You became a home health agency owner to care for patients — not to decode 400-page CMS rule changes. Every month, we translate the rules that affect your agency into plain English, so you know exactly where you stand.
Sound familiar?
CMS rewrote the home health billing rulebook effective January 1, 2026 — OASIS, LUPA thresholds, face-to-face requirements, enrollment rules. It's a lot. And the official guidance reads like it was written by attorneys for attorneys.
Billing compliance attorneys and certified consultants charge $200–$500/hour. For a small independent agency operating on thin margins, that's not a realistic monthly expense — especially when you're not sure which questions to even ask.
CMS's new retroactive revocation authority and shortened 30-day adverse action reporting window mean the cost of not knowing is higher than ever. A single enrollment misstep can threaten your ability to bill Medicare at all.
"You shouldn't need a law degree to run a home health agency."
The Solution
Each month, you fill out a short intake form telling us about your agency — your payer mix, patient volume, billing software, and biggest concerns. We analyze your situation against the current CMS home health rules and send you a plain-English report that tells you exactly what to watch for, what's changed, and what to prioritize.
No 400-page PDFs. No confusing billing codes. No consultant jargon. Just clear answers to the questions keeping you up at night.
Get My First Report →Simple Process
Sign up for $247/month. Cancel anytime — no contracts, no commitments.
Complete a short monthly form about your agency — payer mix, patient count, and your top concerns. Takes about 5 minutes.
Our AI-powered analysis engine reviews your answers against the current CMS Home Health rules and identifies your specific risk areas.
Your plain-English clarity report lands in your inbox — covering what matters for your agency, in language you can actually act on.
What You Get
Understand the 2026 all-payer OASIS reporting requirements and whether your current documentation practices are at risk — before a surveyor shows up.
The 2026 recalibration changed LUPA thresholds across HHRG categories. We'll tell you exactly how your visit patterns compare and where you may be leaving reimbursement on the table.
The 2026 rule expanded practitioner eligibility for face-to-face encounters. We'll explain what that means for your referral relationships and documentation requirements.
CMS's new 30-day adverse action reporting window and expanded retroactive revocation authority are agency-ending risks if you're not aware of them. We flag your exposure clearly.
The Home Health Value-Based Purchasing model now covers all 50 states. We'll explain how your payer mix and patient volume affect your performance scoring and what it means for your reimbursement.
This isn't a generic newsletter. Every report is generated based on your intake form — your state, your patient count, your payer mix, your concerns. Relevant, specific, and actionable.
From Agency Owners
"I've been running my agency for 11 years. When the 2026 rules dropped I was completely lost. The first report I got back actually made sense of the OASIS changes in a way I could act on. I shared it with my clinical director immediately."
Margaret R.
Owner, 18-patient agency — Georgia
"The revocation risk section hit home. I had no idea the adverse action reporting window changed to 30 days. We updated our internal process immediately. That one piece of information alone was worth the subscription."
Darnell L.
Administrator, 25-patient agency — Ohio
"I'm a nurse first and a business owner second. This service lets me stay that way. I understand my billing situation now without having to become a billing specialist. It gives me confidence when I talk to my MAC."
Patricia W., RN
Owner/operator, 12-patient agency — Tennessee
Simple Pricing
No tiers, no upsells, no hidden fees. One monthly subscription gives you everything — your personalized report, updated 2026 rule analysis, and ongoing access as CMS guidance evolves.
Monthly Subscription
Cancel anytime. No long-term contract.
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Not legal or billing advice. HomeHealthBillingClarity is an educational and analytical service. Reports are designed to help you understand the rules and your exposure — not to substitute for a licensed healthcare billing compliance attorney or certified medical billing specialist. We always recommend consulting a qualified professional for specific compliance decisions.
Questions
HomeHealthBillingClarity is built for owners and administrators of small independent home health agencies — typically 1 to 30 staff, primarily billing Medicare. If you're part of a large corporate chain with a dedicated compliance department, this service is probably not the right fit. If you're a nurse or caregiver who also runs the business and has to figure out billing as you go, this is made for you.
No. HomeHealthBillingClarity is an educational and analytical service. We explain what the CMS rules say and what your situation looks like relative to those rules — in plain English. We are not a law firm, and our reports do not constitute legal advice, medical billing consultation, or compliance certification. Every report ends with a recommendation to consult a licensed healthcare billing compliance attorney or certified medical billing specialist for specific compliance decisions.
Each report covers: OASIS documentation and all-payer reporting requirements, LUPA threshold analysis based on your visit patterns, face-to-face encounter compliance, enrollment and revocation risk (including the new 30-day adverse action window), HHVBP scoring implications based on your payer mix, and any specific concerns you flagged in your monthly intake form. The report is written in plain English and tailored to your agency's specific situation.
After subscribing, you'll receive a link to your monthly intake form. It takes about 5 minutes to complete — you'll tell us about your agency's payer mix, patient count, billing software, and your top concerns for the month. Once submitted, your personalized report is generated and delivered to your inbox. No uploads, no lengthy questionnaires.
The CY 2026 Home Health Final Rule, effective January 1, 2026, includes significant changes: expanded all-payer OASIS reporting requirements, recalibrated LUPA thresholds across HHRG categories, updated face-to-face encounter practitioner eligibility, shortened adverse action reporting windows from 90 to 30 days, new retroactive revocation authority for CMS, and expanded HHVBP model coverage to all 50 states. Each of these changes has implications for how independent agencies document, bill, and maintain their Medicare enrollment status.
Yes. There are no long-term contracts and no cancellation fees. You can cancel your subscription at any time through your billing portal. If you cancel, you'll retain access through the end of your current billing period.
Stop guessing at what the 2026 rules mean for your agency. Get a plain-English report every month that tells you exactly where you stand — and what to do about it.
Cancel anytime. No contracts. Secure checkout via Stripe.