Rekey Desk / Who it is for / Home health and hospice intake
Home Health Intake Desk
Referral to start of care keying for home health and hospice
A referral arrives for a patient who needs care this week. Your intake coordinator retypes the face sheet, orders and intake fields, then chases the authorization, while start of care waits. Coordination overhead is 40 to 50 percent of home health spend (Felicis, 2026-06-02).
Rekey Desk maps the keying from referral to start of care, writes the Field Rulebook, builds the Keying Build into your home health EHR, and sends unreadable pages to the Exception Queue. The Rekey Map comes first, on one workflow.
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Last updated . Rekey Desk is run by Mike Rodgers from Denver and works remotely with operators across the United States.
Referral to start of care, and where it stalls
The referral lands by fax or portal, gets retyped into the EHR, and only then does someone call the patient. WellSky, HomeCare HomeBase and Axxess are examples of where that keying sits. The paperwork is between the referral and the first visit.
Coordination overhead is 40 to 50 percent of home health spend, and two in five referred patients do not get the care (Felicis, 2026-06-02). Roughly $40 billion in referrals are rejected each year because the admin cost is higher than the payment (Felicis, 2026-06-02).
What gets keyed, and what stays clinical
The intake data around OASIS gets keyed: demographics, insurance, physician orders, dates and visit schedules, read from the referral packet and typed into the EHR. The clinical answers inside OASIS stay with your clinician.
The public target for this lane is automate referral to reimbursement: intake, OASIS documentation, QA (Enzo Health funding news, captured 2026-09-24).
- Patient and payer details: face sheet to patient record, copied exactly as printed.
- Order start date and frequency: order page to scheduling field, date as written.
- Authorization ID: payer response to tracker, character for character.
- Visit type: referral document to plan of care field, as listed.
Authorization for Medicare Advantage visits
The request is built from the chart, keyed into the payer portal, and the decision is keyed back with the source page attached. Urgent decisions must come back within 72 hours and standard decisions within 7 calendar days, from January 1, 2026 (CMS fact sheet, 2024-01-17).
Hospice runs the same loop: packet read, fields keyed, status tracked, exception routed. Anything unreadable reaches your named person with the page attached.
What your team keeps
Clinicians decide diagnosis, homebound status and medical necessity. Your staff call patients and submit to payers, and your named people decide every exception, each carrying a reason code and the source page.
Bring one week of referrals to a teardown and get the Rekey Map, the Field Rulebook and a fixed build quote, with no patient data required.
What correct looks like
The checks behind this page
- Check: every step in the Rekey Map names the referral page it reads from and the EHR screen it types into.
- Check: every field in the Field Rulebook has a source, a target, a format rule and a named decider.
- Check: the Keying Build keys a held-back sample your staff already keyed, and every mismatch is listed.
- Check: every exception carries a reason code and the source page, and nothing is guessed.
Named owner of mistakes: Mike Rodgers. Every field your staff mark wrong is counted in the Monthly Accuracy Report, the rule behind it is fixed, and the affected records are checked again before the next batch.
Start here
Workflow Teardown, $2,500 fixed
Readout 10 business days after your de-identified sample set arrives. The $2,500 is credited in full against the Keying Build if you sign within 30 days of the readout. If the map shows the workflow is not worth automating, the readout says so, and you keep the map and the rulebook.
The Keying Build is a fixed price quoted after the teardown, and Run and Check is a monthly price quoted with it.
What your people still own
- Clinicians decide diagnosis, homebound status and medical necessity.
- Your intake staff call patients and run the schedule.
- Your team submits to payers and handles authorizations by phone.
- You own the Field Rulebook, the exception log and the build configuration.
FAQ
Questions about this page
- What does the Workflow Teardown cost?
- It is $2,500 fixed, credited against the build if you sign within 30 days. The readout arrives 10 business days after your de-identified sample set, with a sample run on 25 documents you can compare.
- Do you handle the OASIS answers?
- No, clinical documentation stays with your clinicians, including anything inside OASIS. The build keys the intake data around it: demographics, insurance, orders and dates.
- Can you start without our patient data?
- Yes, the teardown runs on de-identified or synthetic documents. A build that touches PHI starts only after a signed Business Associate Agreement and runs through accounts you control and can revoke.
- What does my staff still own?
- They own every exception, all clinical decisions, the calls to patients and payers, and the submission itself. Only the retyping of fields moves.
Request a sample run
Tell us the workflow that eats the most typing
One short form. We reply by email with what we need for the sample run. No patient data in this form, please.
- Workflow Teardown: $2,500 fixed
- Readout 10 business days after your de-identified samples arrive
- Credited in full against the build if you sign within 30 days