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HCM System simplifies the complete clinical workflow for Medicare home health and hospice agencies, from referral intake and OASIS E2 assessments to HOPE hospice assessments, interdisciplinary care planning, physician approved Plans of Care, and CMS ready documentation.
HCM System manages the complete lifecycle of Medicare home health and hospice episodes, from referral intake and patient onboarding to AI assisted OASIS E2 and HOPE assessments, quality assurance review, physician approved Plans of Care, and CMS compliant documentation.
By combining intelligent automation with role based workflows, HCM System enables Clinical Admins, Nurses, QA Reviewers, and interdisciplinary hospice teams to collaborate efficiently while maintaining regulatory compliance, data security, and complete auditability throughout the care process.
HCM System is delivered as one secure SaaS platform with two distinct lines of care. Agencies can subscribe to the Home Health module, the Hospice module, or run both together on the same patient record, staff directory, and compliance foundation.
The complete Medicare home health workflow: referral intake, AI assisted OASIS E2 assessments, QA review, CMS 485 Plans of Care, and physician signature tracking.
A complete hospice line of care built around the CMS HOPE instrument: election and certification, IDG care planning, levels of care, and HQRP submission.
Choose only the module your agency needs today and add the other whenever you are ready. When both modules run together, clinicians work from one login, one patient chart, and one QA and CMS export pipeline, with no duplicate data entry across home health and hospice episodes.
The Home Health module manages the complete Medicare episode from referral intake to physician signed Plans of Care, with AI doing the heavy lifting on OASIS E2 documentation.
Voice capture and automated medical transcription convert nurse notes into structured OASIS E2 fields.
LLM powered extraction pulls diagnoses, medications, and vitals directly into the record.
Single inbox for all referral sources with automated onboarding and eligibility capture.
Care episodes, visit plans, and assignments are generated the moment a referral is accepted.
Route the right clinician and reviewer to every episode with balanced workload rules.
Structured review, return, and approval flows keep every OASIS submission compliant.
Create, review, and finalize CMS 485 Plans of Care ready for physician signature.
Track pending, signed, and returned Plans of Care with full status visibility.
The Hospice module is built around HOPE (Hospice Outcomes and Patient Evaluation), the CMS standardized patient assessment instrument that replaced HIS reporting. Hospice teams manage the full episode from election through bereavement with AI assisted documentation and automated compliance checks.
Guided data capture for the CMS HOPE instrument at admission and at HOPE Update Visits (HUV), with built in validation before submission.
Digital Notice of Election, certification of terminal illness, and benefit period tracking with physician signature workflows.
Schedule and document IDG meetings, track care plan reviews every 15 days, and coordinate nursing, social work, chaplain, and physician input.
Manage routine home care, continuous home care, general inpatient, and respite care with per level documentation rules.
Structured pain, dyspnea, and symptom management screening aligned with HOPE quality measures and HQRP reporting.
Automated quality checks, timely submission tracking, and CMS compliant HOPE export to protect Annual Payment Update compliance.
HCM System is built around role based workflows that maintain complete auditability and regulatory compliance from intake to CMS submission.
Reviews incoming referrals, creates patient care episodes, assigns nurses and QA reviewers, manages scheduling, processes reschedule requests, and oversees every patient throughout the clinical lifecycle. Also monitors clinic performance, manages staff, generates physician ready Plan of Care documents, and ensures every episode progresses from intake to completion.
Completes AI assisted OASIS E2 assessments during patient visits using voice recording and automated transcription, reviews AI generated clinical recommendations, documents patient conditions, completes Plans of Care, and submits documentation for quality review. Also responds to QA feedback and maintains accurate clinical records throughout the patient episode.
Reviews nurse submitted assessments, validates AI generated clinical information, approves or returns documentation with detailed feedback, performs coding and compliance verification, reviews Plans of Care, and prepares documentation for physician signature and CMS submission while ensuring regulatory compliance.
Referral received from external sources.
Clinical Admin accepts the referral and creates a care episode.
Nurse and QA Reviewer are assigned.
Nurse completes an AI assisted OASIS assessment.
QA reviews and validates the assessment.
Nurse completes the Plan of Care.
QA reviews and finalizes the Plan of Care.
Physician signs the care plan.
Documentation is exported in CMS compliant format.
Book a walkthrough to see how AI assisted OASIS, QA workflows, and CMS ready exports come together in one platform.
Talk to our team