Home Health Line Breaking News
01/13/2026
Agencies have new official guidance when responding to falls and falls with major injury in the OASIS.
01/12/2026
Approximately half of home health episodes under traditional Medicare were admitted not after a hospitalization but as community entries, according to a study published in Health Affairs on Jan. 6, 2026. 
01/11/2026
Submit the CBSA code corresponding to the state and county of the beneficiary’s place of residence with value code 61 on home health claims.
01/06/2026
CMS expects that this change will provide more options for valid face-to-face encounters.
01/05/2026
CMS expanded its hospice oversight programs in December 2025 in its ongoing effort to root out hospice fraud, waste and abuse. While the structure of the Provisional Period of Enhanced Oversight (PPEO) and Targeted High-Risk Hospice (THRH) programs remain unchanged, the initiatives now apply to providers in Georgia and Ohio. 
01/05/2026
The industry was excited last year to have Endocrine 3 (Type 1, Type 2, and Other specified diabetes) added to the low comorbidity list, but the subgroup will be removed in 2026 as part of the changes finalized in the 2026 home health payment final rule, released Nov. 28.
01/04/2026
An employee/contractor claimed to have provided applied behavior analysis therapy when he wasn't qualified to perform those services, the DOJ alleges.
12/22/2025
Effective date for the OASIS-E2 is April 1, 2026. Appendix D of the draft manual details the changes from OASIS-E1 to E2.
12/21/2025
CMS is planning a new model for 2027 that is expected to make participation with Accountable Care Organizations (ACOs) easier for fee-for-service providers.
12/19/2025
The U.S. Office of Inspector General (OIG) released the results of a compliance audit into Texas-based home health agency Guardian Home Care on Dec. 17, 2025. The report was part of a series of nationwide audits that examined compliance with Medicare billing requirements for home health services from July 1, 2021, to June 30, 2023.  

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