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.
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
CMS is keeping a -3% clawback despite a proposed +2.4% for 2027. How to plan home health cash flow around ~$4.9B in PDGM recoupment through 2028 and beyond.
· 3 min read
How PDGM's 30-day period and the 5-day NOA deadline drive home health cash flow, why late NOAs cost 1/30 per day, and how LUPAs swing a period's value.
· 4 min read
The FY 2027 hospice final rule (CMS-1851-F): a +2.3% update, the new $36,174.75 aggregate cap, the SSVI integrity score, and a mandatory election addendum.
· 5 min read
Home Health Accounting
Aveanna Healthcare’s second-quarter revenue beat puts demand, labor costs, reimbursement, margins, and outlook under investor scrutiny, with practical accounting lessons for home-based care providers.
· 2 min read
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