Home health, hospice and home care accounting · Page 2 of 11
Accounting tips, Medicare cost report guidance and regulatory updates for home health, hospice and home care agency owners.
Home Health Accounting
HHVBP applies a -5% to +5% adjustment per Medicare FFS claim. The CY 2026 measure weights, baseline years, and the August 20 / October 1 / November 25 APR calendar.
· 7 min read
News
44 hospice deals projected for 2026, a post-COVID high. What buyers underwrite now: cap exposure, quality reporting, ownership history, and moratorium structure limits.
· 6 min read
News
The CMS home health and hospice enrollment moratorium expires November 13, 2026 unless extended. Dates, the CHOW trap, and the CY 2027 revocation proposals.
· 6 min read
News
CMS's CRUSH proposed rule reached OMB August 7, 2026. The hospice billing anomalies AI models flag, what defends each one, and the cash-flow risk of pre-payment review.
· 6 min read
Homecare Accounting
What CMS delayed in the Medicaid Access Rule in 2026 and what it did not. The 80/20 pass-through still binds in 2030, and 311,879 fewer users are projected by 2034.
· 6 min read
News
CMS's FY 2024 Review Choice Demonstration statistics for home health: 97% pre-claim affirmation, a 3.5% denial rate, and 51.6% of appeals overturned at Level 1.
· 6 min read
The FY 2027 hospice election-statement addendum is now mandatory. How to make 'related vs. unrelated' determinations correctly and keep them defensible under the SSVI.
· 3 min read
A CPA's guide to Medicare home health cost report (CMS-1728-20) audits: what triggers them, the records to keep, response deadlines, and how to avoid clawbacks.
· 4 min read
What the hospice Service and Spending Variation Index (SSVI) is, the 9 claims-based measures behind it, why CMS built it, and how to get ahead of your score.
· 3 min read
How the Medicare hospice aggregate cap works for FY 2027 ($36,174.75): the two beneficiary-count methods, why length of stay drives cap risk, and how to manage it.
· 4 min read
National home health benchmarks: a 21.2% FFS margin, 8.4 visits per 30-day period, a ~7% LUPA rate, and $2,024 per period. How to read them and act.
· 3 min read
CMS's CY 2027 home health proposed rule: a net +2.4% ($420M) update, no new permanent PDGM cut, and the -3% clawback continuing. What it means for your agency.
· 5 min read
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