The Centers for Medicare & Medicaid Services issued a final rule on Oct 29, 2020 that updated the home health prospective payment system for calendar year 2021. This webinar will provide detail of the home health prospective payment updates with a focus on the no-pay RAP and the changes to the wage index. Attendees will learn potential impacts and implications for home health agencies as well as what actionable data is needed to develop key operational strategies for thriving under the new changes.


  • Review the requirements needed for the no-pay RAP
  • Explore operational strategies to meet the five-day RAP submission window
  • Identify impact of payment updates as it relates to your area of service
  • Discover financial impact within a specific region related to OMB delineations
  • Explain the process for wage index changes and their impact on reimbursement


Matt McGowan, MBA
Consulting Manager

Matt McGowan, Consulting Manager at McBee, has more than 20 years of professional healthcare industry experience. In his role at McBee, Matt plays a significant role in interpreting Medicare regulations and demonstrating the revenue impact for the firm’s many clients. He works with home health agencies nationwide enhance the Medicare operations for clients, enabling them to target areas for improvement and achieve the best clinical and financial home health outcomes possible.

Karen Tibbs, RN, MS, HCS-D, COS-C
Senior Quality Manager, OASIS & Coding Services

Karen Tibbs, RN, MS, HCS-D, COS-C, Senior Quality Manager, OASIS & Coding Services, is a registered nurse with a Master of Science in Health Care Quality. She has 22 years of home care experience with extensive knowledge in medical review, regulatory compliance, ICD-10 and OASIS accuracy. Karen has earned the Home Care Coding Specialist – Diagnosis (HCS-D) and the Certificate for OASIS Specialist – Clinical (COS-C).

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