Running a successful home health agency isn’t just about providing exceptional patient care—it’s also about ensuring your business remains financially strong. With tightening margins, shifting regulations like PDGM, and increased competition, agencies need smart, sustainable strategies to increase revenue while maintaining compliance and quality.
Here are the top 5 ways home health agencies can drive more revenue without sacrificing care:
1. Optimize OASIS and Functional Scoring Accuracy
Medicare reimbursement under PDGM is heavily influenced by OASIS assessments, especially functional scoring and comorbidity adjustments. Inaccurate or overly conservative scoring can lead to lower case-mix weights—and ultimately, reduced payments.
Tip:
Ensure your clinicians are well-trained in OASIS accuracy, especially the GG items. Periodic training and audits can improve scoring consistency and revenue integrity.
2. Streamline Therapy Services with a Credentialed Partner
Therapy services play a critical role in patient outcomes, star ratings, and audit readiness. However, staffing in-house can be costly and inflexible.
Partnering with a reliable therapy staffing agency like Distinctive Therapy Services allows you to meet therapy needs on demand—without the overhead. Plus, high-quality documentation and defensible assessments help protect revenue and reduce claim denials.
Bonus: No missed visits means fewer lost billable episodes.
3. Reduce Missed Visits and Late Documentation
Missed visits and delayed documentation are silent revenue killers. Late OASIS submissions or incomplete care plans can lead to payment delays, claim rejections, or lower value-based scores.
Tip:
Use automated reminders and reporting tools to monitor visit completion and documentation timelines. Regular check-ins with clinicians can also improve accountability.
4. Take Advantage of Value-Based Purchasing Incentives
CMS’s Expanded Home Health Value-Based Purchasing (HHVBP) program rewards agencies for performance in patient satisfaction, hospitalization rates, and functional outcomes.
By focusing on clinical outcomes, patient education, and timely interventions, you can not only improve care—but also boost your VBP score and earn bonus payments.
Strategy:
Invest in staff development and use data to track outcome trends across your patient population.
5. Expand Your Service Area Strategically
Taking on more patients doesn’t always mean opening new locations—it can mean serving neighboring zip codes more efficiently.
Tip:
Use mapping software to analyze clinician routes and identify underserved areas where you can increase patient volume with minimal travel cost. Consider flexible staffing (e.g., PRN therapists) to cover emerging pockets of demand.
Final Thoughts
Increasing revenue in home health requires a combination of smart clinical practices, operational efficiency, and the right partnerships. Whether you’re looking to optimize your PDGM strategy, reduce compliance risks, or simply take on more patients with confidence—Distinctive Therapy Services is here to help.
Let’s talk about how we can support your growth with reliable, high-quality therapy coverage.
📞 Contact us today or book a quick strategy call.