Founder & Principal Advisor

 Revenue Integrity & Regulatory Strategy for Home Health & Hospice

Melissa Muzrall, MPT, COS-C, CHS-C is a healthcare professional and licensed Physical Therapist specializing in revenue integrity, regulatory performance, and quality infrastructure for home health and hospice organizations.

With more than two decades of clinical and operational leadership experience, Melissa has led a  multi-site agency through complex regulatory transitions including OASIS-E implementation, PDGM optimization, audit defense (ADR, RAC, ALJ, TPE), and COVID-19 emergency operations. Under her leadership, organizations have achieved back-to-back deficiency-free surveys, consecutive first-round TPE passes, VBP growth strategy, measurable improvements in clinical documentation accuracy and reimbursement performance.

Melissa designs and operationalizes executive-level QAPI frameworks, KPI dashboards, and compliance monitoring systems that move agencies from reactive correction to proactive performance. She is known for translating regulatory complexity into clear operational strategy—equipping governing bodies, executive teams, and clinical leaders with the infrastructure required for sustainable growth.

Her work bridges clinical excellence, financial performance, and survey readiness—ensuring organizations are not only compliant, but strategically positioned for long-term stability and scalability

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