MAC Legacy

Preparing for Increased AO Oversight & Unannounced Surveys
CMS has finalized its rule strengthening oversight of Accrediting Organizations (AOs), effective June 16, 2027. The rule emphasizes unannounced surveys, tighter alignment with Medicare Conditions of Participation, and stricter separation between accreditation and consulting activities. This will raise expectations for consistency and accountability across survey processes.

Why it matters:
Agencies must maintain true, continuous survey readiness with less flexibility for advance preparation and limited support from accrediting bodies. To help organizations adapt, we offer independent mock surveys and access to certified ACHC and CHAP consultants. We provide objective readiness assessments and guidance to strengthen compliance in this more rigorous survey environment. (Source: CMS Final Rule on AO Oversight)

Schedule your Mock Survey Today - mailto:[email protected]

Happy (almost) 250th Birthday, America!

On July 4th, our nation celebrates 250 years of independence, bold, innovative, and always moving forward.

As we celebrate that progress, it’s a great time to ask: does your policy manual reflect the same growth?

The MAC Legacy Policy & Procedure Manual

State-Specific Addendums – We’ve built addendums for 21+ states (and growing), so your manual aligns with your regulations. Don’t see your state? We’ll build it.
Built on a True Crosswalk – Our manuals are mapped across Conditions of Participation, accreditation standards, and state regulations—so everything connects and nothing falls through the cracks.
Accreditation-Ready – CHAP Verified. ACHC Certified. Designed with survey readiness in mind.
Fully Editable in Word – Customize it. Brand it. Make it yours.
Every purchase includes:

1 year of our Subscription Service ($1,200 value)
Consulting hours
Ongoing policy updates as regulations change
Access to our monthly Inside Wire
You’re not just getting a manual, you’re gaining a partner committed to helping you stay compliant, confident, and prepared.

Interim HealthCare, one of the largest home health franchises in the nation, chose MAC Legacy as their policy foundation. Our manual is designed to work for large corporations to start up agencies, and everything in between.

Life, Liberty, and the Pursuit of a Deficiency-Free Survey

Policy & Procedure -
https://www.askmaclegacy.com/product/policy-procedure-manual-home-health/

MAC Legacy Subscription Service -
https://www.askmaclegacy.com/product/mac-legacy-subscription-service/

New Episode !
This week Marcylle speaks with Laura Parker, co-founder of The Exodus Road, where she shares her eye-opening journey battling human trafficking across the globe. With over 50 million individuals trapped, the fight feels daunting. But what if we’re making a bigger impact than we realize?
Laura has dedicated her life to combating human trafficking, particularly the s*x trafficking of minors, which she witnessed firsthand while living in Thailand. Her work has led to operations in over 20 countries, partnering with law enforcement to rescue victims and provide aftercare services. Laura is passionate about educating families on the realities of digital exploitation, a growing concern in the United States.

Listen Now - https://www.marcyllecombs.com/podcast

There’s a lot that goes into building a strong team but at the end of the day, what it’s built on matters more than anything else. If the foundation isn’t right, it won’t last.

Over the years, I’ve worked with leaders across the country, and I continue to see the same challenge come up. Teams aren’t struggling because they don’t know what to do. They’re struggling because of how people are being seen, how they’re being led, and how they’re being responded to. That’s where this starts.

You must find something to love in every person you lead. Not because it comes naturally, but because it changes how you show up. And it does, especially in our industry. In home health and hospice, the work is already heavy. People are tired, emotions run high, and expectations are constant. It doesn’t take much for frustration to build, for assumptions to form, or for someone to quietly get labeled as “difficult” or “checked out.” And once that happens, leadership shifts, even if we don’t say it out loud. We lead them based on who we’ve decided they are instead of who they could become, and that’s where teams begin to stall.

Strong leadership requires something different. It requires you to pause long enough to look at your own perspective before trying to change someone else’s behavior.

Because many times, it’s not that someone doesn’t have more to give, it’s that they haven’t been led in a way that draws it out of them.

I’ve seen this play out time and time again in agencies just like yours. When a leader makes this shift, you can feel it. The tension softens. Trust starts to rebuild. People begin to engage again, not because policies changed, but because leadership did. And in an industry like ours, where the work matters this much, that kind of foundation isn’t optional. It’s what holds everything together.

Something to think about this week:
Is there someone on your team you’ve already made up your mind about?
Have you unintentionally limited what they could become because of it?
This is the work I care deeply about, helping leaders strengthen what’s underneath the surface so their teams can actually sustain the work they’ve been called to do.

Audit activity is increasing and being prepared matters more than ever.

MAC Legacy’s Audit Defense & Readiness Program helps your agency become audit-ready, defensible, and aligned with how regulators actually review documentation.

What we support:
Pre-billing review
ADR/TPE simulation audits
Denial trend analysis
Documentation defensibility scoring
Eligibility & Documentation Program
Focus:

Hospice eligibility (LCD alignment by MAC: Palmetto, CGS, NGS, etc.)
Home Health skilled need + homebound documentation
Face-to-face encounter defensibility
Executive/Board Briefings
What the moratorium means financially
Agency-specific exposure
Growth strategy under restricted expansion
We also help strengthen eligibility, homebound status, and face-to-face documentation so your team is confident under review.

Let's strengthen your audit defense strategy.

Get Started - mailto:[email protected]

Are you leaving money on the table?
Let us provide you with a complimentary code-over-code analysis to see where you are currently leaving money on the table and what might be impacting your HHVBP and STAR Rating.

Coding Subscription -
https://www.askmaclegacy.com/product/ultimate-coding-subscription/

Contact Us Today - mailto:[email protected]

Happy Monday!

You know that moment when you clean your shower glass and somehow it looks WORSE than before? Streaks everywhere. Water spots mocking you.

That's what a lot of QAPI programs look like right now. You're doing the work but the results aren't showing it.

We recently found these shiny drying towels and one wipe later, streak-free, spotless, done. No going back over the same spot six times.

Your QAPI program deserves the same energy.

MAC Legacy's QAPI subscription service takes the guesswork out of your quality program. We help you build it, track it, and keep it survey-ready, so when someone shows up to inspect, everything shines.

One swipe. No streaks. No findings.

Want a streak-free QAPI program? - Contact Us Today - mailto:[email protected]

New CMS Insights Highlight Trends Shaping Home Health & Hospice
The Centers for Medicare & Medicaid Services (CMS) released updated 2024 datasets in May highlighting provider utilization, spending patterns, geographic variation, and Medicare enrollment trends across the country. These updates include provider-level service and payment data, as well as state and county-level insights into how care is being delivered and where costs are highest.

For home health and hospice organizations, this expanded visibility reinforces a continued shift toward data-driven oversight. Geographic variation and utilization patterns have historically informed future payment and policy decisions, meaning agencies operating in higher-cost or higher-utilization regions may face increased scrutiny over time. At the same time, enrollment growth data helps organizations better understand market demand and plan for strategic expansion or referral development.

Direct CMS Resources:
Medicare Provider Payment & Utilization Data:
https://data.cms.gov/provider-summary-by-type-of-service
Medicare Part D Prescriber Data:
https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers
Geographic Variation Public Use Files & Dashboard:
https://data.cms.gov/summary-statistics-on-use-and-payments/geographic-variation
Medicare Enrollment Dashboard:
https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-monthly-enrollment
CMS is continuing to build out the data infrastructure that shapes reimbursement, oversight, and value-based care. This makes it more important than ever for providers to understand how their utilization, outcomes, and market compare against regional and national trends.

Not sure what this means for your agency? MAC Legacy can help you analyze your risk and prepare for what’s next.

Contact Us - mailto:[email protected]

A 250-Year Celebration Calls for Double the Deal!
Buy One, Get One!
Buy a cheat sheet and get $25.00 towards another cheat sheet with discount code CHEATSHEET. Limited time only.

Our new M1860 and M2020 cheat sheets are designed to simplify and strengthen clinician accuracy in two of the most critical OASIS items, ambulation/locomotion and medication management.

Together, the M2020 and M1860 tools provide a powerful foundation for improving two of the most critical, and commonly mis-scored OASIS items: medication management and ambulation/locomotion.

Apply practical assessment strategies for improvement
Improve clinical competency and consistency
Strengthen audit readiness
Support new clinician training and competency validation

NEW - OASIS M1860 - Ambulation/Locomotion Cheat Sheet -
https://www.askmaclegacy.com/product/oasis-m1860-ambulation-locomotion-cheat-sheet/

NEW - OASIS M2020 – Management of Oral Medications Cheat Sheet -
https://www.askmaclegacy.com/product/oasis-m2020-management-of-oral-medications-cheat-sheet/

Look at the full list of products at http://www.askmaclegacy.com

Your agency runs on timing, accuracy, and reimbursement, and coding sits at the center of it all.

At MAC Legacy, we don’t just “do coding.”

We become an extension of your team, helping you stay compliant, efficient, and focused on patient care.

Here’s why agencies choose MAC Legacy:

✅ Fast Turnaround That Keeps Cash Flow Moving
With a 24-hour turnaround on coding, your team isn’t left waiting—so you can bill quicker and keep operations running smoothly.

✅ Accuracy You Can Trust
Our certified coders maintain high accuracy standards, with ongoing internal auditing and quality oversight built into every account.

✅ Seamless Workflow in YOUR EMR
We work directly in your system, no extra steps, no complicated uploads, just a streamlined process that reduces staff burden.

✅ Flexible Support When You Need It
From full outsourcing to overflow coverage, vacations, or growth periods, we scale with you, without long-term commitments or minimums.

✅ Customized to Fit Your Agency
Every workflow, communication style, and coding approach is tailored to your organization, because no two agencies operate the same.

Let's simplify the complicated, together!

Get Started Today - mailto:[email protected]