Home Health Legislation and Billing Overview

Course Overview

Course Outline

1. Introduction 
2. Home Health Market History 
3. Patient Driven Groupings Model (PDGM) and Behavior Assumptions 
4. Rebasing and Revising the Home Health Market Basket 
5. Disposable Negative Pressure Wound Therapy 
6. Request for information on Access to Home Health Aide Services 
7. Home Health Quality Reporting Program (HHQRP) 
8. Update on Health Equity in the HHQRP 
9. Expanded Home Health Value based Purchasing (HHVBP) Model 
10. Public Reporting  
11. Covid 19 Vaccine Data Collection 
12. Discharge Function 
13. Home Intravenous Immune Globulin (IVIG) Items and Services 
14. Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Policy Issues 
15. 80/20 Rule for Home and Community-Based Services (HCBS) providers 
16. CY 2025 Home Health Proposed Rule 
17. Conclusion 

Accreditation Statement

Nursing CE Central LLC is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

In this course, we will discuss Home Health Legislation and Billing Overview. It will take the average learner 180 minutes to complete and awards 3 contact hours of continuing education.

Course Outcomes

After completing this course, the learner will rate a 4 out of 5 on the Likert Scale for their ability to:

1. Identify the Centers for Medicare and Medicaid (CMS) Final Rule changes for CY2024 and how agencies need to adapt to the changes. 
2. Describe how the Final Rule changes can affect the financial outlook for home health agencies. 
3. Define the operational impact that the Final Rule changes will have on agencies and what they need to remain successful. 
4. Summarize the CMS CY2025 proposed changes and the rationale behind them. 

Target Audience

• Registered Nurses (RN)
• Advanced Practice Registered Nurses (APRN)
• Licensed Practical Nurses (LPN/LVN)

Requirement for Completion

1. Enrollment in the course by the learner
2. Read and learn all course materials
3. Complete the course evaluation
4. Attest and testify learning of the course materials

Accreditations + Approvals

Disclosure of Relevant Financial Relationships

Nursing CE Central nor any of the authors, planners, content experts, or any contributors have any relevant financial relationships with ineligible companies to disclose.