Home health agencies can be busy and still be short on cash. Visits get done, claims go out, and payroll is due long before the money arrives. EFS Group helps agency owners manage their money so they can scale with confidence.
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When reimbursement lags, payroll doesn’t wait.
- Medicare, Medicaid, and commercial payers all pay on different timelines, so the bank balance rarely matches the work your clinicians did last month.
- Per-visit, hourly, and salaried clinician pay — plus mileage and overtime — makes payroll one of the hardest numbers to forecast.
- Denied or delayed claims quietly build up in accounts receivable until they become a cash problem.
- Without margin by service line or payer, it’s hard to know which referrals and contracts actually make money.
How EFS Group helps home health agencies
- Monthly bookkeeping that tracks revenue by payer and keeps accounts receivable visible, not buried.
- Cash flow forecasting built around your actual reimbursement timing, so you can see payroll gaps weeks ahead.
- Payroll support that handles per-visit and hourly clinician pay with clean records — see payroll services.
- Fractional CFO strategy on hiring, payer mix, expansion into new territories, and financing — see virtual & fractional CFO.
- Proactive tax planning so year-end is a plan, not a surprise.
We offer Starter, Intermediate, and Premium CFO packages that combine monthly books, strategy, KPIs, payroll options, and tax planning. View CFO packages and services →
How it works
- Preview — A short strategy call to understand your organization, revenue, pain points, and goals.
- Probe — A detailed look at your books, bank activity, payroll, tax history, and systems.
- Plan — Clear recommendations on the areas that drive cash and profit.
- Present — We walk through the plan together and decide if we’re a fit.
- Put into motion — Cleanup if needed, then ongoing books and CFO support.
FAQ
Do you work with Medicare-certified and private-duty home health agencies?
Yes. We support home health owners with bookkeeping, payroll, cash flow forecasting, tax planning, and fractional CFO strategy. Your billing and compliance teams stay in charge of claims; we make sure the financial side gives you a clear picture of cash and margins.
Can you help us forecast cash around reimbursement delays?
Yes. We build a cash flow forecast from your real payer timing and payroll calendar, so you can see when a gap is coming and plan for it — whether that means adjusting hiring, using a line of credit, or following up on aging receivables.
How do you handle per-visit clinician pay?
We set up payroll records and reporting that reflect how your clinicians are actually paid — per visit, hourly, or salary — so labor cost per visit is easy to see and payroll stays consistent.
What’s the difference between a bookkeeper and a fractional CFO for a home health agency?
A bookkeeper records what happened. A fractional CFO uses those numbers to help you decide what to do next — which payers to grow, when to hire, how to price private-pay services, and how to protect cash.
Is your service virtual?
Yes. We work with agencies across the U.S. using Zoom and cloud accounting tools, so you get CPA-led support without adding office overhead.
Ready to get clear on your numbers?
Let’s clean up the confusion around cash, payroll, and tax — and build a financial engine that supports growth.
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