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150+ Recerts. 0 Missed Deadlines.

We managed 150+ recertification timelines, protected census, and kept every day of care billable.

Agency snapshot

This agency was growing fast, but their team was drowning. Nurses and case managers were already stretched thin. They could not afford to hire more office staff, but they also could not afford to let a growing patient list slip through the cracks because of messy paperwork.

Hospice team coordinating recertification planning for a growing census

The challenge

Recertification felt like a fire drill every week. The team was constantly scrambling for doctor signatures and notes at the eleventh hour. One small delay meant a patient was technically off-service, which threatened census and put major pressure on the clinical directors.

Recertification workflow showing charts at risk of missing deadline

The fix

We stepped in as a control tower for recerts. We tracked every benefit period, prepped the notes for doctors to sign, and flagged gaps weeks before they became emergencies. Instead of chasing signatures, clinicians stayed at the bedside.

Operational review process supporting proactive recertification follow-up

The quantitative results

  • 150+ Recerts. 0 Missed Deadlines: We managed the entire timeline with zero slippage. Every patient stayed covered.
  • Faster doctor sign-offs: We stopped the last-minute phone tag. Doctors got what they needed to sign, and they signed it fast.
  • A bulletproof census: No more accidental discharges. We protected the agency's eligibility and kept their patient count stable.
  • Zero new hiring: Leadership got total census protection without adding a single dollar to their internal office payroll.
Leadership view into recertification status and census protection