Payroll shouldn’t be painful but in home care, it often is. In this episode, Amy Taylor and Troy Brooks talk with Shelby Betts of WHIRKS Payroll about the biggest challenges agencies face when managing payroll, and how to fix them. Discover why outsourcing payroll can streamline your operations, reduce risk, and even improve employee retention.

🔗 Listen on Spotify, Apple Podcasts, and visit https://thehomecareexperience.com

Chapters:

0:00 – Intro & Why Payroll Hurts
1:32 – Meet Shelby Betts & WHIRKS
4:41 – Outsourcing vs. DIY Payroll
8:07 – Overcomplicated Pay Structures
12:58 – Off-Cycle Payroll: A Red Flag
18:19 – Tax Filings, Compliance & State Rules
24:00 – The Value of True Service Providers
30:12 – Integrations & EMR Systems
37:05 – Transitioning to a New Payroll Partner
41:29 – WOTC: The Overlooked Tax Credit
44:00 – Closing Thoughts on Outsourcing

Hashtags:
#HomeCarePodcast #PayrollTips #BackOfficeSolutions #ShelbyBetts #HealthcareLeadership #HomeCareInnovation

Did you know that your “healthy” hospice agency could owe Medicare millions—years after the fact?

In this episode of The Home Care Experience with T&A, Amy Taylor and Troy Brooks explain the hospice aggregate cap and its devastating impact on unprepared providers. From the nuances of daily rate limits to the risks posed by patient transfers and average length of stay, this is essential for anyone in the home care space.

Expect honest stories, practical strategies, and some surprising revelations. Whether you’re just launching a hospice agency or acquiring one, this conversation could save your bottom line.

Chapters:

0:00 – Narrator Intro
1:25 – What Is the Hospice Cap?
5:50 – Balancing Long-Term vs. Short-Term Patients
10:45 – Transfers & Prorated Credit Explained
14:00 – Stories of Big Overpayments
18:30 – Monitoring & Documentation Musts
22:00 – Hospice Eligibility & Medical Necessity
28:00 – Guidance for New Owners
33:00 – The Culture of Hospice & Final Thoughts

🎧 Listen on Apple Podcasts | Spotify | thehomecareexperience.com

#HomeCarePodcast #HospiceCare #MedicareCompliance #HealthcareLeadership

Welcome to The Home Care Experience with T&A! In Episode 7, Amy and Troy explore the complex—and often misunderstood—world of buying and selling home care agencies. If you've ever thought about selling your agency, acquiring another, or advising someone through the process, this episode is for you. Get practical legal and financial guidance, learn what mistakes to avoid, and walk away with a much clearer idea of what it takes to succeed in a home care M&A.

You’ll Learn:

• What a proper M&A process looks like in home care
• Stock vs. asset purchase: pros, cons, and consequences
• How due diligence protects both buyer and seller
• Why rushing the deal can backfire
• When to call in the professionals—and why it matters

🎧 Don’t miss Troy’s real talk about brokers and Amy’s breakdown of why a “friendly deal” still needs legal backup.

0:00 – Intro
0:46 – What "Mergers & Acquisitions" Really Means
2:00 – The Realities of the Process
3:30 – NDAs and Sharing Info
4:30 – The “Non-Binding” LOI Myth
8:00 – Stock Purchase vs. Asset Purchase
13:45 – Due Diligence: Financial vs. Clinical
18:00 – Regulatory and Tax Landmines
26:00 – Cost Reports, Buyer Risk & CPAs
30:00 – The Broker Factor
40:00 – Red Flags, “Too Good to Be True” Deals
45:00 – Final Thoughts

Hashtags:
#HomeCarePodcast #HealthcareHeroes #CaregivingTips #MergersAndAcquisitions #HealthcareLeadership #HomeCareInnovation

Disclaimer: The information provided in this episode is for general informational purposes only and does not constitute legal or financial advice. Always consult with your own attorney, CPA, or qualified advisor before making decisions related to buying, selling, or operating a home care business.

In this episode of The Home Care Experience with T&A, hosts Amy Taylor and Troy Brooks welcome guest Denise Bell—former home care agency owner, skincare brand founder, and bold advocate for personal growth. From Kodak cubicles in the '80s to Grammy swag bags in 2024, Denise walks us through her transformative journey through entrepreneurship, burnout, and rediscovery.

She shares how home health taught her about the selflessness of nurses, why she left it all behind, and what it really means to prioritize your own needs in a caregiving world. Expect unfiltered real talk, emotional insight, and laughter you didn’t know you needed.

📌 Chapters:

00:00 – Intro
02:15 – Kodak beginnings and the power of customer service
06:00 – Getting into home health: family, Craig Carter, and career pivots
11:00 – Burnout in caregiving: the warning signs and what comes next
17:00 – Reinventing herself at 44: Esthetician school and Five Circle Skincare
24:00 – The psychology of self-talk and finding your voice
29:00 – Practical self-care vs. performative wellness
36:00 – Rituals, relationships, and the ice cream story
39:00 – Denise's message for overworked women and caregivers
40:00 – Outro and future topics

🎧 Listen on:

Apple Podcasts | Spotify | Google Podcasts | YouTube | thehomecareexperience.com

Mentioned in the Episode:

• Five Circle Skincare (Denise’s brand)
• Baldwin Beauty School, Austin
• Craig Carter and the role of cost reporting in home care

Understanding Texas Medicaid Rate Enhancement—and why it matters for Personal Assistance Services providers

In Episode 5 of The Home Care Experience with T&A, Amy Taylor and Troy Brooks unpack the complexities of this powerful but often misunderstood Texas program. From how to enroll and measure compliance, to using bonuses strategically and avoiding devastating recoupments, this is a must-listen for PAS providers and agency owners.

Whether you’re new to rate enhancement or trying to protect your current reimbursement level, this episode gives you actionable insights to protect your business and support your staff.

🔗 Explore more episodes & show notes: https://thehomecareexperience.com

Cash flow is the lifeline of any home care business. In this episode, hosts Amy Taylor and Troy Brooks dive into the financial strategies home care providers need to stay afloat, especially in uncertain times. From securing lines of credit to smart financial planning, they break down how to build a safety net that ensures long-term success.

💡 What You’ll Learn in This Episode:

• Why cash reserves are essential for home care providers
• How a line of credit can safeguard your business
• The importance of securing financial backing before you need it
• Understanding financial obligations, including payroll taxes
• How to prepare for financial emergencies and unexpected expenses
• Why frugality is key for startups and growing businesses
• The role of professional financial guidance in strengthening cash flow

Whether you're an established provider or launching a new home care agency, financial preparedness is non-negotiable. Tune in for expert insights on securing your business's financial future!

Listen & Subscribe
YouTube: https://www.youtube.com/@KnightHCFinancial
More Episodes: thehomecareexperience.com

📌 Chapters:
0:00 - Navigating Cash Flow Challenges in Home Care
10:05 - Building Cash Reserves: Strategies and Insights
20:08 - Understanding Financial Obligations and Planning for Success

💬 What financial strategies have helped your home care business? Share your thoughts in the comments!

#HomeCarePodcast #FinancialPlanning #CashFlow #HomeCareBusiness #HealthcareLeadership #Entrepreneurship

In this conversation, Amy Taylor and Troy Brooks delve into the critical topic of cybersecurity within the home care sector. They discuss the increasing threats posed by cybercriminals, particularly in healthcare, and the importance of implementing robust security measures. The conversation covers various aspects of cybersecurity, including the types of attacks, preventive strategies, the role of insurance, data management practices, and the legal implications of breaches. They emphasize the need for training and awareness among staff, as well as the importance of having a solid emergency response plan in place. The discussion highlights the necessity of viewing cybersecurity as an ongoing concern rather than a one-time fix, urging organizations to be proactive in their approach to safeguarding sensitive information.

Takeaways

• Cybersecurity is a growing concern in home care.
• Healthcare institutions are prime targets for cyber attacks.
• Criminal organizations are increasingly sophisticated in their methods.
• Data segregation is crucial for protecting sensitive information.
• Insurance policies must be carefully reviewed for adequate coverage.
• Training staff on cybersecurity is essential for prevention.
• Legal implications can arise from data breaches.
• Emergency preparedness plans should include cybersecurity protocols.
• Proactive measures are necessary to mitigate risks.
• Understanding the threat landscape is key to effective security.

Chapters

00:00 Introduction to Cybersecurity in Home Care
02:57 The Growing Threat Landscape
05:48 Understanding Cyber Attacks and Their Impact
09:08 Preventive Measures and Best Practices
11:56 The Role of Insurance in Cybersecurity
14:46 Data Management and Segregation
18:08 The Importance of Training and Awareness
20:57 Legal Implications of Cyber Breaches
23:45 Emergency Preparedness and Response
27:03 Conclusion and Future Considerations

• (00:00) - Introduction to Cybersecurity in Home Care
• (02:57) - The Growing Threat Landscape
• (05:48) - Understanding Cyber Attacks and Their Impact
• (09:08) - Preventive Measures and Best Practices
• (11:56) - The Role of Insurance in Cybersecurity
• (14:46) - Data Management and Segregation
• (18:08) - The Importance of Training and Awareness
• (20:57) - Legal Implications of Cyber Breaches
• (23:45) - Emergency Preparedness and Response
• (27:03) - Conclusion and Future Considerations

In this conversation, Amy Taylor and Troy Brooks discuss the current state of the home care industry, focusing on the increasing scrutiny in hospice care, the financial impacts of COVID-19, and the challenges faced by home health providers, particularly in relation to Medicaid. They explore the unique issues in pediatric home care, the regulatory scrutiny surrounding documentation, and the importance of seeking the right help in navigating the complexities of the industry. The discussion highlights the evolving landscape of home care and the need for providers to stay informed and connected to succeed.

Takeaways

• The home care industry is experiencing significant changes and scrutiny.
• Hospice care is facing increased regulatory oversight and scrutiny.
• COVID-19 has had lasting financial impacts on home care providers.
• Many providers are struggling with rising costs and stagnant revenues post-COVID.
• Pediatric home care faces unique challenges, including documentation issues.
• Regulatory scrutiny is increasing, particularly in Medicaid and hospice care.
• Providers need to be aware of the importance of accurate documentation.
• There is a need for specialized help in navigating the complexities of home care.
• Networking and community engagement are crucial for success in the industry.
• The home care landscape is constantly evolving, requiring adaptability from providers.

Chapters

00:00 Current State of the Home Care Industry
03:28 Scrutiny and Changes in Hospice Care
08:07 Impact of COVID-19 on Home Care Finances
12:39 Challenges in Home Health and Medicaid
15:31 Unique Issues in Pediatric Home Care
20:54 Regulatory Scrutiny and Documentation Challenges
26:10 Navigating the Evolving Home Care Landscape

homecareexperience.com

A Riot Frequency Podcast Network Production https://theriotfrequency.transistor.fm/

• (00:00) - Current State of the Home Care Industry
• (03:28) - Scrutiny and Changes in Hospice Care
• (08:07) - Impact of COVID-19 on Home Care Finances
• (12:39) - Challenges in Home Health and Medicaid
• (15:31) - Unique Issues in Pediatric Home Care
• (20:54) - Regulatory Scrutiny and Documentation Challenges
• (26:10) - Navigating the Evolving Home Care Landscape