Home Health Line
01/15/2026
Make sure that staff, regardless of their department, are taking a look at patient admission information and face-to-face encounters during coding, diagnosis selection and intake. Contradictions between the face-to-face note, primary diagnosis and clinical documentation could catch an auditor's eye, calling patient appropriateness into question and leading to claim denials.
01/15/2026
Medicare rules now allow for more flexibility in who conducts the face-to-face encounter used to certify a patient for home health services.
01/15/2026
Train clinicians to responsibly use tech tools like check boxes in the electronic medical record (EMR) and artificial intelligence (AI) to enhance their care delivery to avoid creating compliance headaches. With some technology, it can be too easy to submit vague or incomplete visit notes and other lax documentation that is quickly denied under review.
01/15/2026
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. 
01/15/2026
Agencies need to contend with emerging technologies like artificial intelligence (AI) and automation while safeguarding compliance, documentation accuracy and patient trust. The innovation is there, but the question is how to integrate these technologies responsibly and productively.
01/15/2026
Agencies saw more patients discharged to the community in 2024, according to the latest publicly reported data on Care Compare.

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