The Case-Mix Planner (CMP) was designed to help clinicians develop patient-specific Plans of Care (POC) in a most efficient and effective manner, to help achieve high-quality patient care and good patient outcomes.
Innovative Financial Solutions for Home Health is pleased to announce the release of the newly revised and expanded Case-Mix Planner™ (CMP)—formerly known as the Resource Planner. The CMP was originally designed—and has continued to evolve—to help home health agencies...
The Hospice PEPPER examines Medicare claims and payment patterns that CMS believes may warrant additional attention. It doesn't tell you that something is wrong. It helps identify where you may want to ask questions—and where your hospice may have potential exposure...
Do You Understand What It's Telling You? The new Home Health PEPPER examines 10 areas of Medicare claims activity that CMS considers potentially vulnerable to improper payment. Being an outlier does not mean your agency has done something wrong. But it may identify a...
An appropriate Plan of Care identifies the resources expected to be needed to provide the care the patient requires.
For years, Medicare Advantage (MA) has evolved largely by expanding enrollment, adding supplemental benefits, and giving plans greater flexibility to manage care and control costs. During that same period, providers—particularly home health agencies—have experienced...
For more than two decades, Medicare has increasingly relied on private Medicare Advantage plans to coordinate and manage care for a growing share of Medicare beneficiaries. While this model has expanded options and introduced new benefits, it has also created...
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....
The CY 2025 Home Health Proposed Rule is out and available for review and commenting on.
Take advantage of this rare opportunity and participate in the Rule-Making-Process: Submit Comments In today’s Fed’l Register CMS has once again given the home health industry an opportunity to submit comments about the Face-to-Face (F2F) regulation; particularly in...