Home Health Line Breaking News
10/21/2025
Agencies in Review Choice Demonstration states are facing a flood of non-affirmations in pre-claim review around medical necessity. In a new message to providers, Palmetto GBA notes the type of documentation reviewers expect to see to justify skilled care.
10/20/2025
Home health providers are unable to use most telehealth visits to meet CMS’ face-to-face encounter requirements, but physicians will still have the capability to get paid for these visits under some Medicare Advantage plans. 
10/20/2025
Home health transactions in the third quarter of 2025 maintained the pace seen since the start of the year, with seven transactions in the three months.
10/14/2025
One of the top challenges with the justification for skilled nursing is that the documentation from each and every visit is expected to reflect the need for the skilled medical care provided.
10/13/2025
The loss of telehealth for face-to-face encounters is forcing providers to divert staff away from direct care and preventing some patients from being admitted at all, argues the National Alliance for Care at Home.
10/13/2025
Documentation that does not support a hospice patient’s prognosis of six months or less continues to be a top cause of pre-payment denials related to length of stay, according to Medicare Administrative Contractor (MAC) Palmetto GBA.  
10/06/2025
There is an overall positive perception of working in home-based and post-acute health care, but many workers believe that the emotional and physical demands of health care employment are major disadvantages to these and other fields, according to the 2025 edition of Wellsky’s national health care employment study. 
10/03/2025
As a result of the recalculation request process, CMS adjusted the APR data used for agencies in the larger-volume cohort.
10/02/2025
Agencies are still struggling to keep up with their patients’ Medicare enrollment status, according to the latest top claims error data from CGS.
10/01/2025
CMS confirmed in a message Oct. 1 to providers and Medicare Administrative Contractors (MACs) that waivers expired for most telehealth services provided to patients in their home. This includes the face-to-face encounters used for home health certification, as well as hospice face-to-face visits at recertification.

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