House Call Physicians Ineligible for e-Prescribing Incentives

AAFP Efforts Fail to Reverse CMS Decision
By Sheri Porter 2/24/2009

The AAFP's efforts, in tandem with those of the American Academy of Home Care Physicians, or AAHCP, to correct an oversight in CMS' recently launched electronic-prescribing incentive program, recently resulted in a denial from the agency.

Rick Kellerman, M.D., of Wichita, Kan., an AAFP past president, is shown here checking on a nursing home patient.

In a Feb. 9 letter to CMS Acting Administrator Charlene Frizzera, AAFP Board Chair Jim King, M.D., of Selmer, Tenn., pointed out that, as currently implemented by CMS, Section 132 of the Medicare Improvements for Patients and Providers Act of 2008 "precludes physicians who practice predominantly, if not exclusively, as house call physicians from participation in the e-prescribing incentive program." On Feb. 23, however, AAFP News Now learned from AAHCP Executive Director Constance Row that CMS had declined to make the changes recommended by the two organizations.

Relevant CPT Codes Overlooked

The issue lies with the agency's choice of CPT codes that appear in the denominator of the e-prescribing legislation. As King pointed out in his letter to CMS, those CPT codes include services provided in the areas of psychotherapy, general ophthalmological services, health and behavior assessment and intervention, office and outpatient visits, and office consultations. However, CMS failed to include codes typically used by physicians who focus their practices on house call services, said King.

Those codes also include care provided to patients living in nursing homes. King argued that many house call physicians were early adopters of health information technology and e-prescribing. He said patients served by home care physicians usually have multiple comorbidities that call for an array of prescriptions that would be more efficiently handled electronically.According to Row, however, "CMS has decided definitively not to add these codes to the 2009 electronic-prescribing incentive program." She added that the letter from CMS indicated the agency may "consider changes for 2010 or beyond."

Statistics Reinforce Call for Inclusion

Row said that statistics provided by CMS only reinforce the argument that home health care physicians and other eligible providers should have the opportunity to benefit financially from the e-prescribing bonus program. She cited figures from CMS' Physician Supplier Procedure Summary Master Record that details Part B claims paid by Medicare carriers in 2007.According to those data, all Medicare providers combined logged 2,194,083 total house calls and 1,696,411 total domiciliary visits (i.e., house calls to patients residing in assisted living facilities) in 2007.

Family physicians alone logged 410,582 house call visits and 286,521 domiciliary visits in 2007. In his letter, King called on CMS to add home services CPT codes 99341 to 99350 and domiciliary/rest home visit CPT codes 99324 to 99337 to the denominator for eligibility in the e-prescribing incentive program.Row said that in light of CMS' rejection of that suggestion, her organization would continue to work closely with the AAFP for possible resolution of the issue in 2010.

Brought to you by Indura Systems.

Kaiser Daily Health Policy Report

Health Care Marketplace Health Care Spending Will Account for One-Fifth of GDP in 2018; Federal Government Will Pay More Than 50% of Those Costs, According to CMS Report [Feb 24, 2009]

Overall U.S. health care spending will reach $2.5 trillion in 2009, a 5.5% increase from 2008, when health care spending increased by 6.1%, according to a CMS report published Tuesday in the journal Health Affairs, the Wall Street Journal reports (Zhang, Wall Street Journal, 2/24).

Total health care spending will account for 17.6% of the gross domestic product in 2009, a full percentage point higher than 2008, marking the largest one-year increase since CMS began tracking health care spending in 1960 (Dunham, Reuters/Boston Globe, 2/24). The rate of health care spending growth is expected to decline over the next five years in part because people will lose their jobs and health coverage as the recession continues, and they will forgo medical treatment; however, the economy will be shrinking and growing at a slower rate, which will increase health care spending's share of GDP (Young, The Hill, 2/24).

The study found that in 2009, government health care spending is expected to increase by 7.4% to $1.19 trillion, while private health spending is expected to increase by 3.9% to $1.32 trillion (Wall Street Journal, 2/24). CMS projects that in 2018 overall U.S. health care spending will reach $4.35 trillion, accounting for 20.3% of the GDP (The Hill, 2/24). The study estimates that health care costs will average $8,160 per U.S. resident in 2009, up $356 from 2008, and will reach $13,100 per U.S. resident by 2018 (Alonso-Zaldivar, AP/Boston Globe, 2/24).

The report forecasts that the government will pay for more than 50% of total health care spending by 2016 and 51.3% by 2018, as Medicaid enrollment increases and baby boomers start enrolling in Medicare (Pugh, McClatchy/St. Paul Pioneer Press, 2/24). According to the study, Medicaid spending will increase from $352 billion in 2008 to $801 billion by 2018. The report estimates that Medicare enrollment increases will drive up the spending growth rate in the program from 6.2% in 2011 to 8.6% in 2018.

CMS predicts that final Medicare figures will show spending of $466 billion for 2008, 8.1% higher than in 2007 (Reichard, CQ HealthBeat, 2/24). According to the report, Medicare's hospital trust fund could become insolvent by 2016 -- three years earlier than previous estimates -- because of lower tax revenue caused by the recession (AP/Boston Globe, 2/24).

Additional Findings The study predicts that private health insurance enrollment will drop from 195.5 million in 2008 to 189.5 million in 2010 (CQ HealthBeat, 2/24). Private health spending is expected to increase as the economy improves, growing to 4.2% in 2010 and reaching 6.1% by 2018 (Reuters/Boston Globe, 2/24). The report also estimates spending growth rates for overall health spending in 2008 of 7.2% for hospitals, 6.2% for physician and clinical services, 9.1% for home health care, and 4.6% for nursing homes (CQ HealthBeat, 2/24). The rate of prescription drug spending increased by 3.5% in 2008, down from 4.9% in 2007, which study co-author Andrea Sisko attributes to U.S. residents' being more willing to use generics and less inclined to fill prescriptions as the economy declines.

The report projects that the recession would begin to improve in 2010 and health spending growth would surge again in 2011 (Reuters/Boston Globe, 2/24). The study did not examine the impact of the recently enacted stimulus package, which includes $87 billion in increased Medicaid aid, nor did the report take into account the expansion of CHIP (Wall Street Journal, 2/24). The estimate includes a scheduled 21% cut to Medicare physician payment rates, but Congress and President Obama are expected to block the cuts. The Congressional Budget Office has estimated that blocking the cut will cost at least $100 billion over 10 years (The Hill, 2/24).

The study is available online.

Brought to you by Indura Systems.

Obama releases $15 billion in Medicaid funding to states

President Obama, meeting with the nation's governors in Washington, D.C., this morning, announced a quick release to the states of $15 billion of federal Medicaid relief funding to help them cope with the rising health care costs brought on by the economic crisis. According to a White House press release, the money will be available in 48 hours--on Wednesday--in special Treasury accounts set up for the states to access.

"That means that by the time most of you get home," said President Obama, "money will be waiting to help 20 million vulnerable Americans in your states keep their health coverage. Children with asthma will be able to breathe easier, seniors won’t need to fear losing their doctors, and pregnant women with limited means won’t need to worry about the health of their babies.”

The funding is part of the designated moneys from the American Recovery and Reinvestment Act, and the temporary increase will be administered by the Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS). The federal agency will coordinate with states to ensure they are properly meeting regulations and requirements about Medicaid.

The announcement of the funding release was made as President Obama and Vice President Biden hosted members of the National Governors Association at the White House.

A state-by-state grant award summary for the program can be found here.

SusanG@dailykos.com

Brought to you by Indura Systems.

Care Givers on Bikes!

Brought to you by Indura Systems.

Gentiva to divest six home healthcare branches to Loving Care Agency

By Datamonitor staff writer

Gentiva Health Services, a provider of comprehensive home health services, has entered into an asset purchase agreement with Andventure, doing business as Loving Care Agency and Links2Care, for the sale of six Gentiva branch offices in four cities that specialize in pediatric home healthcare and also provide adult home health aide services.

These offices comprise more than 80% of Gentiva's current pediatric care operations. Terms have not been disclosed. According to Gentiva, the transaction fits with its stated objective of increasing its focus on skilled home health services for geriatric patients.
Under the terms of the transaction that Gentiva has announced, Loving Care Agency will acquire existing Gentiva branches in Phoenix, Arizona; Springfield, Massachusetts; Pittsburgh and State College, Pennsylvania. The transaction is expected to close in the first quarter, subject to all customary approvals.

Tony Strange, CEO of Gentiva, said: "This agreement with Loving Care, a leader in pediatric homecare services, will build on the high quality of care that these branches have provided. Our decision to migrate away from pediatric home healthcare is in keeping with the company's strategy of focusing on geriatric specialties.

"We believe our emphasis on providing value-added services to this population will translate into higher margins and returns that we can leverage to continue to grow our core home health business."


Brought to you by Indura Systems.

Bailout Plan for Medicaid

The plan offers $87 billion to help states administer Medicaid. That could slow or reverse some of the steps states have taken to cut the program.

Now is the time to ensure that your home health care agency is fully compliant and able to handle the volume of work required for timely reimbursements...

Brought to you by Indura Systems.

Home health care benefits both taxpayers and patients

As Gov. David Paterson tries to make New York State's budget ends meet, he is met with cry after cry -- ''You can't cut my program!''

We've all seen the heart-rending ads on TV. There's one proposed cut, however, that doesn't make sense even for the people it least affects directly: home health care.

The governor wants to cut Medicaid reimbursement rates between 1.5 percent and 3.5 percent for certified home health agencies and long term home health care programs; he's also proposing an additional, across-the-board cut of 1 percent in all Medicaid rates, the elimination of an inflation-based increase in payments to home health providers for 2008 and 2009, and a 0.7 percent tax on revenues.

The Home Care Association of New York State says these actions likely will force many home care providers to drastically reduce services or go out of business. And without the option of home care, people who have depended on it are likely to end up back in hospitals and nursing homes, where taxpayers will pick up a much larger Medicaid bill.

The governor figures his proposal will save the state $184 million in Medicaid costs in 2009-10; since the federal government contributes toward Medicaid, it means a cut of about $347 million in federal home health funding. Does Gov. Paterson think the people who no longer can get home health care are just going to disappear? Too many will need to be moved into more expensive hospitals and nursing homes. Home health care is less expensive, and provides better care, most experts agree. Why would we want to end a program that does that?

New York State's Medicaid program has been described as the ''Cadillac'' of programs, offering more coverage than most other states do. It is better coverage than many people can afford from private insurers, and better than the coverage offered by many employers. Shouldn't this be an area that could be looked at for cuts before threatening programs that actually save taxpayers money while providing better care for patients?

Neither the taxpayers nor the patients will be better off under these proposed budget cuts. We urge Gov. Patterson to reconsider.

Brought to you by Indura Systems.

California is Ready for Obama HIE Stimulus

White Paper Describes “Shovel-Ready” Project

President Obama's economic stimulus package is an opportunity to accelerate health information exchange in California through a “shovel-ready” statewide HIE. As a result of the planning and activities accomplished by CalRHIO and its stakeholders, California has completed key requirements called for in the legislation and is ready to deploy and implement HIE across the state.

A new White Paper discusses achievements that demonstrate California's readiness:

1. A proven statewide HIE solution, selected through a rigorous competitive process, is ready to deploy; implementation plans are fully developed.

2. A statewide public-private HIE organization is already established, with fully operational governance and management, and support from a broad range of stakeholders.

3. The statewide HIE solution, embraced by many local RHIOs, offers an efficient, affordable way for providers and communities all over California to collaborate and participate in an interoperable HIE.

4. Privacy and security standards and policies, which either meet or exceed national recommendations, are tested and in place.

5. Clinical use cases have been defined and support the strategy for launching the statewide HIE in hospital emergency departments and then expanding into physician offices.

6. A sustainable business model has been created that ensures a statewide HIE network can be deployed, maintained, and continually improved over the long-term.

To view the full White Paper, click here.

Brought to you by Indura Systems.

Sobering results for cost-cutting Medicare project

By LINDSEY TANNER AP Medical Writer © 2009 The Associated Press
Feb. 10, 2009, 5:24PM

CHICAGO — An ambitious effort to cut costs and keep aging, sick Medicare patients out of the hospital mostly didn't work, a government-contracted study found. The disappointing results show how tough it is to manage older patients with chronic diseases, who often take multiple prescriptions, see many different doctors and sometimes get conflicting medical advice.
The study showed just how hard it is to change the habits of older patients and their sometimes inflexible doctors. And it points up the challenges the Obama administration will face in trying to reform health care for an aging nation.

Most of the patients had serious, but common, age-related illnesses including diabetes, heart disease and lung disease. Programs were set up at 15 centers around the country. Only two cut the number of times these patients were hospitalized, and those are still in operation. None saved Medicare any money.

The authors of the study called the results "underwhelming." An editorial in the Journal of the American Medical Association, where the study appears Wednesday, used the term "sobering."
"The only way you can really do it is by changing patients' behavior and by changing physicians' behavior, and both things are really hard to do," said study author Randall Brown, a researcher at Mathematica Policy Research Inc., in Princeton, N.J., which was hired to evaluate the programs.

Often, these patients need to stop smoking, or lose weight, exercise more, eat healthier foods — a challenge even for generally healthy people. Those changes are especially tough for sick, older patients who often are set in their ways.

"The same thing with physicians," Brown said. "A lot of them feel like they know how to take care of patients, so why do they need a nurse calling up and asking them why the patient isn't on some certain medication?"

Many patients in the study had more than one chronic disease, a common Medicare scenario. In 2002 alone, half of Medicare patients had been treated for five or more ailments, and they accounted for 75 percent of Medicare spending, the study authors noted.

Seeking ways to reduce those costs and improve care, the Centers for Medicare & Medicaid Services selected 15 proposals for test-site programs in 2002. The sites developed their own programs, enrolling a total of 18,309 fee-for-service Medicare patients through 2006.

About half got the patients got the usual care. The others got more intensive, coordinated care. That often involved nurses who acted as go-betweens, helping doctors give patients clear, appropriate advice; counseling patients on changing bad habits and recognizing worrisome symptoms. The nurses were available on a regular basis by phone or in person to answer patients' questions.

Jim Reid, a 74-year-old retired Pennsylvania welder, was among study patients who got coordinated care.

When he enrolled in 2002 in a test program run by Health Quality Partners, a nonprofit group in Doylestown, Pa., he was obese, had high blood pressure, high cholesterol and pre-diabetes.
But Reid was a rare success story.

He actually took the advice offered in group sessions run by nurses. He learned how to read food labels and avoid salty, calorie-laden foods. He also started exercising, walking with a pedometer and building up to a few miles daily.

Now, he breakfasts on oatmeal or vegetable omelets instead of coffee and doughnuts He's lost almost 60 pounds. His blood pressure and cholesterol have greatly improved and his pre-diabetes is gone.

Sticking with the program "is hard," he acknowledged. "As you get older, you don't want to do it." But he said it has "put an extra 10 years in my life."

Reid credits his success to the personal attention of a nurse coordinator.
"I have to have somebody to own up to," he said.

That close, in-person contact with nurses was also a feature of the project's other more successful, still-operating program, at Mercy Medical Center-North Iowa in Mason City, Iowa.
In both programs, each patient had face-to-face contact an average of about once a month with a nurse. That was far more frequent personal contact than in other programs. Both reduced hospitalizations — 17 percent yearly compared with usual-care patients at Mercy, and by about 20 percent in the Pennsylvania program, but only among its sicker patients. That program worked with Doylestown Hospital and recruited patients from area physicians' offices.

Targeting sicker patients and providing frequent in-person contact show the approach has some benefits and that success with future reform efforts "is possible, but it's not easy," Brown said.

Peter Ashkenaz, a spokesman for the Centers for Medicare & Medicaid Services, said the agency is evaluating the Iowa and Pennsylvania programs to see if their positive results persist.

He said there are other approaches being tested, some that offer incentives to doctors who meet quality benchmarks, or who use electronic health records to improve quality.

But so far, Ashkenaz said, "as the study shows, we have not yet found broad success."

Brought to you by Indura Systems.

What The Stimulus Plan Means to Healthcare

A comparison of the $838 billion economic recovery plan passed by the Senate with an $820 billion version passed by the House. Additional debt costs would add almost $350 billion over 10 years. Many provisions expire in two years.

From the Associated Press:

HEALTH CARE:

• Senate — $20 billion to subsidize health care insurance for the unemployed under the COBRA program; $87 billion to help states with Medicaid; $22 billion to modernize health information technology systems; $10 billion for health research and construction of National Institutes of Health facilities.


• House — $40 billion for more generous COBRA subsidies and to provide health care through Medicaid; $87 billion to help states with Medicaid; $20 billion to modernize health information technology systems; $4 billion for preventative care; $1.5 billion for community health centers; $420 million to combat avian flu; $335 million for programs that combat AIDS, sexually transmitted diseases and tuberculosis.

Brought to you by Indura Systems.

Good News from Palmetto - GBA RESOLUTION ACHIEVED

Claims Submitted through Direct Data Entry in Status/Location SM95HG

Palmetto GBA just announced that claims that were submitted through direct data entry (DDE) and are pending in FISS Status/Location SM95HG have been corrected and are being released for processing. These claims were submitted via DDE between November 3, 2008, and December 2, 2008 and received a duplicate document control number (DCN). PalmettoGBA is keenly aware this issue has affected sequential billing for some Home Health and Hospice providers. Once the affected claims begin to process to completion sequential billing can resume.

Previously issued accelerated payments are scheduled for recoupment beginning March 2, 2009.

To learn more about the resolution to this matter and others, we encourage you to visit the Palmetto GBA RHHI Claims Processing Issues Log located at this link.

Brought to you by Indura Systems.

NGS Notification regarding debit/credit issue

National Government Services is experiencing an issue whereby some Part A debit/credit adjustments were assigned duplicate DCNs and are therefore being rejected by HIGLAS. This is primarily impacting home health and hospice providers, since home health final claims process as debit/credit adjustments if they are tied to a RAP. National Government Services is working with CMS, IBM, and FISS to resolve this issue and expects a resolution on April 6. No action is required by providers at this time.

Brought to you by Indura Systems.

Revised Home Health Prospective Payment System Fact Sheet

See the latest information at http://www.cms.hhs.gov/MLNProducts/downloads/HomeHlthProspPymtfctsht09-508.pdf.
Brought to you by Indura Systems.

Home Health Care - the business to start!

It's official - Home Health Care is one of few businesses that can survive the current economic crisis. Here is what the blog biziki.com has to say about Home Health Care:

While employment in the health service industry is projected to grow 28% by 2012, employment in the specialized home health care industry is expected to be
nearly twice that, or 54.5%. Each year, over 7.6 million people are provided with home health care services.

Thanks to science and medicine, people are living to a ripe old age more and more. This means, however, that more people are needed assistance at home. And that is where home health care comes into the picture.

Just think, 7.6 million people, 6 episodes per year, $3000 per episode - that is potentially a $136,800,000,000/year industry.
Want a bigger slice of that pie?
Find out why Igea HHC from Indura Systems is THE PREFERRED home health care agency management system for more customers throughout the United States.
Read the whole blog at http://www.biziki.com/biz/top-industries-to-start-a-business/.
Brought to you by Indura Systems.

Benefits for Veterans in New Jersey

A very useful and detailed blog posting that covers information about benefits for Veterans in New Jersey:

http://www.dvanarelli.com/blog/2009/01/27/the-basics-of-va-pension-benefits/
Brought to you by Indura Systems.

NAHC Regulatory Affairs Update

The Department of Homeland Security (DHS) developed a brief emergency preparedness guide for home health providers and patients. They have asked NAHC to help disseminate the guide and seek feedback on its utility.

The developers are also interested in any general comments providers have. http://www.dhs.gov/xlibrary/assets/oha-home-health-care-preparedness.pdf

Brought to you by Indura Systems.

Change for the Country = Change for the Bidens

Vice President's Family Faces Same Decision as Millions: How to Care for Mom?

SUNRISE, Fla., Jan. 23 /PRNewswire-USNewswire/ -- While Michelle Obama's mother, Marian Robinson, moves into the White House to help with childcare, Joe Biden's sprightly mother, Jean, is in for some life changes of her own. Ms. Biden, who is in her early nineties, has lived with her son and his family at their Delaware home for years. With Joe Biden moving to Washington, D.C. to take on the demanding job of Vice President, the family has decided that Ms. Biden will remain in Delaware. They will face additional transition as they determine how to continue providing her with care that meets her needs.

The Bidens are the most visible example of a life-changing decision that millions of families must make each year. For many, the sensitive topic of how to care for an aging parent can be daunting, with no clear roadmap on how to make the best decision.

One thing is clear: the worst thing to do is to deny the need or avoid the discussion. "If you wait until your parent is having a health crisis, you are forced to make crucial decisions without the benefit of research or interviews with prospective caregivers - maybe not even reliable information about your parent's health conditions or medications," says Kathleen Gilmartin, RN, President and CEO of Interim HealthCare (http://www.interimhealthcare.com/), a leading provider of health care personnel at all skill levels in all settings. "The sooner you open dialogue with your parent, the easier the transition will be for them and for you."

Read the full article.

Brought to you by Indura Systems.

Governor's plan would "dismantle" home health care system

North County Public Radio: Friday January 23, 2009

Advocates for home health care are fanning out across the state to head off a proposal from Gov. Paterson to re-structure the way home health aides are paid. Rebecca Leahy, ex. dir. of a private not-for-profit that serves clients from northern Warren County to the Canadian border, in Franklin County, says the governor's plans would dismantle a system that's provided care to thousands of elderly and disabled people across the North Country for 25 years.

Licensed, private not-for-profits provide in-home care under contract to counties. Leahy’s organization, North Country Home Services, serves over 900 clients a day. County public health nurses evaluate clients to determine what care each needs. The private agencies provide the aides that do the day-to-day in-home work. They’re paid by Medicare money, passed through the counties.

The governor wants to eliminate the private contracts. In order for Medicare to pay, his budget would require home health aides to be county employees. Leahy has talked with all the counties she has contracts with. She told Martha Foley it won’t work.

Brought to you by Indura Systems.

Look Back - Obama Experiences Home Health Care

After mopping kitchen and bathroom floors in the home of 86-year-old John Thornton in East Oakland, Calif., with health care worker Pauline Beck, Obama told reporters, "I'm not going to lie to you. It's been awhile" (Chicago Tribune, 8/9/2008).

Obama used the experience, which was attended by a television crew and photographers, to highlight the importance of home health care workers and promote benefits including paid sick leave and vacation for service workers -- neither of which Beck receives, according to the AP/Houston Chronicle (AP/Houston Chronicle, 8/9/2008).

Brought to you by Indura Systems.

NEWS RELEASE: Joint Commission - Jan 20, 2009

The Joint Commission to Include Patient Satisfaction Data on Quality Check™
Web site provides new information to help patients make decisions

(OAKBROOK TERRACE, Ill. – January 20, 2009) People seeking information about how patients perceive the care they received at a particular hospital can now find this information on The Joint Commission’s Quality Check™ Web site, http://www.qualitycheck.org/.

The Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) data from the Centers for Medicare & Medicaid Services’ (CMS) Hospital Compare Web site is posted on Quality Check™ beginning this month. This information will be updated quarterly.

HCAHPS information comes from patient ratings of communication with doctors, communication with nurses, responsiveness of hospital staff, cleanliness and quietness of the hospital, pain management, communication about medications, and discharge information. In addition to information about patient satisfaction, Quality Check also includes data from CMS on 30-day mortality rates for heart attack, heart failure and pneumonia.

Thousands of people use Quality Check each month to find information about the more than 15,000 accredited health care organizations that have earned The Joint Commission “Gold Seal of Approval.” Quality Check provides details about an organization’s accreditation status, efforts to prevent medical mistakes by complying with National Patient Safety Goals, and comparison information about how hospitals comply with National Quality Improvement Goals such as giving heart attack patients aspirin within a specified timeframe.
Brought to you by Indura Systems

Introduction to Indura Systems

Home health care is one of the most regulated industries in the United States. Any organization that is associated with the health care industry is also open to aggressive litigation.

Any health care organization could spend considerable time understanding, and keeping track of, all the rules and regulations that apply, and are regularly being amended. With a fluctuating economy and shifts in age demographics, agencies are increasingly being expected to perform better with fewer resources.

Indura Systems understands the home health care industry from the agency perspective. Igea HHC, from Indura Systems, gives our customers the essential tools to achieve three things:

1. To focus on running their business effectively, and with lower overheads
2. To adhere to constantly changing regulatory controls including data security measures
3. To minimize time to reimbursement of payments from Medicare, Medicaid and/or Private Duty.

Igea HHC can deliver these benefits because the system has been built on a rugged, tested, and proven workflow model. The system is not only simple to use and easy to tailor to individual agency needs, but also helps maximize profit and shield agency staff from much of the complexity of home health care administrative tasks.

Contact us at Indura Systems to learn more about how we partner with home health care agencies to support and optimize their business success.