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Our mission is to provide better, faster and more affordable coding services to home health and hospice providers — all in effort to improve agencies’ operations and bottom lines amid payment reforms.


Our founders wide-ranging experience in the home health and hospice industry enables them to lead a team of certified coders who boast the industry’s highest accuracy rating at the most affordable cost.


In addition to their coding expertise, Gateway team members leverage their knowledge of Medicare, Medicaid and other payors’ regulations to assist with ADR, ZPIC and RAC reviews and appeals. Their extensive experience with administrative law judges across the country combined with their hands-on knowledge of home health rules and regulations leads to unparalleled representation and outcomes.

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ROB DREW, President/CEO

Rob has served the home health industry for a little over ten years. During this period he has garnered industry wide respect with his ability to manage complex scenarios for industry providers. Rob has served in many capacities at the administrative level; Mergers / Acquisitions, Home Health and Hospice Accreditation / Startup, Operational and Management Development, as well as Medicare/Medicaid Appeals Management.

His knowledge base and industry respect has lead him to contributions and affiliations with many Home Health organizations such as, Decision Health, National Association for Home Care and Hospice, Michigan Home Health Association, and California Home Health  Association.

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IMRAN SHEIKH, Vice President

Imran has used his Bachelors in Computer Science as a gateway into Home Health relations focusing on professional networking and marketing strategies. This has enabled him to facilitate partnerships between organizations such as software vendors, financial management firms, legal services and consulting services. He uses his expertise in Strategic Planning and Vendor Relations to assist every Home Health provider we encounter. 


JOE OSENTOSKI, BAS, RN-BC, ADR and Appeals Specialist

Joe specializes in additional documentation request (ADR) responses and appeals. As a registered nurse for more than twenty-five years, his career has included clinical consulting in home health and hospice specializing in clinical quality assurance and regulatory compliance. 

He also has extensive experience with all types of Medicare audits and probes from the variety of Medicare contractors. He is a contributor to industry newsletters Home Health Line and Eli’s Home Care Week. Joe is also author of the book The ADRs and Appeals Handbook, First Edition, from Decision Health. Joe has completed over 5,000 ADRs in home care and hospice, filed thousands of appeals and has attended hundreds of Administrative Law Judge (ALJ) hearings on behalf of clients.

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