Home Health Legislation and Billing Overview

Contact Hours: 3

Author(s):

Pamela Halvorson RN, BS, MBA

Course Overview

The following course is an overview of some of the main changes identified in the Centers for Medicare and Medicaid (CMS) CY2024 Home Health Final Rule including a review of the CY2025 proposed changes focusing on what effects they will have on the financial and operational functions of home health agencies. This course is intended for LPN/LVNs, RNs, and APRNs.

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. COVID-19 Vaccine Data Collection
  9. Home Intravenous Immune Globulin (IVIG) Items and Services
  10. Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Policy Issues
  11. 80/20 Rule for Home and Community-Based Services (HCBS) providers
  12. CY 2025 Home Health Proposed Rule
  13. Conclusion

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.

Accreditations and Approvals

CE Credit Logo
  • American Nurses Credentialing Center (ANCC) (P0614)
  • California Board of Registered Nursing (CEP 17418)
  • Kentucky Board of Nursing (7-0090)
  • Louisiana State Board of Nursing (58)
  • Florida Board of Nursing (50-23983)
  • Delaware Board of Nursing (DE-24-010127)
  • Alabama Board of Nursing (#ABNP1577)
  • Iowa Board of Nursing (#393)
  • Kansas Board of Nursing (LT0340-0325)

Approved by the Board of Nursing in every state, you can complete your RN, LVN, and APRN CEUs with confidence.

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.

It will take the average learner 180 minutes to complete and awards 3 contact hours of continuing education.

Written For

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

Requirements 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

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.