Home Health Line
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. 
08/27/2026
Unlike past years, freestanding agencies of all sizes saw fee-for-service Medicare margins increase in 2024.
08/27/2026
This is part of a series of one-page tools sharing expert tips and CMS instructions to address challenges clinicians face with accurate scoring for the Discharge Function measures.

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