As we approach 2025, the home healthcare industry faces significant changes in payments, compliance, and documentation requirements. This year will likely mark a pivotal point for the industry as it adapts to new challenges and opportunities. We have prepared a quick summary of the key… Read More »Preparing for 2025: Key Updates for Home Health
2024 Interim Performance Reports (IPRs) Now Available The October 2024 Interim Performance Reports (IPRs) for the expanded Home Health Value-Based Purchasing (HHVBP) Model are now available on the iQIES system. This quarterly report offers crucial information for home health agencies, including: IPRs help agencies monitor… Read More »October 2024 IPRs Out Now; HHVBP Preparations for 2025
On November 1, CMS released the CY 2025 Home Health Payment Final Rule. It includes a permanent adjustment of -1.975% to the base payment rate, which is half the total required adjustment (-3.95%) to counter expected PDGM-related behavior adjustment. The rule also finalizes a 2.7%… Read More »Key Takeaways: CY 2025 Home Health Payment Final Rule
The home health Discharge OASIS plays a crucial role in agencies’ performance scores under Value-Based Purchasing and quality reporting (star ratings) programs, as well as in assessing the impact of patient care services on overall patient recovery. Here are practical tips to ensure accuracy in… Read More »6 Tips for Completing a Discharge OASIS
Section C in the OASIS-E Guidance Manual provides instructions for assessing cognitive function through nine key items. Of these, three items—M1700 (Cognitive Functioning), M1710 (When Confused), and M1720 (When Anxious)—are critical for inclusion or exclusion from many OASIS-based outcome quality measures. Accurate assessment of these… Read More »OASIS Cognitive Items: Reviewing Guidelines and Their Impact
The Centers for Medicare and Medicaid Services (CMS) has released the 2025 ICD-10-CM updates, which take effect on October 1, 2024. With 252 new codes, 36 deletions, and 13 revisions, it is crucial for Home Health agencies to stay updated with the changes to avoid… Read More »October 2024 ICD Coding Update: Key Insights for HHAs
On August 23, CMS released the Preview Annual Performance Reports (APR) for the Home Health Value-Based Purchasing (HHVBP) Model. Labeled as the “CY 2024 APR” in iQIES, this report includes the home health agency’s adjusted payment percentage (APP) that will affect 2025 payments. It is… Read More »Reviewing the First Annual Performance Report for HHVBP
Starting in 2025, the GG section will play a larger role in the functional assessment category of OASIS and will significantly impact Home Health Value-Based Purchasing (HHVBP) and Quality Reporting programs. Effective January 1, 2025, the Total Normalized Composite Change in Mobility and Change in… Read More »Explaining the Impact of GG Items with the New Discharge Function Score
On June 26, CMS released the 2025 Home Health Proposed Rule. Among the changes are updates to OASIS requirements that will become mandatory in 2025. To recall, the 2023 Home Health Final Rule established that, starting in 2025, home health agencies must complete and transmit… Read More »Proposed Rule: OASIS Reporting Required for All Payers in 2025
On June 26th, CMS released the CY 2025 Home Health Proposed Payment Rule, outlining potential adjustments to Medicare payment rates, Quality Reporting, the Home Health Value-Based Purchasing (HHVBP) Model, and other Medicare policies. We have summarized here the most notable proposed changes and updates: Payment… Read More »Key Updates from the CY 2025 Home Health Proposed Payment Rule
