The Home Health PPS Proposed and 2022 Final Rule Changes Explained

Editor’s note: This article was published for an earlier CMS rule cycle and is kept for reference. For current guidance, see our CY 2027 proposed rule webinar. Changes aplenty. Will you be ready? This (CY2022) being year 2 under PDGM, there are numerous changes in the CY2022 HH PPS Proposed Rule; most having to do […]
Home Health Wound Care: What Every Agency Needs to Know

This blog captures the conversation Home Health Revealed had with Katherine Piette and Alicia Jenkins from Corstrata. In this blog, we discuss a topic in home health that has become a $40 billion problem: wound care. Alicia serves as Corstrata’s Clinical Director for Provider Services; she has over 20 years of experience as a wound […]
Free PDGM Training: How to Be Successful in Home Health Under PDGM

PDGM became effective 1/01/20 and significantly changed how we operate in Medicare Home Health. New Cost Centers were developed, additional discipline data needed to be tracked, billing fundamentals, and coding changed dramatically. And now, CMS is proposing to expand the Home Health Value-Based Model – nationwide. How should a Home Health Agency respond? Learn […]
Home Health Coding: Changes to Commonly Used Codes in Home Health

What Is Home Health Coding? ICD-10, PDGM & Certification Explained Home Health coding is the process of translating patient diagnoses and clinical documentation into standardized ICD-10 codes used for billing, reimbursement, and care planning in home health services. In the PDGM world, this process has become more specific than what we’ve ever seen in the […]
How to Choose the Best Home Health Care Software

Home Care Software Solution: What You Need to Know to Choose the Right EMR with Kristen Duell Choosing the best home care software solution, an EMR, is hands-down, one of the biggest decisions an agency will make and it affects everything from daily work flow and documentation to billing and posting payments. Whether starting out […]
PEPPER Report: Everything You Need to Know

In the below free training you will learn: How to download your agency’s PEPPER report for FREE Identify and discuss PEPPER Target Areas Be able to compare and discuss the agency’s metrics with National, Jurisdiction and State metrics Understand how the PEPPER report can help lessen agency risk Click the video below to watch. Additionally […]
7 Self Care Practices For Home Health Care Workers

Home health professionals are on the front lines, risking their lives to help patients. They must deal with long and exhausting hours often in stressful and distressing situations. Despite this, they care for and safeguard people on a daily basis. They give so much of themselves for the good of others, often in what […]
Home Health Review Choice Demonstration (RCD): A Complete Guide for Agencies

The Review Choice Demonstration for Home Health Services (RCD) changes how Medicare checks your claims. It doesn’t change what Medicare covers. If your agency bills Medicare in an RCD state, you choose how your claims are reviewed, and that choice affects cash flow, staffing, and documentation work for as long as the demonstration runs. This […]
HHA Telehealth Project: What You Need to Know

The Office of Inspector General (OIG) has recently announced it will be auditing home health services provided as telehealth, with expected completion in FY2022. What does this mean to home health providers?
No-Pay Rap is Dead: Here’s what You Need to Use Instead

Late October, CMS released the CY2021 Home Health Final Rule. As part of the final rule, requirements were laid out for what is being called the no-pay RAP. No-pay RAPS will take effect January 1, 2021. There are several items regarding no-pay RAPs that home health billing teams need to prepare for in order to avoid penalties.