Home Health Line
09/03/2026
It's important to ensure that all pertinent diagnoses are making it onto the claims.
09/03/2026
Use specific examples of how your patient’s condition impacts their ability to leave the home when justifying homebound status in your documentation.
09/03/2026
You can get ahead of compliance concerns by monitoring your results on the Hospice PEPPER.
09/03/2026
Educate patients on the dangerous cycle that can develop when diabetes, heart failure and kidney disease contribute to one another.
09/03/2026
A conversation on organizational leadership, the metrics that matter most and the quality practices becoming obsolete.
09/03/2026
Medical necessity was the top sticking point causing denials for agencies under medical review.
08/27/2026
A new bill introduced in the U.S. Senate would direct CMS to “reset” home health payment rates after years of brutal cuts under PDGM behavioral adjustments. The legislation also includes several fraud enforcement measures meant to target bad actors without ensnaring legitimate providers.
08/27/2026
Check in with your managers and department heads as often as you’re touching base with field staff. Burnout and turnover don’t just impact employees making home visits, and consistent turnover in leadership could leave field and office staff without necessary support and oversight.
08/27/2026
Make sure you understand the difference between audit types, especially when completed by two different contractors simultaneously. CMS and its contractors are auditing claims for reasons ranging from program integrity to targeted education, and facing two or more additional documentation requests at once can complicate an already-intensive administrative process. 
08/27/2026
The outlier provision was established to help preserve beneficiary access to care by providing additional reimbursement for patient encounters requiring unusually high levels of resources. 

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