Recent Posts

Before MedPAC Questions Home Health Coding, It Must Validate the BaselineOctober 14, 2026
A new review of home health payment accuracy raises an old question: will policymakers examine… Read more: Before MedPAC Questions Home Health Coding, It Must Validate the Baseline
Hidden Utilization Costs: Where Your Agency May Be Spending More Than It RealizesOctober 13, 2026
Your agency’s financial statements report its expenses. But how clearly do they reveal the decisions,… Read more: Hidden Utilization Costs: Where Your Agency May Be Spending More Than It Realizes
What Does a LUPA Really Cost Your Agency?October 8, 2026
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.
Do an HHA’s Costs per Visit Reveal How Cost-Effective the Agency Is?October 7, 2026
A lower cost per visit can look like evidence of greater efficiency. But what does… Read more: Do an HHA’s Costs per Visit Reveal How Cost-Effective the Agency Is?
Do You Know What It Costs Your Agency to Make a Visit—Today?September 30, 2026
For too long too many HHAs have relied on their MCR to identify the costs per visit (CPVs) throughout the year. This is not a sound business practice as all HHAs should be calculating their CPVs shortly after they close their books each month.

HH Quality Reporting Program

CMS has proposed changes to the HH QRP. Some comments/questions to this proposal include the following:

Who is/are the ‘Measure Steward’ with home health experience?
- How much HH experience? Where, when and what kind of experience?

Who is/are the ‘Ad Hoc Review Requester’ with home health experience?
- How much HH experience? Where, when and what kind of experience?

On page 38389 you note that a similar policy was adopted for the Hospital IQR Program, the PPS-Exempt Cancer Hospital (PCH) Quality Reporting Program, the Long-Term Care Hospital Quality Reporting (LTCHQR) …
- But it must also be identified that all of these segments of healthcare have much larger expenditures on technology (infrastructure; IT, hardware, etc…) than exist in home health and as such this is already built into their reimbursement rates, whereas it is not built into the HH PPS rates.
- If this discrepancy is not accounted for, how can this be considered normal and reasonable?