The Compliance Confidence Scorecard 

If your homecare agency was a home, then meeting compliance requirements would be the foundation. Without compliance, even the most well-run operations can crumble under penalties, delayed payments, or lost contracts. 

The stronger your compliance program, the more confidently you can build the rest of the structure. With a solid foundation you can take on new clients, ensure caregivers deliver exceptional care, and increase your cash flow. 

That’s where our Compliance Confidence Scorecard comes in. Use this simple framework to evaluate your agency’s performance across key compliance areas and identify where you can raise your score. 

1. Caregiver & HR Compliance 

Compliance starts long before a caregiver ever steps into a client’s home. From onboarding and background checks to ongoing training, caregiver and HR compliance ensure your workforce is qualified, verified, and ready to deliver care safely. 

Ask yourself: 

• Are all caregiver credentials, I-9 forms, and background checks up-to-date? 

• Do you have a reliable process for checking exclusion lists like OIG? 

• Are you tracking vaccination and medical documentation efficiently? 

How to raise your score: 

• Automate exclusion list checks monthly to avoid manual errors. 

• Digitize files through documentation management tools for secure, searchable storage. 

• Use automated compliance notifications to alert staff of upcoming expirations or missing credentials. 

✅ Confidence Check: You should be able to verify caregiver compliance in one place, in real time. 

2. Electronic Visit Verification (EVV) Compliance 

Since the passing of the 21st Century Cures Act, EVV has been a key requirement for Medicaid personal care and home health care services. Accurate visit verification is vital, not just for compliance, but for ensuring clients receive care as scheduled. 

Ask yourself: 

• What percentage of your visits are electronically verified? 

• Can you easily identify missing or incomplete visits? 

• Are caregivers consistently clocking in and out through approved methods (mobile app, FOB, IVR)? 

How to raise your score: 

• Monitor EVV compliance reports to pinpoint gaps by payer, caregiver, or client. 

• Use an EVV dashboard for real-time visibility into check-ins and check-outs. 

• Set measurable EVV goals (like reaching 90% compliance) and track progress monthly. 

✅ Confidence Check: High EVV compliance ensures accuracy, transparency, and timely reimbursement. 

3. HIPAA Compliance 

Data security is one area you can’t afford to overlook. From caregiver communications to client records, HIPAA compliance protects sensitive information and maintains your agency’s reputation. 

Ask yourself: 

• Does every staff member have access only to what they need? 

• Are caregiver messages about clients sent through secure, compliant channels? 

• Can you trace who viewed or edited key data? 

How to raise your score: 

• Implement role-based permissions in your homecare software to limit access to Personal Health Information (PHI). 

• Use HIPAA-compliant, two-way chat for communication between caregivers and the office. 

• Choose partners with HITRUST CSF certification, like HHAeXchange, for top-tier data protection. 

✅ Confidence Check: If your caregivers are still texting client details, it’s time to secure your communication channels. 

4. Billing Compliance 

Even if your care delivery is flawless, inaccurate billing can disrupt your operations and impact your cash flow. Billing compliance ensures that claims are submitted correctly, on time, and with all necessary documentation. 

Ask yourself: 

• Are you verifying all visit data before submitting claims? 

• What is your claim rejection or resubmission rate? 

• How are overnight or split shifts handled in your billing process? 

How to raise your score: 

• Use a solution with a pre-billing scrub to confirm visits match authorizations and plans of care. 

• Automate split shift management for caregivers working across midnight hours. 

• Aim for a high first-pass acceptance rate by resolving errors before billing begins. 

✅ Confidence Check: If billing feels reactive instead of proactive, it’s time to strengthen your process. 

5. Documentation & Audit Readiness 

Being audit-ready isn’t about scrambling to pull files together—it’s about knowing that everything is already in order. Organized documentation is a reflection of operational excellence. 

Ask yourself: 

• Can you locate any caregiver or client record within minutes? 

• Are all documents version-controlled and time-stamped? 

• Do you have a clear process for internal audits? 

How to raise your score: 

• Store all documentation digitally for easy access and retrieval. 

• Ensure every record has a complete audit trail. 

• Schedule quarterly internal compliance checks to stay prepared year-round. 

✅ Confidence Check: Agencies that are always audit-ready never have to panic when an audit arrives. 

6. Create Your Compliance Confidence Score 

Ready to see where your agency stands? Use this quick scoring system across all five categories: 

Score	Meaning
3 points	Fully compliant and automated
2 points	Compliant but manual
1 point	Needs improvement

Add up your points across each area to get your total Compliance Confidence Score. 

13–15 points: You’re leading the pack—your compliance program is strong and scalable. 
9–12 points: You’re solid but have room to automate and optimize. 
Below 8 points: Focus on modernizing your compliance systems to reduce manual risk. 

From Compliance to Confidence 

Compliance may not be glamorous, but it’s the engine that keeps your agency running smoothly. When every process, from HR to billing, is compliant and connected, your agency doesn’t just meet regulations—it thrives under them. 

With the right tools, you can transform compliance from a burden into a strength. 

Ready to boost your Compliance Confidence Score? Request a demo today.