How Are Home Health Star Ratings Calculated in 2026?
Short answer: In 2026, CMS publishes two home health star ratings on Care Compare: a Quality of Patient Care (QoPC) rating built from seven OASIS- and claims-based measures, and a Patient Survey rating built from HHCAHPS. CMS ranks agencies on each measure, combines the results, and assigns 1 to 5 stars in half-star steps, updated […]
Home Health Review Choice Demonstration (RCD): What California Agencies Need to Know
On November 2, 2026, CMS announced plans to bring the Review Choice Demonstration for Home Health Services (RCD) to California. If the change gets final approval, every California home health agency billing Medicare’s Jurisdiction 6 contractor will need to choose how its claims are reviewed. The choice window is short, and the decision affects cash […]
What Should Your Home Health RCM Partner Be Telling You?
Your revenue cycle report arrives with claim totals, aging balances, and collections. But you still have questions. Why is that balance growing? What is holding up payment? Is anyone working on it? What needs your attention? A home health RCM partner should tell you why claims are unpaid, what is being done to resolve them, […]
Are Your Managed Care Contracts Costing You Money? What Home Health Agencies Need to Know
Your agency may be delivering excellent care, submitting clean claims, and working diligently to resolve denials but still leaving significant revenue on the table. The problem may not be your billing process. It may be your managed care contracts. For many home health and hospice agencies, managed care reimbursement has become increasingly complex. Authorization requirements, […]
7 Signs Your Home Health Agency Has Outgrown Its Revenue Cycle Processes
Growth is a positive sign for any home health agency, but it can also expose revenue cycle processes built for a much smaller operation. As census rises, billing volume, documentation demands, payer requirements, and follow-up responsibilities rise with it. If those processes do not scale alongside the agency, growth can begin to strain cash flow […]
The Team Behind the Care: How Revenue Cycle Management Powers Home Health Success
Behind every successful home health visit is an entire team working behind the scenes. Patients may see a nurse providing wound care, a therapist helping regain mobility, or a clinician completing an OASIS assessment, but those moments are supported by dozens of coordinated processes that begin long before the first visit and continue long after […]
OASIS-E2 and Home Health RCM: What Agencies Need to Know
Home health agencies are now operating under OASIS-E2, and the impact reaches far beyond clinical documentation. With the new requirements in effect, agencies must make sure their assessment workflows, coding practices, and quality assurance processes support accurate reimbursement, quality reporting, and HHVBP performance. In a margin-sensitive environment, precision is no longer optional. OASIS-E2 is now […]
Why HHVBP Requires Real-Time Control of OASIS, Claims, and Patient Experience
Home health agencies that want to thrive under value-based purchasing need more than strong intentions; they need disciplined, real-time control of the measures that CMS actually uses to determine performance. The Expanded Home Health Value-Based Purchasing Model ties payment to how well agencies perform on OASIS-based measures, claims-based measures, and HHCAHPS survey-based measures, so every […]
The Biggest Revenue Recovery Opportunities in Home-Based Care Are Already Inside Your Organization
By Hannah Vale, CEO, HealthRev Partners Recently, I had the opportunity to join Mosai’s webinar, The Revenue Recovery Playbook for Home Health & Hospice, where we explored a question that is top of mind for nearly every provider today: Where is revenue actually being lost – and what can organizations realistically do to recover it? […]
AI Technology in Home Health and Hospice: Why Data and People Matter Most
AI is not coming to replace home health and hospice leaders. It is coming to expose the gaps, clean up the mess, and give agencies a faster way to see what is actually happening in their business. For agencies that are ready to grow, protect margin, and stop drowning in manual work, AI can be […]