Description
The CY 2026 Home Health PPS Final Rule introduces major programming and reimbursement changes, including significant payment cuts, updates to PDGM, HHCAHPS, and HHVBP, new and revised quality measures, and a proposed overall economic impact of -$1.135 billion, placing increased financial pressure on providers - nearly half of whom already operate at negative margins. Changes to the HHCAHPS survey and VBP scoring, along with updates to LUPAs, case-mix weights, wage indexes, payment rates, and OASIS requirements, will further affect agency performance and bonus eligibility, while CMS also proposes a permanent -4.059% adjustment to the base payment rate. Despite these challenges, agencies that redesign operations, standardize care, and align with value-based and compliance-focused models may achieve improved clinical outcomes and margins of up to 30-40%, a strategy highlighted in this webinar series designed to help providers adapt and succeed under the new rules.
Speakers/Course Authors - Arnie Cisneros & Kim McCormick
Objectives
Attendee Learning Objectives
- Participants will be able to assess how the CY 2026 proposed home health rule affects revenue cycle performance, including case-mix recalibration, LUPA thresholds, and overall agency margins.
- Participants will identify strategies to improve coding accuracy, documentation workflows, and denial prevention to protect reimbursement and reduce audit risk.
- Participants will apply practical approaches to optimize quality reporting, manage visit utilization, and leverage technology to improve outcomes while maintaining financial sustainability.
Certificate
By completing/passing this course, you will attain the certificate HCAF Course Certificate
Learning credits
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