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NEXUS HELIXHome care operating system
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Training

HELIX training academy for every role.

NEXUS HELIX treats documentation and training as product value: secured online help, client resources, role-based student guides, release-aware refreshers, and PHI-safe support escalation.

Skilled home healthPersonal carePrivate dutyEVV + schedulingBilling + agency operations
NEXUS HELIXAgency command center
Demo data. No PHI.
SkilledPersonal carePrivate duty
92% ready workflowsDemo snapshot. No PHI.
ItemStatusTeamDue
Referral reviewReady for intakeIntakeToday
SOC/OASIS dueNeeds reviewClinical24h
EVV exceptionsSupervisor reviewSchedulingToday

What customers get inside HELIX

The authenticated product exposes Help directly from the left navigation and dashboard quick links, with the same access discipline as the EMR.

HELIX Online Help

Search-first user guide content by workflow, role, module, and operational risk.

Training Academy

Recorded training, student guides, role-based launch tracks, and practice exercises.

Client Resource Center

Go-live packets, reporting quickstarts, recommended user roles, and PHI-safe support guidance.

Recorded Training and Student Guides

Training is organized by role and operating track, not as a thin FAQ list.

All-User Orientation - video - 23 min

HELIX Basics of Home Health

Navigation, left rail, global search, My Work, patient context, Help menu, and safe support basics.

All users
All-User Orientation - webinar - 1 hr

HELIX Mobile and Offline Sync Webinar

Mobile visit workflow, offline readiness, sync verification, duplicate prevention, and supervisor follow-up.

Field staff and supervisors
Administrator Launch - student-guide - 45 min workbook

Home Health Training Series - Setup

Agency profile, users, roles, service lines, payers, visit types, imports, support paths, and go-live controls.

Owners, administrators, implementation leads
Intake and Admissions - video - 38 min

Home Health Training Series - Intake

Referral capture, eligibility, benefits, document collection, pending admissions, staffing, admission, and non-admit outcomes.

Intake coordinators and schedulers
Administrator Launch - video - 42 min

Home Health Training Series - Admin

Role matrix, least privilege, employee management, credentials, report access, release notes, and resource publishing.

Administrators and super users
Clinical and QA Readiness - video - 52 min

Home Health Training Series - Clinician

Patient chart, visit notes, care plan, medications, vitals, wound care, HotBox, secure messaging, and QA returns.

Nurses, therapists, aides, social workers
Clinical and QA Readiness - video - 45 min

Home Health Training Series - QA and Case Management

QA queue triage, OASIS return workflow, care-plan alignment, infection control, QAPI projects, and evidence.

QA reviewers, DONs, case managers
Clinical and QA Readiness - webinar - 43 min

Home Health Training Series - OASIS-E2

OASIS-E2 effective-date readiness, timepoint selection, analyzer review, QA correction, export, and iQIES follow-up.

Clinicians, QA reviewers, DONs
Scheduling, EVV, and Field Work - video - 35 min

Home Health Training Series - EVV

Scheduling, mobile check-in/out, GPS exceptions, missing punches, service-code mismatch, missed visits, and payroll impact.

Schedulers, caregivers, clinicians, supervisors
Scheduling, EVV, and Field Work - video - 31 min

Home Health Training Series - Scheduling

Master schedule views, availability, territories, frequency review, late starts, missed visits, and task reassignment.

Schedulers and clinical supervisors
Clinical and QA Readiness - video - 34 min

Home Health Training Series - Orders

Physician library cleanup, order creation, fax center, returned orders, overdue escalation, and billing holds.

Orders teams, clinicians, QA, administrators
Revenue Cycle Operations - video - 40 min

Billing Manager 2.0 - Setup

Payer setup, rate validation, authorizations, claim holds, clearinghouse settings, and billing readiness.

Billing managers and administrators
Revenue Cycle Operations - video - 38 min

Billing Manager 2.0 - Claims

Claim queues, hold resolution, NOA dependency, batch creation, submission status, and payer follow-up.

Billers and RCM leads
Revenue Cycle Operations - video - 36 min

Billing Manager 2.0 - Remittances

835 import, payment posting, adjustments, denial routing, batch review, and reconciliation evidence.

Billers and payment posters
Revenue Cycle Operations - video - 28 min

Billing Manager 2.0 - Patient Billing

Patient balances, statements, adjustments, notes, escalation, and support-safe billing evidence.

Billers and finance operators
Revenue Cycle Operations - webinar - 1 hr

Billing Manager 2.0 - Medicare Billing

NOA, Medicare claim readiness, orders, OASIS, visit completion, authorizations, holds, and AR follow-up.

Billers and RCM leads
Revenue Cycle Operations - webinar - 44 min

Billing Manager 1.0 - Managed Care Billing

Authorization-driven billing, payer-specific holds, denial root cause, resubmission, and managed care follow-up.

Managed care billers
Revenue Cycle Operations - quickstart - 25 min

Notice of Admission (NOA) Training

NOA readiness, timing, submission, rejection review, late-risk escalation, and root-cause prevention.

Intake, billing, administrators
Leadership Reporting and BI - quickstart - 30 min

PDGM and LUPA Risk Training

PDGM grouping, 30-day periods, LUPA thresholds, visit utilization, and owner actions.

Clinical leaders, schedulers, billers
External Access and Integrations - video - 32 min

Physician Access Training Series

Physician access, order visibility, portal permissions, external user review, and secure support routing.

Physician liaisons, orders teams, administrators
Clinical and QA Readiness - video - 37 min

Therapy and Physician Access Training

Therapy evaluation, re-evaluation, progress-to-goals, plan-of-care orders, and case conference readiness.

Therapy teams and QA reviewers
Leadership Reporting and BI - student-guide - 60 min workbook

Business Intelligence Student Guide

Report access, BI navigation, saved views, KPI definitions, census, AR, QAPI, productivity, and dashboards.

Owners, administrators, analysts
Leadership Reporting and BI - quickstart - 35 min lab

HELIX BI: Build and Save a Custom Census/Discharge Report

Hands-on IA Training lab for census filters, discharge reason, payer/service line grouping, saved views, and no-PHI report sharing.

Owners, administrators, analysts
Leadership Reporting and BI - quickstart - 30 min

Administrative Reporting Quickstart

Schedule deviation, QA manager, open OASIS, orders, frequency exception, census, CAHPS, and access-review cadence.

Administrators, DONs, QA, super users
Clinical and QA Readiness - student-guide - 40 min lab

HELIX Wound Care Documentation Lab

Use IAD-1005 to verify wound orders, document measurements, update care plan, teach infection red flags, and submit for QA.

RN and QA reviewer
Clinical and QA Readiness - student-guide - 35 min lab

HELIX IV Medication Administration Lab

Use IAD-1006 to document PICC assessment, medication rights, IV administration, reaction monitoring, and caregiver teach-back.

RN and QA reviewer
Clinical and QA Readiness - student-guide - 30 min lab

HELIX Foley Catheter Change Lab

Use IAD-1007 to document order verification, sterile technique, catheter change details, CAUTI teaching, and supervisor review.

LPN, RN supervisor, QA reviewer
Scheduling, EVV, and Field Work - student-guide - 30 min lab

HELIX Non-Skilled EVV and Boundaries Lab

Use IAD-2003 to practice homemaker/personal care EVV, service boundaries, exception reasons, and supervisor approval.

Caregivers, schedulers, supervisors
Training Governance - checklist - 20 min

Competency Checklists and Attestations

Convert training into evidence: knowledge checks, practice exercises, role readiness, attestation, and refresher rules.

Super users, managers, administrators
Training Governance - quickstart - 15 min

Support Escalation Without PHI

Search-first support, route/module/browser/role context, attempted article, exact error text, and no patient identifiers.

All users and support teams

WellSky-to-HELIX Coverage Matrix

HELIX training is benchmarked against WellSky's logged-in help and training structure, then upgraded with demo agency practice and competency evidence.

WellSky logged-in Online Help screenshots and live Need Training page

WellSky separates the product Help menu into Online Help, Client Resource Center, and training, then uses a search-first landing page with module tiles and deep article families.

HELIX now keeps the same three secured destinations in the top Help menu, with direct routes to Online Help, Client Resource Center, and Training Academy.

WellSky Home Health Student Guide, July 2021

The core student guide is lesson-based, audience-based, and workflow-based: access/navigation, intake/scheduling, admin/reporting, and clinical documentation.

HELIX defines a role-based student guide sequence that mirrors those lessons and expands them with OASIS-E2, NOA, PDGM/LUPA, EVV, and IA demo practice cases.

WellSky Business Intelligence Student Guide

WellSky trains BI through access, Online Help, release notes, default reports, subscriptions, downloads, customized reports, dashboards, and data blending exercises.

HELIX adds a BI/report-builder path with saved views, report ownership, KPI definitions, census/AR/QAPI dashboards, and a custom report exercise.

WellSky Recommended User Roles and Guidelines packet

WellSky provides practical role guidance for super users, field staff, intake/schedulers, billers, QA/case managers, marketing, and administrators.

HELIX trains least-privilege access by role and ties role readiness to competency checks and demo workflow validation before production work.

WellSky Administrative Reporting Quickstart Guide

WellSky teaches report cadence, including multiple-times-daily QA/schedule checks, daily OASIS/orders/visit exceptions, weekly orphan/frequency checks, and monthly access/license review.

HELIX includes named report owners, cadence, purpose, and downstream action expectations for clinical, census, billing, QA, therapy, and access reports.

CMS OASIS-E2, NOA, PDGM/LUPA, and Medicaid EVV references

Current home-health training must include OASIS-E2 readiness, Medicare NOA timing, PDGM/LUPA risk, and Medicaid EVV verification expectations.

HELIX explicitly banks those current compliance topics into the training catalog and practice labs, instead of relying only on older WellSky training language.

HELIX IA Training Home Health demo tenant

A training system is stronger when every lesson points to safe demo records instead of abstract paragraphs.

HELIX now ties training to IA demo agency cases for CHF/OASIS, wound care, IV medication administration, Foley catheter change, non-skilled EVV, respite, claims, authorizations, QA, and reporting.

Role-Based Training Sequence

Lesson 1 - 30 min

Explore HELIX Home Health

All users

Log in and confirm agency context | Use the left rail, global search, My Work, and Help menu | Find Online Help, Resource Center, Training Academy, and release notes before support escalation
Lesson 2 - 5 hr

Perform Intake, Scheduling, and Authorization Work

Intake coordinators, schedulers, authorization staff

Move referral to pending admission or non-admit | Confirm eligibility, payer, physician, documents, and authorization status | Schedule visits without creating NOA, LUPA, EVV, or authorization risk
Lesson 3 - 6 hr

Perform Administrative Setup, QA, Orders, Payroll, and Reports

Administrators, super users, DONs, QA, payroll, office managers

Validate agency profile, users, roles, payers, rates, and visit types | Operate QA, orders, payroll, and reporting queues | Use report cadence to assign daily and weekly follow-up
Lesson 4 - 7.5 hr

Utilize Clinical Documentation and Tools

RN, LPN, PT, OT, SLP, MSW, aides, QA reviewers

Complete visit notes, care-plan updates, medications, vitals, goals, and narratives | Submit OASIS and clinical notes through QA returns/corrections | Keep documentation aligned to orders, plan of care, and billing readiness
Lesson 5 - 4 hr

Operate Billing Manager, NOA, Claims, Remittance, and AR

Billers, RCM leads, administrators

Prepare Medicare NOA and claim readiness | Resolve clinical, order, authorization, EVV, and payer holds | Post remittance and assign denial/root-cause follow-up
Lesson 6 - 2 hr

Use Reports, Business Intelligence, and Leadership Dashboards

Owners, administrators, DONs, QA leaders, RCM leads, analysts

Navigate standard reports and dashboards | Build and save a custom report without breaking KPI definitions | Use BI for census, discharge, QAPI, AR, productivity, LUPA, and referral performance

IA Training Demo Labs

skilled - IAD-1001 - skilled heart failure SOC training case

Skilled SOC, OASIS, NOA, and LUPA Risk

Confirm SOC episode and OASIS timepoint Review diagnosis and visit plan Check LUPA risk and NOA readiness Route OASIS to QA before billing release

OASIS timepoint is correct | NOA checklist complete | LUPA action owner assigned | QA status documented
skilled - IAD-1005 - stage 3 pressure injury wound care

RN Wound Care SOC Lab

Verify wound order and dressing plan Document location, stage, measurements, drainage, odor, peri-wound, and teaching Update care plan and submit to QA

Wound measurements present | Order matched to intervention | Infection red flags taught | QA reviewer can approve or return with reason
skilled - IAD-1006 - PICC line IV medication administration

RN IV Medication Administration Lab

Assess PICC site and dressing Document medication rights and administration Monitor for reaction and record caregiver teach-back Confirm billing code and visit note readiness

Line assessment complete | Medication rights documented | Reaction monitoring present | Billing dependency clear
skilled - IAD-1007 - Foley catheter change and CAUTI monitoring

LPN Foley Catheter Change Lab

Verify catheter order and schedule Document sterile technique, catheter size, balloon, urine return, tolerance, and education Route for RN/QA review if policy requires

Order verified | Sterile technique documented | Urine/output characteristics present | Escalation criteria taught
non skilled - IAD-2003 - homemaker personal care and EVV

Non-Skilled Homemaker EVV Lab

Review authorized non-skilled service tasks Complete EVV check-in/out with service, worker, patient, location, date, and time Document meal prep, light housekeeping, cueing, and safety observation without skilled-task language

EVV six elements captured | No skilled tasks documented by caregiver | Exception reason added if edited | Supervisor approval recorded
non skilled - IAD-2002 - respite and safety supervision

Non-Skilled Respite and Boundary Lab

Document companionship and safety observation Escalate medication, wound, catheter, or assessment requests to clinical staff Use secure messaging without replacing documentation

Boundary note present | Supervisor escalation path used | No PHI included in support text | Service stays within non-skilled authorization
operations - IA Training claims, authorizations, orders, and billing holds

Revenue Cycle Dependency Lab

Review claim readiness Resolve hold by source workflow Confirm authorization, order, OASIS, EVV, and note dependencies Assign denial prevention owner

Hold root cause captured | Source owner assigned | Claim status updated | Denial prevention note recorded
operations - IA Training skilled/non-skilled census and discharge report

BI and Census Leadership Lab

Build and Save a Custom Census/Discharge Report Compare skilled and non-skilled census Review Open OASIS, QA, AR, and LUPA risk dashboards Assign review cadence

Saved report definition captured | Cadence owner assigned | Action threshold documented | Report screenshot contains no PHI

Article Family Coverage

surveyor access, staff reassignment, insurance rates, license types, visit types, templates, supplies, time zone, location services

Admin and Setup

Agency setup, locations, disciplines, users, roles, payers, visit types, supply setup, import readiness, and go-live controls.

Adds least-privilege validation and go-live evidence before users enter production.
Medicare claims, managed care claims, claim worksheets, remittance manager, patient billing, hard close, AR and denial reports

Billing and Finance / RCM

NOA, claim holds, claim workbench, ERA posting, patient billing, denial root cause, AR aging, and hard close review.

Connects every billing exception to source workflow ownership, not just billing-screen correction.
advanced wound care, CMS 485, skilled nurse visit note, infection log, physician order, medication profile, Plan of Care dashboard

Clinical Documents and Tools

Clinical note lifecycle, care plan/485 alignment, medications, allergies, vitals, wound care, orders, QA returns, infection control, and documentation evidence.

Adds IA demo labs for wound care, IV medication administration, and Foley catheter change.
OASIS checks, OASIS analyzer, PDGM transition checklist, LUPA forecast, NOA troubleshooting, NOA dashboard

OASIS, NOA, PDGM, and LUPA

OASIS-E2 readiness, timepoints, QA return, iQIES export, NOA timing, rejection review, PDGM grouping, and LUPA owner actions.

Uses 2026 OASIS-E2 readiness and current NOA/PDGM/LUPA operating risk rather than only legacy training language.
VisitVerify workflow, correct EVV mandated visit, EVV transaction page, state EVV information, mobile/offline visit verification

EVV, Scheduling, and Field Work

Master schedule, mobile check-in/out, GPS exceptions, missing punches, service-code mismatch, missed visits, late starts, and payroll/billing impact.

Includes non-skilled caregiver boundary training and EVV six-element validation.
user manager, create/edit/deactivate users, inactivity lock, recommended roles, electronic signature, licenses, pay rates

Employee Management and Role Permissions

Employee directory, credentials, availability, territories, role training, electronic signature, license expiration, and access review.

Links staff readiness to training attestations and scheduling eligibility.
HotBox tasks, submitted QA tasks, reschedule task, Kmail folders, Kmail groups, remove message from chart, My Patients

HotBox, Inbox, K-Mail, and My Patients

My Work, HotBox-style queues, secure messaging, episode communications, returned documents, task ownership, and no-PHI message rules.

Separates operational messaging from clinical documentation so audit evidence stays in the right record.
pending admissions, non-admits, Episode Manager, Frequency Manager, schedule tasks, authorizations, readmissions, patient roster

Intake and Chart Management

Referral pipeline, pending admission, non-admit, eligibility, document collection, frequency review, scheduling, authorizations, episode setup, and discharge.

Connects intake choices to NOA timing, authorization limits, staffing, OASIS, and billing readiness.
BI overview, Tableau best practices, data dictionary, executive dashboard, episode reports, census overview, download/customize/build reports

Reporting and Business Intelligence

BI access, saved views, KPI definitions, census, discharge, referral, AR, QAPI, productivity, LUPA, and custom report labs.

Adds report-owner cadence and a Build and Save a Custom Census/Discharge Report exercise.
Orders and Consents Exchange, Scribe, WILA, Data Access, Corporate Manager, VisitVerify, Business Intelligence

Add-Ons, Integrations, and External Access

Clearinghouse, SFTP, imports, physician portal, external access, AI documentation coaching, data access, and integration monitoring.

Requires integration owner, test result, access review, and failure-monitoring evidence.

Student Guide Standard

Course access and prerequisites

Name the audience, access, browser expectation, and demo-data/no-PHI rule before the learner starts.

Course objectives

Tell the learner what they should be able to do at the end of the lesson.

Guided workflow

Walk through route, required fields, decisions, handoffs, and completion evidence.

Knowledge check

Confirm the learner can find answers before calling support.

Practice exercise

Have the learner perform the workflow with safe data and verify the expected result.

Wrap up

Summarize readiness and point to companion resources.

Role Permission Training

Super User

Keep this group small, named, reviewed monthly, and trained to explain HELIX workflows.

Clinician or Field Staff

Confirm the user can complete assigned notes and see only appropriate patient context.

Intake and Scheduler

Run a referral-to-admission practice case before go-live.

Billing and RCM

Validate claim creation, hold resolution, payment posting, and denial ownership using demo records.

QA and Clinical Leadership

Confirm reviewers can return, approve, trend, and escalate documentation without becoming the original author.

Reporting Cadence

Schedule Deviation

Find visits where documented date or time does not match the planned schedule.

multiple times daily

QA Manager

Manage notes, OASIS, orders, and documentation waiting on clinical review.

multiple times daily

Open OASIS

Track unexported, incomplete, returned, or submission-blocked OASIS assessments.

daily

Visit Exception

Review overlapping visits, short visits, missing times, EVV exceptions, and timing outliers.

daily

Past Due Visits

Identify assigned work that passed the agency completion threshold.

daily

Orders Manager

Track outstanding, sent, returned, reconciled, and overdue physician orders.

daily

Authorizations

Review expiring, exhausted, missing, or payer-specific authorization limits.

daily or weekly

Pending Face-to-Face

List Medicare patients missing complete face-to-face evidence before billing or survey risk appears.

daily

Ending Episodes and Recent Admissions

Prepare recertification, discharge, case conference, and continuity review from episode movement.

daily

Current Patient Census

Review active patients, payer mix, location mix, service line, and admission/discharge movement.

as needed

Non-Admitted Patients

Review referrals not admitted by date range, reason, owner, and referral-source pattern.

as needed

Therapy Episodes

Review patients with therapy need, progress, re-evaluation timing, and missed therapy follow-up.

daily

Frequency Exception

Find visits outside ordered frequency across current episodes and selected date ranges.

daily or weekly

Orphan Documents

Find tasks with scheduled or visit dates outside the active certification period.

weekly

Pecos / Physician Review

Find Medicare episodes requiring physician record cleanup or PECOS follow-up.

as needed

Patient Roster

Export patient lists for census, care coordination, and operational review using approved filters.

as needed

CAHPS Export

Prepare eligible patient export files for survey vendors with exclusion review.

monthly

Billing Holds

Identify claims blocked by clinical, order, authorization, payer, or EVV dependencies.

daily

AR Aging

Prioritize unpaid claims by payer, age, amount, status, and next action.

weekly

Denial Root Cause

Trend denials by reason, source workflow, prevention owner, and recovered dollars.

weekly

User License and Access Review

Review active users, expiring access, role drift, and inactive staff.

monthly

Security posture

Authenticated HELIX training is secured behind the product session. Public pages explain the training model using demo-only, no-PHI examples; production support escalation must never include patient identifiers, secrets, document screenshots, claim numbers, or real clinical details.

See HELIX in action

Request a demo with skilled and non-skilled EMR workflows.

Walk through intake, documentation, care plans, scheduling, EVV, authorizations, billing, QAPI, reporting, and mobile workflows without routing through a login wall.