home health OASIS outsourcing

Urgent Update: Telehealth Flexibilities Expired January 30, 2026 – Possible Extension Pending

The Medicare telehealth flexibilities that allowed home health face-to-face (F2F) encounters to be conducted via telehealth have expired as of January 30, 2026. These flexibilities had been extended several times, with the most recent extension issued in November 2025, which extended the rules through January… Read More »Urgent Update: Telehealth Flexibilities Expired January 30, 2026 – Possible Extension Pending

Reminder: 2026 Updated OASIS M-Item Functional Points

In the CY 2026 Home Health Final Rule, CMS updated how functional impairment levels are calculated under PDGM. Each home health episode is assigned a functional impairment score based on responses to OASIS Functional items (commonly called M-items), which assess a patient’s ability to perform… Read More »Reminder: 2026 Updated OASIS M-Item Functional Points

2026 Updated Comorbidity Subgroups and Interactions

In the CY 2026 Home Health Prospective Payment Final Rule, CMS finalized updates to the Patient-Driven Groupings Model (PDGM) that recalibrate how comorbid conditions influence payment adjustments. These updates reflect CMS’s ongoing effort to better align Medicare payments with actual patient care needs using the… Read More »2026 Updated Comorbidity Subgroups and Interactions

Recap of Home Health Updates to Watch for 2026

As 2026 begins, home health agencies should keep an eye on several updates that could affect payments, documentation, and compliance. We have listed the updates we believe will matter most to agencies and have a direct impact on day-to-day operations. Staying informed will help agencies… Read More »Recap of Home Health Updates to Watch for 2026

Key Updates from the CY 2026 Home Health Final Rule

The U.S. Centers for Medicare & Medicaid Services (CMS) released the CY 2026 Home Health Final Payment Rule on November 28. We have summarized the key changes home health agencies should be ready for in 2026. Medicare Payment Update CMS projects that Medicare aggregate payments… Read More »Key Updates from the CY 2026 Home Health Final Rule

Guidelines for Documenting and Coding Diabetes in Remission in Home Health

With the implementation of the FY 2026 ICD‑10‑CM updates effective October 1, 2025, a new diagnosis code has been introduced: Type 2 Diabetes Mellitus without complications, in remission (E11.A). This code was created to reflect an increasingly common clinical scenario: patients who previously had type 2 diabetes but no… Read More »Guidelines for Documenting and Coding Diabetes in Remission in Home Health

Best Practices for Efficient OASIS QA Review Program

Quality Assurance (QA) review for the OASIS is essential to ensure accuracy, compliance, and optimal reimbursement in home health. However, without the right strategy in place, QA reviews can become time-consuming, inconsistent, and burdensome for clinicians. By implementing best practices, the review process can be… Read More »Best Practices for Efficient OASIS QA Review Program

Common Coding Mistakes That Can Affect Reimbursements

In home health, accurate diagnosis coding is critical—not only for compliance but also for ensuring agencies receive appropriate reimbursement. Even experienced coders sometimes miss nuances that can impact revenue. Being mindful of these commonly overlooked areas can help capture the full clinical picture and optimize… Read More »Common Coding Mistakes That Can Affect Reimbursements

8 Key Pointers for Completing an ROC OASIS

When a patient returns to Home Health services after an inpatient stay, the OASIS Resumption of Care (ROC) is crucial for ensuring accurate continuity of care and maintaining compliance. Beyond simply updating patient status, the ROC reflects your agency’s quality performance and directly impacts reimbursement. … Read More »8 Key Pointers for Completing an ROC OASIS

7 Tips for Completing a Recert OASIS

The Recertification OASIS is one of the most critical assessments in Home Health—yet it’s also one of the most error-prone. Many clinicians treat it as a simple continuation of care, which often leads to copying prior data, failing to update diagnoses, or overlooking subtle functional… Read More »7 Tips for Completing a Recert OASIS