Home Health Line
07/18/2025
Agencies may get tripped up when it comes to billing claims for hospice patients enrolled in MA programs.
07/18/2025
It would not be appropriate to assume stage 3a chronic kidney disease (CKD) for a patient with documented stage 3a chronic renal impairment if the provider does not specifically state CKD in the documentation, the Coding Clinic stated in their recent Q2 2025 guidance update.
07/18/2025
With no direct payment tied to the services, telehealth and remote patient monitoring (RPM) are not being used by many home health agencies, according to CMS. The 2026 Home Health Prospective Payment System (HHPPS) proposed rule included usage information for 2024, the first full year this data was collected on claims. 
07/10/2025
Providers that have faced years of reimbursement challenges and rising costs will get no relief next year from CMS — the agency is planning a 6.4% overall payment cut for home health care. 
07/10/2025
The streamlined survey adds three new questions and removes several others. This will mean new questions impacting Patient Survey Star Ratings and a sharper focus on overall performance under Home Health Value-Based Purchasing.
07/10/2025
Updates to the HHCAHPS survey and the associated quality measures are expected in April 2026. This tool provides a look at the new and changing questions, as well as the timeline for the updates to the star rating methodology.
07/10/2025
Providers will have more options when selecting a face-to-face encounter to meet CMS requirements beginning in 2026, but experts warn that the changes may lead to confusion for providers trying to stay in compliance. 
07/10/2025
Spending per beneficiary, more OASIS improvement metrics and a sharp focus on overall patient satisfaction are among the significant changes CMS is plotting for Home Health Value-Based Purchasing (HHVBP). 
07/10/2025
Endocrine 3 (Type 1, Type 2 and other specified diabetes) is among the low comorbidity subgroups proposed for removal as outlined in the 2026 proposed home health payment rule.
07/10/2025
Visit utilization was down across all disciplines, with the average total number of visits per 30-day period falling below eight for the first time since at least 2018.

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