Navigating the 2025 Home Health Payment Landscape

Stay Ahead of the Curve with the Latest HHQRP Change

The Home Health Quality Reporting Program (HHQRP) has recently undergone significant changes. Let’s break down the key updates:

Changes to Care Compare

  • Removed Measures: The Acute Care Hospitalization and Emergency Department measures have been removed from the Care Compare site.
  • New Measure: The Potentially Preventable Hospitalization (PPH) measure is now publicly reported and will be used in the Home Health Value-Based Purchasing Model starting in January 2025.
  • Upcoming Measures: Three new measures will be publicly reported on Care Compare starting in January 2025.
    • Transfer of Health Information to Patient
    • Transfer of Health Information to Provider
    • Discharge Function Score

Payment Penalties for Non-Compliance

Home health agencies that fail to comply with the HHQRP requirements may face significant payment penalties.

Key Compliance Considerations:

  • HHCAHPS Surveys: Ensure that your CMS-approved vendor is submitting data accurately and timely.
  • OASIS Assessments: Maintain a high quality assessment rate by submitting both Start of Care and Discharge or Transfer assessments for 90% of your episodes.

 

Review Your 2023 Compliance

If you were not fully compliant with the HHQRP in 2023, you may face a 2% payment
penalty in 2025. Review your October 2024 report and file a reconsideration if necessary.


Stay Informed and Proactive

It’s crucial to stay informed about the latest HHQRP updates and to take proactive steps
to ensure compliance. By understanding these changes and taking appropriate actions,
home health agencies can avoid penalties and improve their quality of care.

Codingdepartment.com is committed to helping home health agencies navigate these complex regulations. Our team of experts can provide guidance on HHQRP compliance, OASIS assessments, and other key areas. Contact us today to learn more.

Hi, I’m Josie! I’m the Vice President of Operations at CodingDepartment.com. I’ve been a coder for over 30 years. My job is to keep my team up-to-date on Medicare’s everchanging Home Health rules and regulations. And I hope my blog can help you too.
Josie Hill, HCS-D
Vice President of Operations

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