CY 2025 Home Health: Payment cuts incoming!

The Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) proposed rule, which would update Medicare payment policies and rates for Home Health Agencies (HHAs). With the rise of Medicare Advantage enrollment across the nation (presently over 51%) and a major staffing shortage. CMS … Read more

Understanding the Nuances of Medical Billing Codes

Proper coding impacts the financial health of healthcare practices. Incorrect or incomplete coding can lead to claim denials or delays, which can disrupt cash flow and necessitate additional administrative work to correct and resubmit claims. This can strain resources and reduce the overall efficiency of the healthcare practice. Accurate coding, on the other hand, can streamline … Read more

Medicare Advantage: The Untapped Revenue Stream Home Health Providers Are Overlooking 

The home health industry is at an inflection point. Medicare reimbursement cuts continue to chip away at agency margins, and the pool of traditional Medicare Part A/B patients is shrinking as more beneficiaries migrate to Medicare Advantage (MA) plans. Small agencies are feeling the squeeze, and mid-size agencies are asking a harder question: is now … Read more