Home Health Accounting

Home health agencies were named in nearly 32% of the health care fraud reports banks filed with FinCEN, more than any other provider type. What banks flag, and how clean books avoid it.

CMS posted Annual QAO performance reports on September 18, 2026. Below 90% means a 2-point cut to your Medicare update, and older OASIS assessments are rejected after December 31.

CMS recalibrated all 432 PDGM case-mix weights and LUPA thresholds for CY 2026, and OASIS-E2 took effect April 1. Where the dollars leak, and what CY 2027 adds.

The CERT improper payment rate for home health is 7.7%. When OIG audited one agency this summer, 37 of 100 sampled claims were in error. How extrapolation turns $8,332 into $43,074.

Every Medicare-certified home health agency carries a -5% to +5% adjustment on every claim, decided by performance delivered two years earlier. The measure weights and the report calendar.

The nationwide freeze on new Medicare home health and hospice enrollment hits six months on November 13, 2026. The dates, the CHOW trap, and what to do before then.

CMS's FY 2024 RCD data: 97% of pre-claim requests affirmed, a 3.5% denial rate, and 51.6% of appeals overturned — but only 7% of denials were ever appealed.

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.

Pennant’s quarterly growth, led by home health and hospice operations, highlights financial and operational lessons for Chicagoland care providers.

Pennant’s Q2 2026 revenue rose 35.8% as home health and hospice growth drove earnings, margins, and an upgraded full-year outlook.

Alignment Healthcare faces lawsuit-related accounting scrutiny, falling shares, and divided valuation signals as investors reassess earnings quality and growth prospects.

Learn when medicare cover home health care, who qualifies, what services cost, and how to appeal denials.

Pennsylvania authorities charged 19 people over alleged $4 million Medicaid home healthcare fraud involving fake shifts, impossible hours, and unperformed services.

Explore the financial challenges facing Medicare home health providers and how specialized accounting services can help agencies navigate payment shifts and operational barriers.

Home health advocates are challenging new CMS fraud-fighting proposals, citing concerns over regulatory overreach and the impact on provider stability.

Explore how industry consolidation and financial restructuring impact home healthcare providers, and why specialized accounting expertise is essential for Chicagoland operators.

Explore how healthcare providers are managing financial volatility through rigorous reporting and feasibility analysis, with insights from Soriaga and Associates.

An analysis of Fresha’s new native Xero and QuickBooks integrations and the broader impact of automated financial systems on small business operations.

Alignment Healthcare faces an investigation following whistleblower allegations of accounting irregularities. Learn about the importance of financial integrity in healthcare.

Explore how shifting Medicaid policies and national home health growth trends are impacting the home care industry and why financial compliance is critical.