ARTICLES & RESOURCES
According to a 2024 CMS report, insufficient documentation contributes to up to 51.4% of home health claim denials. Many of these issues begin with the OASIS assessment and plan of care, long before coding or QA reviews the chart. Timely completion and submission of these documents are key indicators of revenue cycle performance. Consistent staff
MDaudit’s 2025 provider data found that outpatient coding-related denials rose 26% in 2025, from errors in diagnosis coding, modifier usage and incomplete documentation. Home health agencies see these same three issues affect their denials, delayed payments and lost staff hours. Key Takeaways Complete documentation reduces coding errors before they affect the billing process. A structured
The U.S. Bureau of Labor Statistics projects 189,100 registered nurse openings per year through 2034, more than most home health agencies can hire. If intake, authorization and documentation work fall behind, your current nurses have to work through these on top of patient care. Key Takeaways Hiring solves only part of the nursing shortage; retention solves
Can your agency still deliver care when your next key hire walks out? According to the 2024 Activated Insights Benchmarking Report, direct care staff turnover in home health hits 79.2% annually. Low pay, inconsistent schedules and administrative load push that number up. Agencies that plan for turnover create a stronger culture, retain more talent and
Your RN wraps up her last visit at 4 pm. She’s home by 5. But her laptop stays open until 8. Three hours of charting after a full day with patients. Those hours burn out your clinicians and hit your billing, claims and compliance. Here’s where your EMR hours go, how much they cost you
Your revenue leaks at multiple stages in the entire claims processing cycle. MGMA’s January 2026 poll revealed that denials and appeals account for as much as 48% of revenue cycle leaks, while front-end issues account 23%. That means you’re losing revenue on claims for which you’ve already delivered care. Here, we’ll cover where you’re losing
Timely reimbursement starts with accurate point-of-care documentation. Here’s where documentation issues begin and how they impact your reimbursement. Key Takeaways Inaccurate and incomplete documentation directly affects your reimbursement and creates staff rework. Clear administrative roles catch issues before claims are submitted. AI, machine learning and delegation help surface missing details earlier and reduce manual corrections
Let’s say a QA reviewer flags missing OASIS discharge items after the visit has already been closed. The claim is pushed back by two weeks, even if the patient care has already been delivered. This happens when documentation is finalized before required discharge elements are fully captured in the workflow. This guide breaks down where
Let’s say two agencies have the same census, payer mix and staffing. One gets flagged for documentation gaps across six patients. The other walks out clean. The difference was that one of them was catching them internally, every week, before a surveyor did. Quality Assurance and Performance Improvement (QAPI) is the system CMS requires every
You lose clean claims not because of your patient care quality, but because of unclear, inconsistent documentation. Vague narratives, miscoded diagnoses and missed time points slow reimbursement and put your agency at risk with CMS reviewers. This article shows a sample OASIS assessment form and how to structure it for compliant, payable documentation. Key Takeaways