Gateway Home Health Coding & Consulting, LLC

03/12/2026

Join us at the DecisionHealth, 2026 Home Care Leadership Summit, and get vital information from our Lead Clinical Appeals Specialist.

https://bit.ly/4oOHuc8

02/11/2026

Mentor Plus is a dynamic program designed to keep you in full Compliance with all of CMS requirements. Mentor Plus guides you through areas in your program to allow you to not only grow but maintain compliance with every challenge you face in today’s risky home health environment!!

Unlimited practical and impactful coaching is provided for a minimal monthly fixed cost. It’s like having a full-time homecare and hospice expert at your side at all times!!

Backed by home health and Hospice experts that are simply a phone call away, and ready to answer the most difficult questions, provide you with the most up-to-date tools, solutions and education in the industry.

-PDGM Guidance
-OASIS and/or HOPE Assessment Guidance
-Medicare Conditions of Participation
-Administrative and/or Clinical Documentation
-QAPI / Quality Assurance Guidance
-Survey related Issues
-Customized Webinar Training

For more information contact us at... info@gatewayhhc.com

02/04/2026

The Centers for Medicare & Medicaid Services (CMS) continues to expand prior authorization and pre-claim review programs as central mechanisms to reduce improper Medicare payments while preserving beneficiary access to medically necessary services. The Review Choice Demonstration (RCD) for Home Health Services represents a mature application of this strategy, shifting enforcement earlier in the claim’s lifecycle. This paper analyzes CMS Fiscal Year (FY) 2023 data to assess the operational, financial, and governance implications of RCD for home health agencies.

Read the full article below

01/20/2026

ADR's and Appeals

Home Health and Hospice Providers, we can help you at any point during the process. You have the ability to pick and choose so we can fit within your budget and still offer the best chance of success at any level of appeal.

10/31/2025

Happy Halloween Everyone!

Contact us for your Halloween discounts on Coding & QA Services OR take the scary out of your ADRs & Appeals.

09/11/2025

Today we take a moment of silence to remember the people that lost their lives and praise those that rushed in to rescue the helpless.

05/29/2025

https://bit.ly/4mDCvvb

Source and Credit: Home Health Care News, By Audrie Martin | May 28, 2025The Centers for Medicare & Medicaid Services (CMS) announced that it is ramping up audits of all Medicare Advantage (MA) plans – which could possibly lead to decreased rates for home health providers.CMS’s plan to audit all...

04/30/2025

Don't miss Joe Osentoski, BAS, RN, GERO-BC (Medical Appeals Specialist and Senior Consultant), at the 2025 Ohio Health Care Association Convention & Expo, May 7th; www.ohca.org/convention

3:15 pm to 4:45pm
The New Home Health Acceptance to Services Policy: CMS states a concern related to access to home health services and the quality of the home health service provided to meet patient needs. CMS is trying to address access to care barriers with its admission-to-service policy. Though the demand for care continues to increase, providers have struggled with referral rejection rates over the years due to capacity issues that stem from staffing. This will outline the new acceptance-to-service Condition of Participation, explain how to adapt discharge planning and intake for compliance, define the steps needed to improve timely initiation of care, summarize updates needed to policies and procedures, and Identify staff training needs, continuous review process.

10:15 am to 11:15 am
PGBA and Federal Home Health Updates: A discussion of common issues with Review Choice Demonstration (RCD) from the MAC. Recent Home Health & Hospice Coalition Meetings, FAQs, and review/denial trends are addressed. This includes looking at the MAC's responses for keeping claims denied, most relevant clinical content, and areas that agencies may focus on to preempt triggering medical reviews as well as optimize outcomes in case of review.

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02/23/2025

If you are attending ACHCU Academy in Dallas, TX on March 3rd-5th, you will not have double vision. What you will have, is a double dose of home health and hospice compliance content presented by Joe Osentoski, RN, Senior Consultant. Monday March 3rd starts things off with "Hospice: Making Lemonade....

02/05/2025

Attending ACHCU Academy conference next month?
Get a glimpse into the presentations by our very own
Joe Osentoski, BAS, RN, GERO-BC, Clinical Appeals Expert

If you are attending ACHCU Academy in Dallas, TX on March 3rd-5th, you will not have double vision. What you will have, is a double dose of home health and hospice compliance content presented by Joe Osentoski, RN, Senior Consultant. Monday March 3rd starts things off with "Hospice: Making Lemonade....

01/17/2025

Hospice Providers need to read this
CMS - Hospice Special Focus Program

Source; Centers for Medicare & Medicaid Services (CMS)The CMS Hospice Special Focus Program (SFP) will monitor hospices identified as poor performers based on selected quality indicators. Hospices selected for the SFP will be under additional oversight to enable continuous improvement. The program,....

12/31/2024

As we welcome the new year, it's a time for reflection and setting new goals. At Gateway Home Health Coding & Consulting, we are committed to fostering partnerships that drive compliance success and operational efficiency in the healthcare industry. Let's work together to make 2025 a year of growth and achievement.