Qavalo

Qavalo delivers tech-enabled and reliable back-office support solutions for US home health agencies.

05/09/2025

The primary diagnosis captures the main reason for care, while secondary diagnoses complete the clinical picture and drive reimbursement. Here are tips for coding secondary diagnoses and maximizing comorbidity adjustment in home health.

Tips for Coding Secondary Diagnoses and Maximizing Comorbidity Adjustment in Home Health

22/08/2025

Wounds make up a significant portion of home health cases, yet errors in wound assessment documentation remain common. Here’s a look at best practices every clinician should know to ensure accuracy and quality care.

Review best practices for documenting wound assessment in home health

12/08/2025

Stay updated on the ICD-10 update effective October 1, 2026, which include 487 new codes, 38 revisions, and 28 deletions—several of which have a significant impact on home health coding.

Review changes from the FY 2026 ICD code update, effective October 1

10/07/2025

CMS released its CY 2026 Home Health Proposed Payment Rule on June 30, projecting a 6.4% net reduction in total Medicare payments to home health agencies. The proposed rule also outlines several other important updates agencies should be aware of.

Key updates from the CY 2026 Home Health Proposed Rule

18/06/2025

There has been a recent increase in denials related to invalid F2F documentation, particularly among Community Referrals. Let’s review F2F requirements based on clarifications provided by Palmetto GBA.

Revisiting the guidelines and clarifications on F2F compliance requirements, as outlined by Palmetto GBA

21/04/2025

The April 2025 ICD-10-CM updates bring key changes for home health coding, including new COVID-19 documentation rules, revised obesity code guidance, and updates to the Tabular List of of Diseases and Injuries.

What Home Health Agencies Need to Know about the April 2025 ICD-10 Updates

15/01/2025

CMS has released preview reports for the January 2025 Care Compare refresh. Explore the updates, which include the addition of three new home health quality measures.

Learn more about the new quality measures included in the January 2025 refresh of Care Compare

03/12/2024

CMS has released the October 2024 Interim Performance Reports (IPRs) for HHVBP. Discover key insights from these reports and important HHVBP areas to focus on for the new year.

2024 Interim Performance Reports (IPRs) Now Available The October 2024 Interim Performance Reports (IPRs) for the expanded Home Health Value-Based Purchasing (HHVBP) Model are now available on the iQIES system. This quarterly report offers crucial information for home health agencies, including: Coh...

07/11/2024

Stay informed on payment changes and key updates from the CY 2025 Home Health Payment Final Rule.

Quickly learn about the major updates from the CY 2025 Home Health Payment Final Rule

25/09/2024

CMS has released guidelines for the 2025 ICD-10-CM updates, effective October 1, 2024. We've highlighted the key changes that will directly impact home health coding.

Get to know the key areas that will affect home health coding 2025 ICD-10-CM updates effective October 1, 2024.

09/09/2024

CMS has recently released the Preview Annual Performance Reports (APR), which include the adjusted payment percentage (APP) for home health agencies under the HHVBP. These adjustments will impact payments for 2025.

Learn key insights from the Preview Annual Performance Reports (APR) recently released by CMS

22/08/2024

With the introduction of the new Discharge Function Score in 2025, GG items will play a more significant role in OASIS functional assessments, impacting Home Health Value-Based Purchasing and Quality Reporting.

Learn more about the new Discharge Function Score derived from the GG items and how it will impact your agency’s performance scores.

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