SMART Healthcare Compliance Resources, LLC

SMART Healthcare Compliance Resources, LLC is a specialized outsourcing partner for home health and hospice agencies navigating one of the most demanding regulatory environments in U. S. Healthcare. Based in Kingston Springs, TN and founded in 2018, the company was built by Randy Forrest and Mary Lou Roos, who bring over 80 years of combined experience in healthcare finance, regulatory compliance, and clinical operations. For agencies that need expert back-office support without adding internal overhead, SMART delivers the kind of hands-on partnership that moves the needle on revenue, compliance, and care quality. The company's core outsourcing services span revenue cycle management, medical billing, clinical compliance oversight, and QAPI program development. On the billing side, SMART goes well beyond claim submission. The team analyzes performance data, benchmarks it against national standards, and builds agency-specific strategies to accelerate collections and stabilize cash flow. Denials management, AR improvement, and OASIS coding accuracy are all part of the engagement. For compliance, SMART helps agencies answer the two questions that define Medicare participation: whether clinical care meets the Conditions of Participation, and whether documentation fully satisfies the Conditions of Payment. When the answer is uncertain, SMART provides the specialized oversight needed to get to a confident yes. SMART serves home health and hospice providers specifically, not the broader healthcare market. Its clients face the compounding pressures of PDGM rate adjustments, the capital demands of Home Health Value-Based Purchasing, growing Medicare Advantage penetration, and heightened CMS medical review scrutiny. Hospice clients contend with tightening survey requirements and an industry-wide spotlight on fraud, waste, and abuse. SMART understands both environments in operational detail, which separates it from general-purpose medical billing companies offering one-size-fits-all solutions. The founding team's complementary strengths are central to how SMART works. Randy Forrest leads on financial and regulatory strategy while Mary Lou Roos brings clinical and executive operations expertise. That combination means SMART can assess both the documentation quality and the revenue cycle performance of an agency, then collaborate directly with the provider's team to close gaps. The company also offers interim executive management, operational and clinical compliance oversight, and comprehensive training, making it a resource for agencies in transition, under review, or planning for growth. SMART's QAPI support is built around turning raw data into systemic change, not just satisfying checkboxes. If your agency is looking for a healthcare BPO company in the USA with real depth in home health and hospice outsourcing, SMART Healthcare Compliance Resources is worth a conversation. Connect with their team to discuss your current compliance and revenue cycle challenges.