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Home care and home health blog
Waiver programs, EVV, authorizations, PDGM and the claims that follow a visit.
10 posts, newest first, from the Remitwright medical billing blog. Each one works through a hypothetical example and lists its sources.
Posts in Home care and home health
- Home care and home health2027 Home Health Final Rule: What Changed From the ProposalCMS finalized the CY 2027 home health rule on November 4, 2026. What changed from the July proposal in base rates, LUPA thresholds and enrollment rules.Read
- Home care and home healthWhat the CY 2027 home health proposed rule means for your 30-day periodsCMS proposed a rise in CY 2027 home health payments after a 2026 cut, with a temporary adjustment still applied. The payment impact per period, worked out.Updated Read
- Home care and home healthEVV exceptions and the claims that follow: who fixes what, and when the claim can goEVV exceptions explained: the common reasons a home care visit fails verification, who fixes each one, and why the claim is held until the record matches.Updated Read
- Home care and home healthThe late NOA penalty: how one-thirtieth a day adds up, and how to stop the clockMedicare cuts a home health period payment by one-thirtieth for each day from the start of care until a late NOA is submitted. Arithmetic and exceptions.Updated Read
- Home care and home healthMedicaid work requirements and six-month renewals: what home care agencies should do before January 2027By January 1, 2027 states must apply Medicaid work requirements and more frequent renewals. What it means for home care authorizations and EVV visits.Updated Read
- Home care and home healthWhen a caregiver calls out: the EVV and billing trail of a missed home care visitA caregiver who calls out leaves no EVV visit, and no visit means no claim. How a missed visit moves through scheduling, EVV, authorizations and billing.Updated Read
- Home care and home healthMonth-end for a home care agency: reconciling Medicaid remits, LTC reimbursements and private pay to the booksA home care agency's cash arrives from Medicaid, MCOs, LTC insurers and families. The month-end routine that ties each remittance and invoice to the books.Updated Read
- Home care and home healthThe 2026 face-to-face encounter change: who can perform it now, and what the claim needsThe CY 2026 home health rule changed who may perform the face-to-face encounter behind a certification. What changed, what did not, and the claim trail.Updated Read
- Home care and home healthReview Choice Demonstration: how pre-claim review changes home health billing in six statesSix states' home health agencies bill under the Review Choice Demonstration, extended five years from June 2024. How pre-claim review reorders billing.Updated Read
- Home care and home healthEVV aggregator changes in 2026: what Illinois's move to the HHAeXchange portal teaches every agencyIllinois moved in-home providers to the HHAeXchange EVV portal on March 2, 2026, enrollment due January 19. A checklist for any state's aggregator change.Read