Healthcare Consulting & Compliance

From startup
to sustainable
revenue.

Nexara guides home health and hospice agencies through Medicare certification, ACHC accreditation, multi-state expansion, and operational growth — so you hit the ground billing.

100%
Medicare Certification Success Rate
60+
Agencies Launched & Accredited
Multi
State Franchise & Expansion Support
Medicare Certification
ACHC Accreditation
Home Health & Hospice
Franchise & Multi-State Expansion
Compliance Accelerator™
Operations & Compliance
Revenue Cycle Strategy

What We Do

End-to-end support,
from license to first claim.

06
01
Medicare Certification
Full preparation and coordination for CMS surveys. We handle the documentation, readiness assessments, and mock surveys so your agency passes the first time.
02
ACHC Accreditation
Structured guidance through ACHC standards, policy development, and self-study preparation — positioning your agency for both accreditation and competitive advantage.
03
Agency Startup & Licensure
From entity formation and state licensure to initial staffing structure and policy manuals — we build your agency on the right foundation from day one.
04
Operations & Compliance
Ongoing operational oversight, QAPI program development, clinical record audits, and regulatory compliance to keep your agency survey-ready year-round.
05
Franchise & Multi-State Growth
Scalable systems and state-specific compliance strategies for franchise owners and operators expanding across markets — without losing operational integrity.
06
Revenue Cycle & Billing Strategy
We bridge the gap between clinical and financial — aligning documentation practices, coding, and billing workflows to maximize your reimbursement from the start.
Flagship Service Line

Nexara Compliance
Accelerator™

Protecting your Medicare certification. Preserving your deemed status.

The Medicare moratorium has shifted the market. New home health agencies can't easily enter — but thousands of existing agencies still have to survive accreditation renewals, revalidation surveys, and condition-level deficiencies. The Compliance Accelerator is a structured readiness program built for exactly that reality: accreditation renewal, Medicare revalidation, state surveys, and compliance review — all in one program.

Service Tiers

Tier 01
Compliance Checkpoint

For agencies that want an expert review before survey season.

  • High-level compliance assessment
  • QAPI, emergency preparedness & personnel file review
  • Policy review & Medicare CoP gap analysis
  • Written findings report & executive action plan
DeliverableCompliance Scorecard, Priority Deficiency List & 30-Day Action Plan
Tier 02
Survey Readiness Accelerator

For agencies expecting a survey within 3–6 months.

  • Everything in Tier 1, plus:
  • Clinical record review — SOC, recerts, discharges, orders, OASIS
  • Personnel file audit — licenses, competencies, background checks
  • QAPI program review — indicators, PIPs, governing body oversight
  • Emergency preparedness review — HVA, drills, training
DeliverableSurvey Readiness Report, Deficiency Tracker & Corrective Action Roadmap
Tier 03
Fast-Track Compliance Intensive

For agencies with an upcoming survey, citation, or active compliance concern.

  • Everything in Tier 2, plus:
  • Hands-on remediation — chart corrections, QAPI rebuilding, PIP development
  • Survey binder creation & leadership coaching
  • Full mock survey — clinical, personnel, QAPI, emergency prep & leadership interviews
DeliverableExecutive Readiness Dashboard, Mock Survey Findings & Immediate Corrective Action Plan
Tier 04
Compliance Partner Program

Ongoing annual compliance support — monthly or quarterly engagement.

  • Ongoing chart audits & QAPI oversight
  • PIP support & emergency preparedness reviews
  • Quarterly compliance meetings
  • Survey readiness maintenance & leadership consultation
DeliverableA recurring partnership that keeps your certification protected year-round

Survey & Regulatory Support

Accreditation Renewal Readiness Medicare Revalidation Support Mock Surveys Clinical Record Audits Personnel File Audits QAPI Program Development Emergency Preparedness Compliance Deficiency Correction Plans Condition-Level Deficiency Remediation Directed Plans of Correction State Agency Survey Response Complaint Investigation Support Ongoing Compliance Oversight
Custom scope & pricing based on your agency's needs.

Regulatory Crisis & Immediate Jeopardy Services

Highest-Tier Response

When your Medicare certification is on the line, hours matter.

For agencies cited with Immediate Jeopardy findings or facing imminent regulatory action, Nexara provides rapid-response support — corrective action planning, leadership coaching, and regulatory response strategy, built for the speed a crisis demands.

  • Rapid compliance assessment
  • Immediate corrective action planning
  • Plan of Correction development
  • Documentation review & correction
  • Staff competency validation
  • Regulatory response support
  • Survey revisit preparation
  • Governing body & leadership consultation
What's at Stake

Termination from Medicare, loss of accreditation, admission holds, payment suspension, civil monetary penalties, and reputational damage. Nexara helps you respond before it's too late.

Why Nexara

We don't just consult.
We get you to revenue.

Most consulting firms hand you a policy manual and leave. Nexara stays in the room — from your first state application through your first Medicare remittance advice. We speak owner, clinical, and financial fluently, because your success depends on all three.

  • Startup-to-Revenue Expertise
    We've taken agencies from blank LLC to first Medicare payment. We know every gap, every delay, every trap — and how to avoid them.
  • Compliance That Scales
    We build infrastructure, not band-aids. Your policies and systems work for 1 location or 20.
  • Real-World Clinical Knowledge
    Our team includes clinicians who have run home health and hospice operations — not just consultants who've read the CoPs.
"

Most agencies fail not because of bad intentions, but because they didn't know what they didn't know. That's exactly the gap we fill.

— Nexara Health Consulting

How We Work

A proven path
to certification & beyond.

01
Discovery & Assessment
We assess your current state — licensure, ownership structure, market, and goals — and build a custom roadmap to certification and revenue.
02
Foundation Building
Policies, procedures, job descriptions, QAPI programs, and governance documentation — built to your state's CoPs and ACHC standards from the start.
03
Survey Readiness
Mock surveys, staff education, clinical record reviews, and environment walkthroughs — so the real survey is a formality, not a gamble.
04
Revenue & Growth
Billing alignment, referral strategy, and ongoing compliance support to protect your certification and scale with confidence.

Ready to Get Started?

Your agency deserves a
clear path to revenue.

Book a complimentary discovery call. No pitch decks — just real answers.