Home Health Line
10/23/2025
The inaction in Washington is impacting the industry on several fronts. Agency leaders are anxiously awaiting a final determination on payments for next year, and they are pressing for pandemic-era telehealth capabilities to resume. 
10/23/2025
Just because a home health service is ordered doesn’t mean it’s medically reasonable and necessary. Emphasize the importance of highlighting why care is skilled, reasonable and necessary throughout the quality assurance process.
10/23/2025
As reviewers focus on the need for skilled nursing in recent pre-claim non-affirmations and medical review denials, keep these expert tips in mind.
10/23/2025
Target your referral partners’ frequent concerns and grow your home care business by creating a specialized program that focuses on a specific issue or disease state. Providers who implement these initiatives will be able to meet the individualized needs of both clients and referral partners, ultimately boosting outcomes and revenue.
10/23/2025
With the Hospice Outcomes and Patient Evaluation tool in action, it’s time for hospices to start submitting and storing their records using the new system. 
10/23/2025
Agency leaders have to develop the eyes of a surveyor to catch noncompliance before a visit. 
10/23/2025
Agencies are facing scrutiny on their justification for skilled nursing, with the issue leading the top Targeted Probe and Educate denials. 
10/16/2025
Some payors are incorporating a home health agency's value-based outcomes into payment. It’s just one of several issues complicating revenue cycle management with MA plans.
10/16/2025
On the medication profile, you have to include the medication, the dose, the route, the frequency and the reason. PRN medications are the biggest culprit. Clinicians aren’t writing down the reason and the time for when the patient takes the medications.
10/16/2025
Members of the care team who visit the patient at different times may be able to share key insights into caregiver dynamics that some members of the care team wouldn’t have picked up on otherwise.

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