Why Organizations Often Wait Too Long to Seek an Outside Perspective Most organizations experiencing a persistent financial or operational problem are not doing nothing. Ownership and management may have spent months changing processes, adjusting staffing, reviewing...
Medicare Margins and you. Your home health agency generated a positive Medicare margin last year. Is that good? It is certainly better than a loss. But a positive Medicare margin does not necessarily mean an agency is performing well. Suppose your agency generated a...
How multiple, unrelated problems can hide behind rising revenue and aggregate profit The financial figures in this article are approximate, and certain details have been generalized to protect client confidentiality. Several years ago, the owners of a relatively new...
Why revenue and bottom-line profit are not enough to manage a home health agency The financial figures in this article are approximate, and certain details have been generalized to protect client confidentiality. Several years ago, the owner of a Medicare-certified...
Each year, when CMS releases the Home Health Prospective Payment System (PPS) Proposed and Final Rules, much of the industry's attention focuses on a single number: the projected change in Home Health Spending (HHS). While that figure may provide useful information...
The Profitability Threat Most Home Health Agencies Never See When home health agencies experience declining margins or disappointing financial performance, the first explanation is often reimbursement. It's an understandable reaction. CMS changes payment rates. Labor...
The PEPPER report cover page The free PEPPER (Program for Evaluating Payment Patterns Electronic Report) is returning. CMS will soon relaunch the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for all provider types over the next few months....
and planning for the CY2027 HH PPS Proposed Rule Following are some updates, articles, and information applicable to Hospice (above), and Home Health (below), that all should be aware of, and preparing for where appropriate: Hospice Issues/Considerations: The 2027...
What is it, and what is it intended to do? The Centers for Medicare & Medicaid Services (CMS) introduced the Service and Spending Variation Index (SSVI) in the FY 2027 Proposed Rule as a new tool to evaluate hospice providers. This scoring system analyzes nine...
Overutilization of resources in home health is a hidden expense for the agency and a drain on profitability. Minimizing overutilization is one of the easiest ways to improve an HHA’s profitability, but you need to know how to identify and address it effectively.