Category: Home Health Proposed Rule
Reviewing HHVBP Updates in the Recently Released Interim and Annual Performance Reports
By Melinda Gaboury / Posted on: September 3, 2025The July release of the Interim Performance Reports (IPR) were released at the end of July, and the reports include the first quarter of 2025 OASIS Outcome Measures, along with the remaining measures through December 31, 2024.
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Understanding the New Medicare Spending Per Beneficiary Measure in the 2026 Home Health Proposed Rule
By Melinda Gaboury / Posted on: August 27, 2025One of the most significant additions is a new measure called the “Medicare Spending Per Beneficiary Post-Acute Care Measure”. To help explain this change, Jennifer Osburn, one of our consultants here at Healthcare Provider Solutions, will walk us through the key components of how the Medicare Spending Per Beneficiary calculation is determined.
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Takeaways from the 2026 Home Health Proposed Rule & Guidance for Submitting Effective Comments
By Melinda Gaboury / Posted on: July 31, 2025The newly released 2026 proposed rule for home health brings significant implications for our industry—below are key takeaways and guidance to help you craft impactful comments during the open comment period.
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2026 Home Health Proposed Rule Released
By Melinda Gaboury / Posted on: July 7, 2025On June 30, 2025, CMS released the 2026 Home Health Proposed Rule, and with this proposal comes the introduction of a number of unexpected and significant changes that could have far-reaching impacts across the industry.
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Explaining the Upcoming ICD-10 Coding Update that will Take Effect October 1
By Melinda Gaboury / Posted on: June 30, 2025Updates to ICD-10 occur twice each year—once in April and again in October. An upcoming ICD-10 coding update will take effect on October 1. While the April releases may bring some changes, and occasionally none at all, the October update is typically more significant.
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Understanding the Latest Clarifications on Home Health Face-to-Face Requirements
By Melinda Gaboury / Posted on: June 10, 2025Face-to-Face Encounters are once again a central topic of discussion in Home Health. The regulation has been in place since 2011, with an update issued in 2015. Since April 1, 2015, the regulation itself has remained unchanged. However, over the past decade, including in 2025, there have been numerous clarifications.
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Four New OASIS Items for 2027 – Health-Related Social Needs
By Melinda Gaboury / Posted on: March 10, 2025Today, we’re going to explore the possibility of four new items possibly being incorporated into your current comprehensive assessment—well before they are set to officially become part of the OASIS document in 2027. This would allow us to start identifying the key areas to highlight once they take effect.
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Understanding the Difference between Conditions of Participation and Conditions of Payment
By Melinda Gaboury / Posted on: March 4, 2025The difference between the Conditions and Participation and the Conditions of Payment is a crucial topic, and a critical issue regarding the distinction between the two needs to be addressed. When discussing the Conditions of Participation, it’s well understood that compliance with CoPs is essential. Whether in home health or hospice, surveyors carefully review these conditions during their surveys.
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Reviewing Recent Home Health Value-Based Purchasing Updates
By Melinda Gaboury / Posted on: January 20, 2025The October Interim Performance Reports (IPR) were delayed and were eventually published in December 2024. If you have not yet reviewed the most recent IPR reports, they are now available in your iQIES system.
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2024 Home Health Year in Review and Looking Forward to 2025
By Melinda Gaboury / Posted on: January 6, 2025As we close out 2024, Home Health has been a rocky road at best. We expect that this will continue into 2025, but with advocacy efforts comes the potential for improvement.
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Reviewing Changes Outlined in the OASIS-E1 Final Guidance Manual
By Melinda Gaboury / Posted on: December 17, 2024The updates include the addition of one new item to the OASIS. Additionally, two items will be removed entirely, a change anticipated due to their limited relevance in OASIS calculations. Three existing items have been revised refer to the manual for further details on those updates. Lastly, the skip pattern for M0102 has been updated.
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Understanding the Most Recent Home Health Value Based Purchasing Model (HHVBP) Reports
By Melinda Gaboury / Posted on: November 25, 2024The October 2024 Interim Performance Reports provide data for the previous 12 months, ending in June 2024 for OASIS data and March 2024 for HHCAHPS and claims data. It is crucial to regularly monitor your reports and address any significant discrepancies between your expected scores and those shown in the interim reports.
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Reviewing Rare Updates to the 2025 Home Health Consolidated Billing Listing
By Melinda Gaboury / Posted on: September 30, 2024Since its introduction approximately 20 years ago, changes to the Home Health Consolidated Billing listing have been rare. In the most recent release of the 2025 listing, 71 new codes have been added to the listing.
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Understanding Updates to the Home Health Quality Reporting Program
By Melinda Gaboury / Posted on: September 24, 2024Many updates have been released in relation to the Home Health Quality Reporting Program. The first of which pertains to the HHCAHPS Star Ratings Preview Reports that were released in September, and will influence the Care Compare update coming in October 2024.
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CMS Releases Preview Annual Performance Reports for the Home Health Value-Based Purchasing Model
By Melinda Gaboury / Posted on: August 26, 2024CMS has recently released the Preview Annual Performance Reports for the Home Health Value-Based Purchasing Model. You can access these reports in the iQIES system, where you’ve been reviewing the Interim Performance Reports (IPR). This Preview Report introduces, for the first time, the percentage calculations showing how your 2023 results will affect your 2025 payments.
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Reviewing Wage Index and CBSA Classification Changes in the 2025 Home Health Proposed Rule
By Melinda Gaboury / Posted on: August 19, 2024In addition to the Hospice Proposed Rule having many updates related to the Wage Index and CBSA classifications, the Home Health Proposed Rule also outlined several updates. Though both contained updates, there are occasional differences in the wage index results between home health and hospice.
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Understanding the Impact OASIS Section GG Changes will have on Home Health Agencies
By Melinda Gaboury / Posted on: August 12, 2024The GG section of the OASIS is about to have a huge impact on all home health agencies through the Home Health Value-Based Purchasing Model. The GG items on the OASIS document have been included for several years and were originally taken from the SNF Assessment.
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2025 Home Health Proposed Rule Clarifies Mandatory OASIS Requirements
By Melinda Gaboury / Posted on: July 15, 2024On June 26, CMS released the 2025 Home Health Proposed Rule. Among the changes in this proposed rule include updates to OASIS requirements that will become mandatory in 2025.
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