Hi @redacted‌ we just started 3 Healthcare QoEs in the last 3 weeks, We have a lot of experience in this field. Email me to set up a call redacted Or book a call here calendly.com/qoeprep We do not win on price we win on quality and reputation!

First question I'd add before any of these: do they do their own billing or use a third-party billing service? The QoE on a Medicare-funded home health business lives in the billing and documentation details, and who owns that function tells you a lot about how much visibility you're actually going to get in diligence. Beyond that, the sector-agnostic questions above are the right starting point, but several of them have a billing operations layer underneath that changes what the numbers actually mean. Revenue quality. The denial rate is a surface indicator. The question that matters more is how much of the collected revenue is audit-defensible. Medicare's RAC and UPIC audit mechanisms create retrospective recoupment exposure that won't appear on the balance sheet. Collected revenue and keepable revenue are not the same thing in this sector. Payor mix. Worth cutting the Medicare number before accepting it at face value. Traditional Medicare and Medicare Advantage are both reported as Medicare in the financials but have materially different billing dynamics, denial behavior, and reimbursement stability. The concentration risk picture looks different depending on how that split lands. Documentation and coding quality. Home health reimbursement under PDGM is driven by patient acuity coding, not visit volume. How well the business codes patient characteristics and co-morbidities determines what they get paid(RAC). There are specific questions I'd want answered before I'd be comfortable with the revenue figure. AR quality. DSO and aging by payor is right, but there's an additional cut that matters: whether the AR is actually collectible or just hasn't been written off yet. Systematically deferred write-offs inflate the working capital picture and affect the peg. Labor and billing continuity. Skilled clinician turnover has a direct billing consequence that doesn't show up in the HR data alone. There's also a Medicare-specific wrinkle on the contractor vs. employee question that creates exposure beyond labor classification risk. Ownership transition. Medicare enrollment is tied to the legal entity and its enrolled leadership. There are specific CMS screening and enrollment update requirements that apply when ownership changes, and they can affect deal timing if they're not identified early. Happy to go deeper on the billing audit side of diligence.