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MedAuditShield Blog

Insights, guides, and best practices for hospice ADR compliance and revenue protection.

Trusted by hospice compliance teams | Updated weekly

October 8, 20264 min read

CMS Is Rewriting the Hospice Conditions of Participation. What Administrators Should Do Before the Proposed Rule.

CMS has opened the first major rewrite of the hospice CoPs in nearly 20 years. Here is what it is asking about and what administrators should do before a proposed rule.

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Regulatory Updates

MACs Must Now Publish TPE Denial Reasons Every Quarter. Here Is How Hospices Can Use Them.

Starting November 2, 2026, MACs must post TPE results and their top denial reasons every quarter. Here is how to turn that data into a quarterly self-audit.

October 8, 2026 · 5 min readRead Article →

Audit Enforcement

Revalidation Errors Are Pushing Established Hospices Into PPEO. Here Is How to Stay Out.

Established hospices are being treated as newly enrolling after enrollment lapses and pushed into PPEO-level review. Here is how the trap works and the 7 controls that keep you out.

October 8, 2026 · 5 min readRead Article →

Medicare Compliance

Hospice Election Statement Addendum 2026: The Compliance Checklist Before the Grace Period Ends

Starting October 1, 2026, every Medicare hospice election needs a written addendum within 5 days. Here is the full checklist to get compliant before enforcement discretion ends on December 31.

October 5, 2026 · 9 min readRead Article →

Regulatory Updates

Hospice SSVI Explained: What Your Score Means and Why CMS Is Watching

CMS finalized the Hospice Service and Spending Variation Index in the FY2027 rule. Here is what the score measures, what a higher number signals, and how to keep your patterns defensible.

October 5, 2026 · 8 min readRead Article →

Operations

90 Days to January 1: An Addendum Readiness Plan for Hospice Admissions Teams

Enforcement discretion for the election statement addendum runs through December 31, 2026. Here is a month-by-month plan to use those 90 days well.

October 5, 2026 · 9 min readRead Article →

Audit Enforcement

The 2026 Hospice Moratorium Is Not About New Agencies. It Is About Auditing Yours.

The nationwide moratorium stops new hospice enrollments, but CMS also said it will intensify investigations and data analytics. Here is what that means for hospices already billing Medicare.

October 5, 2026 · 8 min readRead Article →

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Compliance & Audits

Hospice ADRs Are Increasing in 2026 – What Agencies Must Do Now

Medicare Additional Documentation Requests are accelerating across the hospice sector in 2026. Agencies that continue managing ADRs reactively will absorb the consequences.

March 29, 2026 · 3 min readRead Article →

Compliance & Audits

Medical Coding Audits vs ADR Intelligence: Why Retrospective Reviews Are No Longer Enough in Hospice

Your coding audit tells you what went wrong last quarter. Your next ADR deadline is in 45 days. Most hospice agencies are sitting in that gap — and paying for it.

March 25, 2026 · 9 min readRead Article →

Audit Enforcement

PPEO Hospice 2026: Why Agencies Are Losing Medicare Enrollment, and How Prepared Operators Survive It

CMS's Provisional Period of Enhanced Oversight (PPEO) program is driving a rise in hospice Medicare enrollment revocations. The agencies failing are not primarily being caught for fraud — they are failing on workflow, deadlines, and documentation operations. Here is what is happening and what PPEO-ready agencies do differently.

March 22, 2026 · 13 min readRead Article →

Showing 1–9 of 29 articles

MedAuditShield Blog

CMS Is Rewriting the Hospice Conditions of Participation. What Administrators Should Do Before the Proposed Rule.

MACs Must Now Publish TPE Denial Reasons Every Quarter. Here Is How Hospices Can Use Them.

Revalidation Errors Are Pushing Established Hospices Into PPEO. Here Is How to Stay Out.

Hospice Election Statement Addendum 2026: The Compliance Checklist Before the Grace Period Ends

Hospice SSVI Explained: What Your Score Means and Why CMS Is Watching

90 Days to January 1: An Addendum Readiness Plan for Hospice Admissions Teams

The 2026 Hospice Moratorium Is Not About New Agencies. It Is About Auditing Yours.

Get ADR Compliance Insights Delivered Every Week

Hospice ADRs Are Increasing in 2026 – What Agencies Must Do Now

Medical Coding Audits vs ADR Intelligence: Why Retrospective Reviews Are No Longer Enough in Hospice

PPEO Hospice 2026: Why Agencies Are Losing Medicare Enrollment, and How Prepared Operators Survive It

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