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
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,
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
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
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
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[…]
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[…]
