Home health and hospice payment rules moved again in 2026. See where claim errors begin and how to stop them before submission.
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Home health and hospice run on separate Medicare payment systems, and both moved again in 2026. Underneath the payment rates, case-mix, threshold, and certification requirements keep changing. Every change is another place where a payable claim can go wrong.
The pattern behind most denials is consistent across both lines of business. Errors trace back to documentation rather than the payer's decision, which means they are knowable before a claim is ever submitted.
Built for Homecare Homebase customers, this session looks at where denials originate, what prevention requires, and how Inovalon's Claims Management Pro™ and Claims Management Medicare Pro™ help billing teams catch problems upstream. Our presenters will also walk through how one Homecare Homebase customer reduced their denial rate.
Access Medicare, Medicaid, and commercial claims in a central platform with one login and a single workflow.
Check every claim with a built-in rules engine, real-time eligibility checks, and step-by-step correction guidance, before it goes out the door.
Real-time FISS access surfaces at-risk claims automatically and click-to-fix workflows correct and resubmit without navigating screen by screen.
One Homecare Homebase customer cut claim denial rates from 12% to 3% within six months of go-live.
Home health and hospice run on separate Medicare payment systems, and both moved again in 2026. Underneath the payment rates, case-mix, threshold, and certification requirements keep changing. Every change is another place where a payable claim can go wrong.
The pattern behind most denials is consistent across both lines of business. Errors trace back to documentation rather than the payer's decision, which means they are knowable before a claim is ever submitted.
Built for Homecare Homebase customers, this session looks at where denials originate, what prevention requires, and how Inovalon's Claims Management Pro™ and Claims Management Medicare Pro™ help billing teams catch problems upstream. Our presenters will also walk through how one Homecare Homebase customer reduced their denial rate.
Access Medicare, Medicaid, and commercial claims in a central platform with one login and a single workflow.
Check every claim with a built-in rules engine, real-time eligibility checks, and step-by-step correction guidance, before it goes out the door.
Real-time FISS access surfaces at-risk claims automatically and click-to-fix workflows correct and resubmit without navigating screen by screen.
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Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Manager, Back-End Revenue Cycle Management, Inovalon
Jeremy Swanson leads Inovalon's back-end revenue cycle management team, working with post-acute providers on claim accuracy, denial trends, and the workflows that move reimbursement faster.
Sales Engineer, Inovalon
Mark Quistad is a sales engineer at Inovalon who works hands-on with home health and hospice billing teams, mapping Medicare and all-payer claims processes and showing how Inovalon solutions fit the way their teams already work.
Have a claims question of your own? Connect with an Inovalon revenue cycle expert.
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.
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Medical Software Specialist
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisimenim ad minim veniam, quis nostrud exerci tation
Medical Software Specialist
