Case Study: Simione Healthcare Consultants achieves streamlined compliance and revenue-cycle improvements with Complia health

Simione Healthcare Consultants - Customer Case Study

Simione Healthcare Consultants, led by William Simione Jr., frames the dilemma facing home health agencies: shrinking margins from Medicare/Medicaid cuts, rising regulatory burden, and accelerating industry consolidation that forces owners to either scale up or craft an exit strategy. To meet challenges such as complex Medicaid authorizations, risk-based Medicare reporting and ICD-10 readiness, vendors like Complia Health offer sector-specific software and consulting—most notably the ContinuLink solution—to automate billing, claims, scheduling and compliance workflows.

Complia Health implemented its ContinuLink software and services to automate Medicaid data entry, speed claims and RAP processing, and provide regulatory and population-health reporting. The results include Interim HealthCare of Colorado cutting annual write-offs by 90% (from $200,000 to $20,000), reducing invoice entry from 120 staff hours to under one hour and supporting revenue growth from $20M to $29M without added staff; Aloha Home Care shortened RAP turnaround from 28 to 11 days. Complia Health also markets ICD-10 readiness and analytics to help agencies adapt faster and pursue risk-sharing opportunities.

Simione Healthcare Consultants

William Simione

Founder