Insight before action
Better decisions for home health & hospice.
Understand how clinical, financial, operational, and reimbursement decisions interact — so you can evaluate change, quantify impact, and move forward with clarity.
Trusted experience across home health, hospice & Medicare reimbursement
Years of healthcare experience
Across provider operations, reimbursement, and financial decision support.
Medicare auditor background
A rare perspective shaped by regulatory review and provider operations.
Creator of Case-Mix Planner
A proprietary methodology connecting care planning and reimbursement.
Practical decision support
Analysis that clarifies what is happening and what to do next.
The big picture
Complexity is not the problem.
Understanding its impact is.
Home health and hospice organizations operate in an environment of constant change. Reimbursement methodologies evolve, requirements expand, staffing pressures intensify, and leaders make consequential decisions with incomplete information.
The greatest challenge is often not obtaining more data. It is understanding the relationships within the information already available—and recognizing how a decision in one area may affect outcomes elsewhere.
Experience
Three decades across audit, operations, leadership, consulting, education, and industry change.
Analysis
Interpret what the data reveals about clinical, financial, operational, reimbursement relationships.
Methodology
Use structured, repeatable approaches to evaluate decisions and quantify potential impact.
Insight
Turn complex findings into practical understanding and a clearer next step.
Where IFS4hh helps
Support for the decisions that shape performance
Begin with the situation you need to understand—not a predefined consulting package.
Performance improvement & recovery
Assess. Understand. Improve.
See what is affecting performance, quantify the operational and financial impact, and identify practical next steps for sustainable improvement.
Explore performance support →
Financial & reimbursement support
Forecast. Measure. Prepare.
Strengthen budgeting, forecasting, Cost Reporting, and reimbursement decisions with analysis specific to home health and hospice.
Explore financial support →
Case-Mix Planner™
Connect. Plan. Decide.
Connect patient assessment, care planning, resource utilization, and reimbursement before care decisions are finalized.
Explore the planner →
Why IFS4hh
Auditor. Operator.
Consultant. Educator. Leader.
John Reisinger, CPA, has worked inside the home health and hospice industries since 1992.
His perspective comes from seeing how organizations are evaluated externally, how they operate internally, and how decisions translate into clinical, financial, operational, and reimbursement outcomes.
“The objective is not to create dependence on outside interpretation. Where possible, it is to strengthen your organization’s ability to understand complexity and make better-informed decisions internally.”Meet John and his approach →
Specialized support
Built around the decision in front of you.
Focused engagements combine industry context, analytical rigor, and practical knowledge transfer.
Discuss your situationPerformance Improvement & Recovery
Identify the relationships driving performance and determine what to do next to turn agency performance around.
Financial Management & Decision Support
Connect financial results with the operational and reimbursement factors behind them.
Budgeting, Forecasting & Modeling
Evaluate assumptions and alternatives before decisions become commitments.
Interim C-Suite Leadership
Experienced executive guidance during transition, growth, or organizational challenge.
Medicare Cost Reporting
Accurate preparation, informed review, and clearer understanding of what the report communicates.
Education, Training & Speaking
Build the internal understanding needed to navigate these highly regulated industries with greater confidence.
Case-Mix Planner™
Connect patient assessment, care planning & resource utilization.
The Case-Mix Planner™ brings interconnected clinical and operational relationships into one structured decision environment—helping teams recognize potential implications earlier.
- Support clinical judgment; never replace it
- Improve cross-functional communication
- Evaluate resource and reimbursement implications
- Strengthen training and case-management consistency
What clients say
A clearer way to connect care and performance.
“The Case-Mix Planner™ has helped clinicians and supervisors alike to better understand the Prospective Payment System, and to respond proactively with delivery of care.”
Indiana University Health Home Care
Industry resources
Interpret change before it becomes impact.
When Growth Conceals Deterioration
How multiple, unrelated problems can hide behind rising revenue and aggregate profit. Understanding relationships is key to retaining profit margins.
Read the article →Understanding Medicare Outliers
Looking beyond payment to understand the intent and operational implications of the outlier provision. This is one of the most misunderstood provisions under the HH PPS.
Read the article →What Your Financial Statements Are Trying to Tell You
Don't make the mistake of trying to manage your agency by the top-line (revenue) and bottom-line (net income/loss) of your Income Stmt. You need to know what is happening in between to turn your revenue into bottom-line success.
Read the article →A focused first conversation
What does this mean for your organization?
Every organization is different. A confidential discussion can help clarify the issue(s) and identify the most appropriate next step.