Compliance & Regulatory Risk Services

Home health agencies face five primary audit types: TPE, RAC, SMRC, UPIC, and Medicaid review audits. They often run simultaneously, and findings in one can trigger escalation to another. Our team helps you prepare for all of them proactively.

Three failed TPE rounds can fast-track the loss of your Medicare certification and trigger additional reviews by MACs or other government auditors. The best defense is preparation with SimiTree; pre-bill audits, strong documentation, and expert guidance before the audit begins.

Expert witness support becomes critical at Administrative Law Judge (ALJ) hearings, typically after initial appeals have been exhausted. SimiTree's certified consultants can serve as expert witnesses to defend your documentation and clinical decisions before the ALJ.

Pre-bill audits are the single most effective prevention tool. They ensure claims meet all requirements before submission, when corrections are still possible. Combine that with mock surveys, compliance risk assessments, and staff training, and you build a genuinely audit-resistant operation.

Our team includes CHAP- and ACHC-certified consultants, former Joint Commission and CHAP surveyors, and specialists holding Compliance and Privacy certifications. With experience across 500+ agency engagements, we bring tested, real-world expertise to every client, not generic healthcare advice.

Yes. Our solutions are tailored to your agency's size and budget. We also offer bundled service packages that deliver comprehensive support at a lower total cost. The cost of a compliance program is almost always less than the cost of a single failed audit.