Confused about Medicare compliance?

We make sense of the rules for home health and hospice providers.

Welcome to Provider Insights

When you’re a home health or hospice provider in the United States, you need someone who understands the struggle you face with Medicare compliance. We get it.

It’s not that you don’t want to follow the rules — there are just so many rules to follow.


Annette Lee
Founder

Founder Annette Lee knows Medicare inside and out. She's had over a decade of experience with CMS performing medical review, and provided years of consultancy services- including contracting with the MAC to be the Clinical Education Coordinator. Annette built Provider Insights to make the rules make sense to home health and hospice providers.

When you work with Annette and her team, you’ll have peace of mind knowing your agency is fully compliant with the rules that are in place today. And you’ll stay compliant when the rules change tomorrow.

  • nursed in educational meeting

    Gain Clarity

    When we toss the Medicare-ese aside and make the rules make sense, you’ll find the clarity that’s been missing.

  • confident nurse standing in hallway

    Build Confidence

    When you know you’re following the rules, you’ll be confidence that your claims will be paid. You’ll pass the next audit without undue stress.

  • home health care nurse on sofa with patient

    Peace of Mind

    Together, clarity and confidence bring peace of mind. Say goodbye to confusion, anxiety, and overwhelm and hello to calmness and a sense of peace.

Book a Complimentary Consultation

Medicare compliance is complicated
for home health and hospice providers.

Unclear expectations and regulation changes can make you feel anxious and overwhelmed. While keeping your care centered on your patients, you need to:

  • Stay aware of the rules — even as they’re changing day-to-day.

  • Prepare for COP surveys — even if you’re not quite sure you understand them.

  • Plan for the next audit — even when you don’t know exactly how the conditions of payment work.

Learn more about our education, audit, and assessment services: 

Client Testimonials

  • "Words are not enough to express how grateful our agency is for meeting Ms. Annette Lee. We were so stressed until we started talking to her. After we had gotten rejected for our 1st audit, we finally saw the light after she had guided us on things that we were missing. Letters we have received from audits were very vague, but Ms. Annette immediately knew what we needed and what was missing. If it wasn't for her help and guidance, we would've been stuck with the same problem and stress. She was also very kind, very calm, and explained everything in a manner that was easy to understand. She's such a blessing."

    Yuri Ventanilla, RN, BSN, Director of Patient Care Services

  • Based on my personal acquaintance with Annette spanning several years, I wholeheartedly recommend her for any role within the home health or hospice industry. Annette consistently demonstrates an exceptional depth of knowledge and understanding in both sectors, reflecting her unwavering commitment to delivering top-notch care and ensuring compliance with industry regulations.

    Her dedication to upholding the highest standards of quality care is evident in her every action and decision. With Annette on board, you can trust that your organization will benefit from her expertise, professionalism, and genuine passion for making a positive difference.


    - Lisa Selman-Holman Vice President of Quality and Education at McBee/ Expert ICD-10 Educators

  • I’ve worked with Annette Lee for years and have not met anyone more knowledgeable in Home Health and Hospice. Annette has so many strengths in regulatory compliance in Home Health and Hospice, coding, OASIS, QAPI, utilization, and more. As a novice in the field, I used to seek out Annette’s classes specifically as she has a way to make the complex simple. Now after years in the industry, I have had the privilege to work alongside Annette on a variety of projects, and feel that anyone who has the opportunity to work with this talented lady would be very fortunate!

    - Sherri Pearson - Infusion Health LLC, Interim CEO

  • I am so lucky to have crossed paths with Annette Lee. We share interests in many home health topics but when it comes to Regulatory or Billing questions, she has always been my go-to resource. Her ability to know where to look and how to explain these topics has been something that I have been able to count on for many years. Her teaching style allows you to come away feeling you will be able to navigate these crazy home health waters. And the biggest bonus is…you will never find a more competent, caring soul than Annette.

    Sparkle Sparks PT, MPT, COS-C , Clinical Consulting Manager, McBee, part of Netsmart

  • “Thank-you beyond measure for your evaluation, planning and education. I am so pleased with your work, capturing so much valuable information in just five days. I was very proud of our staff on all levels to absorb and share openly. I can see you have brought out the best in all of us. Human nature is to be defensive and justify (which we did therapeutically) but it did not get in the way of acceptance and movement. We continue to improve, and each of your visits prepares us for the next.”

    -Janice Jensen, Dallas County Public Health Nursing Services

  • "IAHC has contracted with Provider Insights to deliver education to our home health agency members, and we routinely receive positive feedback, including comments such as ‘Annette is a fabulous educator,’ and ‘Annette is very knowledgeable.’”

    -Amy Huiseman. Iowa Alliance for Home Care

  • “Annette has contracted with our company for several years as a clinical educator- Annette always presents with a professional and positive attitude and our customers always provide extremely favorable feedback about Annette’s ability to share her extensive knowledge about both home health and hospice.”

    -Education Manager, Cahaba GBA and CGS

  • Provider Insights has been and remains a consistent source of clinical and regulatory information for our Hospice and Home Health Agencies. Annette always responds promptly with the information we need supported by direct verbiage or links to sites for further reading. I have had the opportunity to bring Annette to our organization for educational sessions attended by everyone from the CEO and CFO to the staff who work out in the field. The response after every session is, ‘Can we just hire her?!’ John Knox Village continues to depend on Annette’s support in our ongoing efforts to excel in compliance, and she is always there for us."

    -Julie Mahony, RN, MS, Administrator of Community Health Services

  • "Annette is my go-to for home health and hospice guidance. I cannot say enough about how much she has helped our agency maintain compliance while applying our practices in everyday processes. She has an amazing ability to explain guidelines in an easy-to-understand way. I would say she is 'THE' TOP EXPERT in the home health and hospice industry. She knows the guidelines inside and out and is also able to bring it down to the agency level; helping us to simplify processes, meeting patient needs and regulatory guidelines. We have all learned so much, I am not sure what we would do without her!"

    - Ashley, Aegis Home Health and Hospice

  • "Annette is my go-to for home health and hospice guidance. I cannot say enough about how much she has helped our agency maintain compliance while applying our practices in everyday processes. She has an amazing ability to explain guidelines in an easy-to-understand way. I would say she is 'THE' TOP EXPERT in the home health and hospice industry. She knows the guidelines inside and out and is also able to bring it down to the agency level; helping us to simplify processes, meeting patient needs and regulatory guidelines. We have all learned so much, I am not sure what we would do without her!"

    - Wende Bruce, RN Administrator, Haven Home Health, Inc.

Provider Insights partners with home health and hospice agencies

to make Medicare compliance simple. Here’s How to Get Started

Schedule a Discovery call

In home health and hospice, you may have a hard time keeping up with the rules for compliance, but there’s no doubt you know how important it is to follow them.

Learn more about how your agency can stay up-to-date on the rules, prepare for an upcoming audit, or get an assessment of your operations.

Audits and Assessments

Are you in compliance? Schedule a review of your patients’ medical records, mock survey, or operations assessment to make sure.

And don't worry, we won’t just show you problems. We’ll offer solutions so you’re fully ready for the next audit.

Become a Premier Partner

Have ongoing questions or concerns? Access our expert’s compliance knowledge and resources every month when you become a Premier Partner.

The solutions we develop are tailor-made for your agency with your specific goals in mind.