Total Performance Score (TPS)
The Total Performance Score (TPS) is the composite score, on a 0 to 100 scale, that CMS calculates for each home health agency under the expanded Home Health Value-Based Purchasing (HHVBP) model. It combines weighted OASIS-based, claims-based, and HHCAHPS survey measures, and it directly determines the agency's Medicare payment adjustment of up to plus or minus 5%.
Definition
The Total Performance Score (TPS) is the composite score, on a 0 to 100 scale, that CMS calculates for each home health agency under the expanded Home Health Value-Based Purchasing (HHVBP) model. It combines weighted OASIS-based, claims-based, and HHCAHPS survey measures, and it directly determines the agency's Medicare payment adjustment of up to plus or minus 5%.
Why it matters
Total Performance Score (TPS) is part of the Compliance & Survey vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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