Solutions by Care Line
Personal care, home health and hospice have different service models, documentation requirements, payer rules and workforce needs. They still share clients, employees, referral sources and administrative work. Nuraflow is designed to support those differences without fragmenting the organization.
Nuraflow is pre-launch. These workflows describe product design intent and preserve accountable human review.
The Closed Loop
A person, worker or visit should not be recreated when the care line changes. What changes is the rule set, documentation, staffing and reimbursement wrapped around that record.
Referral
Qualified workforce
Authorized service
Care record
Revenue
Evidence
Closed Loop
Agency-Ready Record
Operational, financial and assurance records agree.
Operating Comparison
| Operating area | Personal Care | Home Health | Hospice |
|---|---|---|---|
| Entry point | Service inquiry, Medicaid or private-pay referral | Clinical referral, eligibility, orders and assessment | Referral, election, certification and level-of-care need |
| Staffing model | Recurring attendant schedules and continuity | Discipline-based visits and episode timing | Interdisciplinary visits, shifts and on-call coverage |
| Field evidence | EVV, tasks, exceptions and client confirmation | Assessment, skilled note, orders and plan progress | Visit note, symptom follow-up and IDG preparation |
| Revenue path | Authorization, EVV, multi-payer billing and payroll | NOA, PDGM, institutional claim and QA | Election notices, levels of care and per-diem billing |
| Governance | State licensure and attendant eligibility | CMS, OASIS and accreditation evidence | HOPE, IDG, bereavement and interdisciplinary evidence |
| External exchange | State EVV aggregators and payer data | Medicare eligibility, DDE, clearinghouse and clinical exchange | Payer, clearinghouse and clinical exchange |
| Administration | Branch, service-area and state rule sets | Multi-branch clinical and workforce oversight | Multi-location roles, permissions and reporting |
Non-medical attendant care delivered at scale, under state licensure and Medicaid programme rules.
Also called: Personal assistance services, private duty, non-medical.
What the journey must account for
Clinical care in the home under Medicare, with the assessment, coding and reimbursement machinery that entails.
Also called: Skilled home health, Medicare-certified clinical care.
What the journey must account for
End of life care, where the interdisciplinary team, the election structure and the family as the unit of care drive everything operationally.
Also called: End of life care, palliative.
What the journey must account for
Founding Cohort
Bring the handoff that crosses programs, roles or records. We will map what starts it, who decides and what proves it closed.