Protecting Your Right to Serve.
You entered Home Health and Hospice to serve patients, but the regulatory environment now demands an unprecedented level of administrative precision. Between tightening CMS scrutiny and the complexities of the Medicare Participation Agreement, agencies are being pushed to the limit.
Is Your Agency Operating with Total Confidence?
At SMART, we believe your mission is worth protecting. We help you master the Conditions of Participation and the Conditions of Payment, ensuring that your documentation supports your clinical excellence. If you have any doubt about your agency's preparedness, let us provide the expert support you need to stay compliant, profitable, and focused on care.
The Standard is Perfection. Are You Ready?
Medicare regulations and CMS contractor scrutiny leave no room for error. To survive in this environment, your agency must answer a definitive YES to two critical questions:
Is our clinical care in full alignment with the Medicare Conditions of Participation?
Does our documentation satisfy every requirement of the Medicare Conditions of Payment?
Uncertainty is a liability. SMART HCR provides the specialized oversight and clinical expertise needed to turn "I think so" into a confident "Yes." We help you navigate the scrutiny so you can focus on your patients.
Available Services
Home Health
Precision Performance. Measurable Success. Whether you are looking to streamline billing processes or embed accurate OASIS and coding practices into your daily routine, we don’t just offer advice—we deliver a partnership. Our team works side-by-side with yours to achieve SMART results: Specific, Measurable, Achievable, Relevant, and Timely. We transform your operational hurdles into clinical excellence and financial stability.
Revenue Cycle
Maximize Your Margin. Secure Your Cash Flow. Don’t leave earned revenue on the table. Our expert team of billers and collectors specializes in optimizing collections across all home health and hospice payer sources. By maintaining accurate accounts receivable and providing transparent, real-time reporting, we give you the financial visibility required to manage your daily and monthly cash flow with total confidence.
Hospice
Navigating Scrutiny with Expert Oversight. In an environment of intensifying government oversight and complex Medicare regulations, compliance is your strongest asset. SMART’s hospice professionals provide the rigorous monitoring and proactive education necessary to protect your agency. We stay ahead of regulatory shifts so you can focus on providing compassionate, high-quality care to patients and families during life’s most critical moments.
QAPI (Quality Assessment and Performance Improvement)
Data-Driven Quality. Measurable Improvement. A high-functioning QAPI program is the heartbeat of a successful agency. We analyze your data to identify high-risk, high-volume, or problem-prone areas, building proactive Performance Improvement Projects (PIPs) that deliver measurable clinical and operational results. By integrating quality into your daily routine, we ensure you aren't just meeting the Conditions of Participation—you are setting the standard for care.
Medical Review
Your Advocate in the Face of Scrutiny. When CMS contractors initiate a pre-payment or post-payment medical review, the "burden of proof" is on you. Let SMART be your shield. We act as your dedicated advocate, managing the complexities of Additional Documentation Requests (ADRs) and aggressively appealing unfavorable determinations. We ensure that the care you provide is defended and the reimbursement you’ve earned is protected.
Precision Coding
The Anchor of Your Revenue Cycle In the PDGM and hospice regulatory environment, coding is no longer a back-office clerical task—it is a critical clinical and financial function. At SMART HCR, we provide expert ICD-10 coding and OASIS review services designed to ensure that your patient’s clinical complexity is accurately reflected.