Built for home health

Home health referral records, ready before the start of care.

A referral came in this morning for a patient discharged yesterday. The start-of-care visit has to happen within days, the documentation that makes the episode payable is at the hospital, the certifying physician's office and two specialists, and until it arrives the case cannot open and the episode cannot be billed.

The decision

A patient is transitioning.

Home health agencies: the intake coordinators, referral nurses and clinical managers who take a referral, confirm the patient is eligible and get a clinician into the home for the start of care.

A home health referral is a transition with a clock on it. The patient is already home, or about to be, the start-of-care visit has to happen within days, and the documentation that supports it was written somewhere else: the certifying physician’s office, the hospital, the specialists who saw the patient during the stay. The list below is what an intake has to have in hand before the case can open, and it is short because the decision is whether and how to start, not the whole plan.

Vivlio retrieves the outside record from providers, hospitals and health systems in minutes and organizes it for that start: what has arrived, from where, what is new, and who said it.

And this is how the agency gets paid. The face-to-face encounter documentation and the signed certification are conditions of payment: the visit can happen, the clinician can chart it, and the episode still cannot be billed until the evidence written somewhere else is in the record. Every referral sitting in a pile waiting on a fax is revenue that has not started, and the same documents come back around later as the answer to an additional documentation request and the basis of the recertification. That is the case an intake coordinator can carry to whoever owns the budget: not hours saved at the margin, but episodes that open on the day the referral arrives and bill without a hole in the file.

Before the decision

What the home health record has to contain.

Not a generic records list. What has to be on the table before this decision can be made well.

  1. The face-to-face encounter note

    The visit with the certifying physician or allowed practitioner that the referral rests on, with its date, because the encounter has to fall within the window around the start of care.

  2. Orders and the referral

    What has been ordered, which disciplines, and at what frequency, so the case opens on what the physician asked for rather than on a phone call about it.

  3. The discharge summary

    From the hospital or post-acute facility the patient is coming home from, with the discharge medications and the follow-up plan.

  4. The history and physical

    The overview of chronic conditions, diagnoses and current status that the comprehensive assessment builds on.

  5. Medications, with dose and prescriber

    Every active prescription from every prescriber, because the first visit's reconciliation is where a transition home goes wrong.

  6. Recent labs, imaging and therapy notes

    Wound care, physical and occupational therapy evaluations, and the results the plan of care will be measured against.

The distinction

Hundreds of pages, or one record.

The files a home health intake actually receives, before and after Vivlio organizes them: one record per event, duplicates folded into their originals, and every line carrying its source and date.

Illustration · synthetic

What arrives today: eight files, three of them duplicates, in no order. What a start of care needs: five sections, duplicates removed, a source and a date on every line.

What arrives

Organized for this decision, not just retrieved.

Retrieval is the commodity. What arrives has already been sorted for the decision above, and each line says where it came from.

One record per event
A discharge summary released by the hospital and again by the health system arrives once, with both sources named.
Only what is new since the referral
Encounters and results that landed after the referral came in are marked as such, so the coordinator reads what changed rather than the whole history again.
Which sources have returned, and when
Every entry names the organization that released it and the date it arrived, so a source that has not returned anything is visible before the first visit is scheduled.
A source and a date on every line
Each line carries which organization it came from and when it arrived, so the plan of care can say where every fact came from.

The record

This is what arrives.

The portal itself, rendered from the product's own source over a synthetic patient. Every line carries the organization that released it and the date it arrived.

Vivlio portal, release 5.30.0, rendered from source · Synthetic patient, no PHI

Rivera, Elena

Date of birth03/18/1958
Viewing records from facility:
LabsDiagnostic TestsMedicationsNotesPlan of CareHospitalizationsSurgeries

Showing 1–10 of 27 records

Date of ServiceRecord TitleFacilityDepartment/LocationProviderTransaction Date
08/27/2026Progress NoteNorthside Regional Medical CenterInternal MedicinePriya Natarajan, MD09/02/2026
08/14/2026Consult NoteAtlanta Cardiology AssociatesCardiologyMarcus Bell, MD09/02/2026
07/30/2026Admission DischargeNorthside Regional Medical CenterInpatientHannah Okafor, DO09/02/2026
07/22/2026Clinical DocumentPeachtree Family MedicinePrimary CareDaniel Reyes, MD09/02/2026
06/09/2026Image DocumentLakeview Imaging PartnersRadiologySunil Mehta, MD09/02/2026
05/12/2026Operative NoteNorthside Regional Medical CenterSurgeryGrace Lindqvist, MD09/02/2026
03/03/2026Patient HistoryPeachtree Family MedicinePrimary CareDaniel Reyes, MD09/02/2026
01/15/2026Progress NoteAtlanta Cardiology AssociatesCardiologyMarcus Bell, MD09/02/2026
12/02/2025Clinical DocumentLakeview Imaging PartnersRadiologySunil Mehta, MD09/02/2026
10/21/2025Consult NoteNorthside Regional Medical CenterEndocrinologyRina Adeyemi, MD09/02/2026

Demographics

DOB: 03/18/1958
Age: 68 years old
Gender: Female
Email: N/A
Phone: (404) 555-0134
Address:
1420 Willow Creek Dr
Decatur, GA 30030

Data Summary

Encounters: 14 records
Labs: 22 records
Diagnostic Tests: 6 records
Medications: 11 records
Notes: 9 records
Plan of Care: 3 records
Hospitalizations: 1 record
Surgeries: 2 records

Encounters

Go to Encounters
Office visit
Follow-up, atrial fibrillation
Marcus Bell, MD
08/14/2026
Hospital
Chest pain, observation
Hannah Okafor, DO
07/30/2026
Office visit
Diabetes management
Daniel Reyes, MD
07/22/2026
Telephone
Medication question
Daniel Reyes, MD
06/18/2026

Vitals

Go to Vitals
Blood Pressure128/82 mmHg
08/27/2026
Heart Rate72 bpm
08/27/2026
Weight164 lb
08/27/2026
BMI27.3
08/27/2026

Allergies

Penicillin- Hives
03/03/2026
Sulfonamides- Rash
03/03/2026

Immunizations

Influenza, seasonal
10/02/2025
COVID-19, mRNA
10/02/2025
Tdap
05/11/2022

Problem List

Type 2 diabetes mellitus
Daniel Reyes, MD
07/22/2026
Atrial fibrillation
Marcus Bell, MD
08/14/2026
Essential hypertension
Daniel Reyes, MD
07/22/2026
Hyperlipidemia
Daniel Reyes, MD
07/22/2026

Care Team

Daniel Reyes, MD
Primary care
Peachtree Family Medicine
Marcus Bell, MD
Cardiology
Atlanta Cardiology Associates
Rina Adeyemi, MD
Endocrinology
Northside Regional Medical Center
The Vivlio portal, release 5.30.0, rendered from its own source: a patient's Electronic Records, with the Full Records grid and the Highlights cards. The patient, the facilities, the providers and every record shown are synthetic.

See the full record view

In minutes

The manual way isn't the only way anymore.

Vivlio retrieves and organizes the outside record in minutes. The manual way is home health staff on the phone chasing records, and a decision that waits for them.

Questions

Questions home health teams ask first.

Answered here in the same words as the structured data behind the page, so what a search engine shows is what a reader gets.

Does this cover the face-to-face encounter documentation?
The record is organized around what a start of care has to be supported by: the face-to-face encounter note from the certifying physician or allowed practitioner, the orders, the hospital or facility discharge summary, the history and physical, and the current medication list. Each arrives with its source and date, so the agency can see whether the encounter falls in the window the referral needs.
Can the agency see the records before the start-of-care visit?
Yes. Records arrive in minutes once requested, and every entry names the organization that released it and when. The intake coordinator can see which sources have returned and which have not before the clinician is scheduled, rather than discovering a gap in the home.
Is the demo run on real patient data?
No. Every walkthrough runs on synthetic records that say so on the screen. Production access to real records requires an NPI, a declared purpose of use and a signed BAA.
What does missing documentation actually cost the agency?
The face-to-face encounter documentation and the certification are conditions of payment, not paperwork: an episode delivered without them in the record is an episode that cannot be billed, and the shortfall surfaces weeks later as a denial rather than on the day the case opened. The same documents are what an additional documentation request asks for, and what a recertification rests on. Every case waiting on a fax is unbilled revenue and staff time spent twice.

Handling

What we do with records, stated plainly.

Built for real-world workflows, Vivlio supports the needs of both clinical and administrative teams while meeting strict privacy, security, and interoperability standards.

  • Production access is gated, by design

    Real records require an NPI, a declared purpose of use, and a signed BAA. Nobody swipes a card onto live PHI.

  • HITRUST certification underway

    Vivlio's HITRUST assessment is underway and on track to complete in November 2026: the certification healthcare security teams ask for by name.

  • Provenance travels with the record

    Each line carries the source it came from and when it arrived, because a clinical decision needs to know who said it.

  • Built to WCAG 2.1 AA

    Contrast, focus order and heading structure are requirements here, not a remediation project after procurement asks.

Talk to us

Walk a referral through the view

Thirty minutes over a synthetic home health referral: the face-to-face note, orders, discharge summary and medications, organized the way they would arrive before the start of care. Send your details and the calendar opens here.

  1. Send your detailsTwo minutes. Your organization, name, email and phone, and the time records cost you; the rest is optional and helps us reply with something specific.
  2. Pick a timeThirty minutes, live, over synthetic records in the shape your team works in. No slides, and no discovery call before the demo.

Who this is for, and who it is not

  • Coverage comes firstVivlio retrieves from providers, hospitals and health systems it can reach through national exchange networks and direct connections. Name the facilities your patients come from on the form and we check coverage before anyone spends thirty minutes on a demo.
  • You can say what the chasing costsThe form asks how many hours a week your team loses to chasing records. If nobody can put a number near it, the case for Vivlio is not there yet, and we would rather say so than sell you a demo.
  • Patients and files at volumeThis is built for intake that runs every day. For one record, once, your patient can request it from the provider directly, and that will be faster than going through us.
  • Treatment, with the paperwork doneProduction access needs an NPI, a declared purpose of use and a signed BAA. Nobody swipes a card onto live PHI.

If none of those describe you, say so in the last field and we will come back in writing instead of booking a call.

Or call sales directly at 404-777-5772

Step 1 of 2

Send us your details

Three to five is plenty. We check coverage for them before the call, so nobody finds out afterwards.