The session will illustrate how Lean is applied in a Home Health or Hospice Agency to improve resource efficiency & effectiveness, documentation integrity to meet CMS criteria and financial performance through claims processing, improved staff productivity, and increased revenue streams. The best practices are a result of a CMS Home Health F2F & PCR demonstration project using Lean methodology at home health agencies (participating Agency- Gaffey Home Nursing & Hospice Inc.). The presentation will highlight lessons learned and best practices of the CMS’ demonstration project of Home Health Information Supply Chain & revenue cycle performance improvement focused on Face to Face documentation and Pre-Claim Review of all patient documents from intake to billing. The presenters will share the approach used to evaluate the health information & revenue cycle process from the referral source to the payor and outcome of the project relative to the home health agency & CMS/MAC. This approach has also been used in hospice agencies.