Home Health Line
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.
08/20/2026
Incorporate CMS’ latest agency-level data into your internal compliance monitoring. As fraud enforcement climbs for home health providers, you need to understand where your agency operations are tripping alarms for reviewers.
08/20/2026
Prepare your staff for difficult conversations with patients and caregivers about their medical wishes. Having these hard conversations early on in the home health stay protects the patient’s quality of life while boosting their satisfaction with your team’s care.
08/20/2026
Hurdles placed in front of coders as they’re trying to chart can slow reimbursement, making this a key operational and financial issue for agencies.
08/20/2026
Review clinical hospice documentation to ensure that contradictory details, gaps in patient information and ambiguous language aren’t blocking your path to reimbursement.
08/20/2026
08/20/2026
With the updated Home Health PEPPER, agencies are getting data on how their billing compares with other providers in 10 areas CMS is targeting for additional scrutiny.

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