime after 40 hours, paid travel time, live-in sleep rules, 2026 payroll taxes and a cost-per-hour table.
· 13 min read
Hospice Accounting
Hospice billing guide for FY 2027: four levels of care and revenue codes, 5-day NOE rule, monthly claims, the SIA, and the $36,174.75 aggregate cap.
· 13 min read
Homecare Accounting
80 hours a month, 43 states + DC, January 1, 2027. CMS's medical frailty framework uses personal care claims as evidence, and a Sept 18 lawsuit challenges it.
· 6 min read
Hospice Accounting
GAO found Medicare effectively paid low-visit hospices $573 per visit vs $232 at high-visit hospices, and $7.6B more than home health per-visit rates.
· 5 min read
Home Health Accounting
Home health was named in 32% of banks' health care fraud reports to FinCEN; hospice 8%. The banking patterns that draw a report and how clean books avoid them.
· 5 min read
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