Why do so many home health and hospice agencies struggle to grow, even after investing in training, conferences, and business education?

The answer often isn’t a lack of knowledge. It’s a lack of execution frameworks.

In this episode our cofounder Mariam Treystman breaks down what framework consulting is and why it’s one of the most important concepts for scaling a successful home health or hospice agency.

If you’re a home health owner, administrator, or healthcare leader looking to improve operations, strengthen compliance, and scale your agency, this episode is essential.

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If you’re new to home health or hospice charting, understanding frequencies is non-negotiable.

In this episode, our co-founder Mariam Treystman breaks down what frequencies are, how to read them, how they’re written, and why they matter so much in compliance, scheduling, and physician orders.

This episode is especially helpful for:

• New clinicians

• Office staff touching charts for the first time

• Anyone who’s heard the word “frequency” but never fully understood it

If you’re touching charts, scheduling visits, or managing compliance, this is a foundational episode you need to understand.

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Acuity levels aren’t just a clinical concept, they’re a critical compliance & emergency planning tool for home health and hospice agencies.

In this episode, Home Health Consultant co-founder Mariam Treystman breaks down what acuity levels really mean, how low, medium, and high acuity patients differ, and why getting this wrong can create serious operational and survey risk, especially during emergencies.

If you’re responsible for operations, compliance, or emergency preparedness, this episode is a must-watch.

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MD orders are the backbone of home health and hospice care, and they’re one of the fastest ways agencies end up noncompliant.

In this episode, co-founder Mariam Treystman breaks down everything agencies need to know about MD orders, including:

• What qualifies as an MD order (and what doesn’t)

• Who is legally allowed to receive, write, and sign orders

• How care plans, verbal orders, and “empty orders” really work

• The 30-day signature rule and why missing it puts all care at risk

• Common documentation mistakes that fail ADRs and surveys

If your agency struggles with late signatures, unclear orders, or audit findings tied to physician documentation, this episode is essential viewing.

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Medicare cost reports are not optional and filing them late (or incorrectly) can stop your Medicare payments entirely.

In this episode, our co-founder Mariam Treystman breaks down everything home health and hospice agencies need to know about Medicare cost reports, including who must file, deadlines, cost report categories, and the real consequences of getting it wrong.

If your agency is Medicare-certified, this is a must-watch to avoid payment delays and financial risk.

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Compliance isn’t something you “finish.” It’s something you maintain, even when you’re busy, understaffed, or putting out fires.

In this mindset-focused episode, Mariam Treystman breaks down why doing things the right way matters, why “catch-up mode” creates stress and risk, and how small, consistent compliance efforts protect your agency long-term.

If you’re running a home health or hospice agency and juggling multiple roles, this episode is for you.

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The Notice of Medicare Non-Coverage (NOMNC) is one of the most commonly misunderstood (and most frequently cited) discharge requirements in home health and hospice.

In this episode, our co-founder Mariam Treystman breaks down:

• What the NOMNC actually is

• When it’s required (and when it’s not)

• The updated timing rules (it’s no longer exactly 48 hours)

• How to properly deliver, explain, document, and file the form

• Common mistakes that trigger survey findings

• How the appeal process really works

If your agency discharges Medicare patients, this is a form you cannot afford to get wrong.

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Survey deficiencies happen… but not every deficiency should be disputed.

In this episode, our co-founder Mariam Treystman breaks down how to decide when, why, and how to dispute deficiencies identified by surveyors, and when it’s smarter to accept them and move on.

This episode is designed for agency owners, administrators, compliance leaders, and management teams preparing for surveys or responding to findings.

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Insulin injection cases are some of the most scrutinized claims in home health ADRs, and many agencies don’t realize where they’re exposed.

In this episode, Mariam Treystman discusses a real-world compliance strategy agencies use when caring for insulin injection patients: having social workers validate the lack of available caregivers to support medical necessity.

⚠️ Disclaimer: This episode is for educational purposes only. Always verify clinical and documentation practices with your licensed clinicians and leadership team before implementing changes.

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Are you confident your hospice agency has the required contracts surveyors look for at accreditation and renewal surveys?

In this episode, our co-founder Mariam Treystman breaks down the mandatory hospice contracts that are reviewed at survey, why these contracts matter, what surveyors verify, and which ones can cause an automatic failure if missing or non-compliant, especially around Medicare certification requirements.

If you’re preparing for a hospice survey, licensure, or accreditation, this is an episode you don’t want to miss.

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