Home Health Line
02/05/2026
Despite PDGM being in effect for several years now, questionable encounter (QE) codes that are not acceptable as the primary diagnosis for home health, like those for weakness and abnormal gait, continue to make their way into that primary code slots.
02/05/2026
Use audit reports, like the recent string of home health reviews by the HHS Office of Inspector General (OIG), as a learning opportunity to avoid the kind of routine mistakes that are clearly a focus for reviewers.
02/05/2026
Explore some examples cited in recent HHS Office of Inspector General reviews of home health agency claims.
02/05/2026
Creating and documenting a plan for each patient’s next visit is essential to ensuring continuity of care and meeting compliance standards. Clinicians may assume they’ll be the next provider to see the patient, but they should still include key details in their documentation in case others need to fill in for them. 
02/05/2026
Check in with your staff before a visit from surveyors. Even if the survey is routine and expected, making sure that your staff feel prepared and comfortable with observation can help prevent easily avoidable mistakes.
02/05/2026
This snapshot shows the top 10 questionable encounter codes which appeared on OASIS and claims for Medicare home health payment periods that began in 2025.

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