Home Health Line
09/25/2025
Agencies that are ignoring or neglecting medical review requests are making it easy for MACs to deny claims, according to the latest data from Palmetto GBA.
09/18/2025
With the GG items on the OASIS, this is not a to-do list. You don’t have to see the patient do every one of these things. You can make some clinical inferences about what you see and hear.
09/18/2025
Avoid costly and hard-to-overturn denials by highlighting changes in patient conditions and how these changes impact the need for skilled care. Using general language or failing to note changes in the patient’s condition throughout clinical documentation could lead your agency to spend money on care that will get clawed back under medical review.
09/18/2025
Leverage the expertise of your clinical managers to assist staff and streamline the transition to the HOPE tool to boost efficiencies and ensure timely submission.
09/18/2025
The overall salary of a coder is moving in the right direction, but experts say it’s likely not enough to address the increased cost of living.
09/18/2025
All home health agencies should prepare for the impact of CMS' plans for an overall rate cut of 6.4% in 2026, but the impact to each agency will depend on a few factors, including the communities the agency serves.
09/11/2025
A steep 6.4% payment cut planned for home health providers in 2026 would increase challenges for agencies struggling to stay afloat. It’s a point stressed repeatedly in comments to the annual proposed rule.
09/11/2025
Ensuring accuracy with M2020 (Management of oral medications) is important in determining patient safety and improving outcomes. 
09/11/2025
Emphasize the importance of caregiver preparation and communication when admitting a patient who had a stroke. Caregivers who understand what’s expected of them and frequently coordinate with the care team can help accelerate the patient’s recovery process, improve rehabilitation efforts and boost clinical efficiencies.
09/11/2025
The beginning stages of care are crucial in helping a patient successfully recover from a stroke. While the standard questions posed during intake are important, there’s more information that can help the care team tailor interventions to the patient’s specific situation.

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