BUILT FOR HOME HEALTH AGENCIES NAVIGATING GROWTH AND COMPLIANCE
Experienced CFOs and Bookkeepers for Home Health Agencies
We will find $25,000 in billing efficiencies or compliance savings in the first week .
Our initial engagement is designed to identify revenue leakage, Medicare billing gaps, cost inefficiencies, and compliance risks That most agencies don’t know they have.
If we don’t find it, we will refund you in full
Why we are your partner
We’ve helped home health agencies strengthen margins, clean up financials, and make confident decisions in one of the most complex billing environments in healthcare.
Our work is grounded in lived operational experience- not theory, templates, or generic advice. We understand Medicare reimbursement cycles, PDGM, cost reporting, and the compliance pressure that comes with running a regulated care business.
We integrate into your leadership team, bringing financial controls, cleaner reporting, and the clarity that surveyors, lenders, and investors expect.
The result is a more resilient agency, improved profitability, and the confidence to grow or exit on your terms.
MyGoodCFO.com helps businesses strengthen their finances , improve margins and make confident decisions through clear reporting, strong financial controls and innovative CFO stratagies
This is why Businesses like yours engage with us.
One agency came to us operating at thin margins, assuming their everything was “good enough.”
In the first week alone, we identified a reimbursement gap and cost inefficiency that recovered $34,000 immediately.
That kind of outcome doesn’t come from bookkeeping alone — it comes from experienced CFO-level oversight applied with urgency and precision.
The MyGoodCFO Difference
The work focuses on clarity, control, and better financial decisions — in one of the most complex billing environments in healthcare.
James co-founded MyGoodCFO.com after serving as a Director at a Big Four accounting firm. He built the firm to bring that level of financial discipline into real operating businesses — including regulated healthcare environments.
James has direct experience working with owner-led businesses navigating cash flow pressure, compliance risk, and operational complexity. That experience shapes how the MyGoodCFO team works with home health agencies on reimbursement, margins, and day-to-day financial management.
James has also worked extensively with businesses preparing for growth, acquisition, or exit — and understands exactly how buyers and investors assess financial structure, reporting quality, and compliance risk in healthcare businesses.
Today, MyGoodCFO.com delivers CFO services through a dedicated team. Home health clients get consistent support, strong controls, and financial systems built for a regulated, reimbursement-driven business.
We secure the financial foundation.
Review of billing structure, Medicare cost reports, and entity setup
Medicare and Medicaid reimbursement analysis and recovery
Cash flow and liquidity assessment
Chart of accounts review and optimisation for healthcare
Implementation of cost controls and financial discipline
Delivery of clear, immediate quick-win recommendations
We create the clarity leaders can trust.
Weekly cash flow analysis and financial health checks
Identification of billing gaps, missing documentation, and compliance risks
Monthly profit & loss and balance sheet reporting
Revenue analysis by payer, program, and geography
Clear, owner-level reporting to support confident decisions cash flow analysis and financial health checks
We guide decisions and governance.
Ongoing financial oversight and decision support for leadership
Risk identification across finance, operations, and compliance
Survey, audit, and due-diligence preparation and coordination
Medicare cost report and compliance support
Strategic financial analysis for growth, acquisition, or exit planning
FAQs
Your Quick Guide to Understanding Our Services
Do you understand Medicare and PDGM billing?
Yes. We work specifically with home health agencies and understand the reimbursement complexity that comes with PDGM, Medicare cost reporting, and payer mix management.
This isn’t generic CFO advice, it’s specialist financial leadership for your sector.
What types of agencies do you work with
We work best with owner-led home health agencies that are growing, navigating compliance pressure, or preparing for acquisition or exit. Typically agencies billing between $1M and $20M annually who need senior financial leadership without the cost of a full-time CFO.
How quickly can we expect to see real financial impact or clarity?
Most agencies see meaningful clarity within the first few weeks - improved cash visibility, identified billing gaps, or immediate cost savings.
Some results are immediate. Others compound over time as better systems, controls, and reporting take hold. Our goal is momentum early and value that continues to build.
Do you work with our existing billing team?
Absolutely. We work alongside your existing billing team or RCM provider - we’re not replacing them.
We bring CFO-level oversight, financial controls, and strategic clarity that sits above the day-to-day billing function.
That said we do have a bookkeeping service. Which fully compliments and streamlines the financial service.
Is MyGoodCFO.com right for us if we’re preparing for a sale or acquisition?
Yes- this is one of our strongest areas. We help agencies get financially structured, reported, and positioned in a way that maximises valuation and gives buyers confidence.
The earlier you engage us before a sale, the better the outcome.
Who is MyGoodCFO.com not a good fit for?
We’re probably not the right fit for agencies looking for basic bookkeeping only, or those not yet ready to invest in senior financial leadership. If you need someone to just reconcile accounts, GoodBookkeeping.com is a better starting point.
