Home Health Line Breaking News
08/04/2026
Documentation must “paint a picture” of the patient, their conditions and symptoms which support a life expectancy of 6 months or less, notes CGS.
08/03/2026
CMS has finalized its rollout of the Comprehensive Care for Joint Replacement Expanded (CJR-X) model, as included in the fiscal year 2027 Inpatient and Long-Term Care Hospital Prospective Payment System (IPPS) Final Rule, released July 31, 2026. 
08/03/2026
OIG highlighted the recent conviction and sentencing of four California hospice providers, as well as four recent home health agency audits that included $2.9 million in estimated overpayments to one New York-based provider. 
 
07/30/2026
The final rule includes a hospice payment update of 2.3% beginning in October 2026. That’s down from the 2.4% proposed in the spring.
07/28/2026
"Trends, Patterns, and Key Comparisons Related to Medicare Home Health Agency Provider Enrollments” is expected to determine weaknesses in the provider enrollment process.  
07/27/2026
Over 200 health care organizations, including the National Alliance for Care at Home and the American Academy of Hospice and Palliative Medicine, are asking Congress to create a permanent pathway for Medicare telehealth coverage. 
07/25/2026
In one case, an agency owner was sentenced to 18 months in prison for defrauding the Missouri Medicaid Program and the U.S. Department of Veterans Affairs out of $210,000.
07/24/2026
For a patient who had one fall and was then diagnosed with a fracture that was confirmed to be pathological due to osteoporosis, you would not check response “1 — History of falls (2 or more falls – or any fall with an injury - in the past 12 months)” under M1033 (Risk for Hospitalization), CMS clarified in the recent July quarterly OASIS Q&As. 
07/18/2026
National results on HHCAPS have not moved, with the notable exception of the response rate, which fell from 23% to 22%.
07/18/2026
While the policy has been in effect since January 2025, CMS has not updated survey guidance to reflect this requirement until now.

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