MAC Legacy, 2800 Shoreline Drive, Suite 105, Denton, TX (2026)

06/05/2026

CMS has released the FY 2025 Hospice PEPPER reports, and they are now available for download through the PEPPER portal.

What Is PEPPER?
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a free comparative data report that summarizes hospice-specific Medicare claims data in target areas identified by CMS as potentially at risk for improper payments.
PEPPER is designed to help hospice leaders identify billing and utilization patterns that differ from state, Medicare Administrative Contractor (MAC) jurisdiction, and national benchmarks. The report serves as a valuable compliance and operational tool, helping organizations prioritize auditing, monitoring, and quality improvement efforts.

Why Hospice Leaders Should Review It Now
PEPPER provides three years of historical data, allowing organizations to evaluate trends over time and identify areas that may warrant closer review.
The report can help hospices:
• Monitor billing and utilization patterns
• Identify changes in length-of-stay trends
• Evaluate performance against state, MAC jurisdiction, and national benchmarks
• Prioritize internal auditing and monitoring activities
• Identify potential coding, documentation, or billing vulnerabilities
• Demonstrate proactive compliance oversight

As regulators continue to rely on data analytics to identify potential fraud, waste, and abuse, the same patterns highlighted in PEPPER are often the focus of external reviews and audits. Reviewing your report, understanding the underlying drivers, and addressing any unusual findings can help reduce organizational risk and strengthen compliance efforts.

Read More -
https://www.askmaclegacy.com/fy-2025-hospice-pepper-reports-are-now-available/

Struggling with your PEPPER report?
MAC Legacy helps identify outliers, uncover risks, and turn your data into clear next steps.
Stay ahead of audits, connect with us today - mailto:[email protected]

06/04/2026

MAC Legacy is a WBENC-certified Women’s Business Enterprise and a minority-owned company. That’s not something we lead with everyday, but it does matter in ways that aren’t always obvious.

Across healthcare, there’s been a steady shift toward working with certified partners. Many organizations through state programs, health systems, and grant-funded initiatives, are encouraged (and sometimes financially supported) to partner with women- and minority-owned businesses. There are a lot of programs tied to supplier diversity goals, community impact, and grant funding that make those partnerships meaningful.

But for us, this isn’t about checking a box. It’s about the kind of company we’ve built and the experience behind it.

MAC Legacy was built out of real provider operations. Our leadership team has spent decades in home health, hospice, and home care, not as observers, but as operators running multi-site agencies, navigating audits, managing clinical teams, and working through the same challenges our clients face every day.

That background is what shapes our work now.

We support organizations through:
- Coding and OASIS review
- Plan of Care and documentation support
- ADR/medical review and appeals
- Audits, mock surveys, and compliance support
- Operational and leadership consulting

It’s practical, hands-on work, done by people who understand both the clinical side and the financial impact.

The certification may open a door, but it’s the depth of experience and how we show up that really matters.

If you ever need documentation for vendor requirements or you’re exploring grant opportunities that prioritize certified partners, we’re happy to help. And if not, that’s okay too, we’re still here doing the work the same way we always have.

Contact Us - mailto:[email protected]

06/03/2026

How do you approach conversations about care, independence, and aging? As we navigate the complexities of aging, many of us are faced with the challenge of discussing sensitive topics with our parents. In this episode, we will share essential insights and strategies for effectively communicating with aging parents, ensuring their needs are met while maintaining family harmony.
Aging can be a sensitive topic, but it’s essential to approach it with love and respect. We discussed practical tips, emotional support, and even shared a laugh about our own aging quirks!

#50%withmarcylle

06/03/2026

F&TS: same conference you love… just a new name

Alright friends, we need to talk about F&TS.
Yes, they’ve rebranded. Yes, it took us a second too, but it’s still the same conference you know.
We’re talking about the Finance & Technology Summit, formerly the Financial Managers Conference (FMC). Same great content, same smart people, just a name that better fits where the industry is headed.
And if you’ve been in this space for a while, you already know, this has been the go-to event for home health and hospice financial leaders for over 20 years.
Our founder, Marcylle Combs, has been coming to this conference in just about every role you can imagine; provider, owner, consultant, and now as an HHFMA Advisory Board member. She’s seen everything from paper billing to PDGM to where we are today with AI and automation.
👉 Hit play to hear why this is one event she doesn’t skip.

MAC Legacy at F&TS 2026
July 12–14, 2026 | Boston Marriott Copley Place
We’re not just attending, we’re showing up ready to share what’s actually working:

Marcylle Combs & Valerie Cornett
“Maximizing Employee Retention Using Data”
Tuesday, July 14 | 11:30 AM – 12:30 PM EDT
They’ll walk through how to use real data, burnout indicators, overtime, documentation lag, PTO, productivity, to spot turnover risks early (before they become expensive problems).

Lisa McClammy — Home Health Summer Camp (Preconference)
Sunday, July 12 | 9:00 AM – 3:00 PM
A deep dive into operations, reimbursement strategy, workforce, and care delivery.

If you’re trying to figure out how to keep your agency strong and sustainable right now, this is the room to be in.
We’ll be there.
Hope to see you there too.

06/03/2026

We’re excited to announce that Chris Gallarneau is stepping into the role of Senior Director of Partnerships at MAC Legacy.

This move reflects both our continued growth, and the impact Chris has already made. Chris brings strong industry experience from his time in provider roles within hospice, along with a long-standing connection to our team, having previously worked alongside Marcylle during our FMS days.

He understands our work, our clients, and the expectations we hold and he’s proven that through the way he shows up and delivers. As we continue to grow, it made sense to elevate someone who already knows our standards and can help strengthen client relationships while identifying opportunities to expand how we serve.

Congratulations, Chris, we are excited to have you in this new role and a valued member of our team!

06/03/2026

Leadership Lesson with Marcylle: Truth Builds Teams
In our industry, we say we want the truth, whether it’s in a chart, an audit, a survey, or a hard conversation but the truth isn’t always easy to hear, and it’s even harder to handle well. I’ve seen it over the years in home health and hospice, feedback comes in, a denial hits, documentation doesn’t hold up, or a gap is identified and our first response often isn’t ownership, it’s reaction. But maturity, real maturity, isn’t proven when things are going right; it shows up in how we respond when we’re challenged.

Truth, when it’s given in love and respect, is one of the most important tools we have. It protects our patients, strengthens our compliance, sharpens our clinical judgment, and ultimately leads to better outcomes. But receiving truth requires humility. We can choose to defend, justify, or deflect or we can pause, listen, and take responsibility for our part. That’s where motivation really takes hold, not from praise alone, but from being stretched, corrected, and made better.

If we want to build a stronger culture, we have to get better on both sides of this. We have to be willing to speak truth clearly and respectfully and we have to be just as willing to receive it without shutting down. That doesn’t happen by accident. It takes intention in how we lead, how we communicate, and how we show up for one another every day.

So this week, take a moment and ask yourself:
When I receive feedback on my work, what is my first response?
Am I truly listening, or am I preparing my defense?
Is there a conversation I’ve been avoiding because it feels uncomfortable?
Am I delivering truth in a way that reflects respect and a desire to help someone grow?
Where could stronger ownership on my part improve outcomes for my team or our clients?

Call to action: This week, have one real conversation you’ve been putting off, handle it with clarity, respect, and purpose. And when feedback comes your way, resist the urge to react, pause long enough to consider what you can take ownership of. That’s where growth starts.

06/02/2026

With CMS halting new enrollments and intensifying enforcement, the value and risk of existing agencies have never been higher. MAC Legacy helps organizations become audit-ready, defensible, and positioned to grow by aligning clinical documentation, billing practices, and compliance programs to how regulators actually review them.

What it includes:
- 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

Get Started - mailto:[email protected]

06/02/2026

Accurate coding is the backbone of timely reimbursement and smooth operations in home health and hospice care. At MAC Legacy, we take it further with expert coding services that are fast, reliable, and designed to elevate your agency’s success. We have been providing outsource coding services since 2004, one of the first outsource coding providers in the industry.

In just 24 hours, we can complete your coding from start to finish, ensuring timely reimbursement and steady cash flow. Here’s what sets us apart:

- HCS-D & HCS-H Certified Coders
- Audited for Accuracy with a Minimum 95% Accuracy Rate
- 24-Hour Turnaround
- PRN or Full-Time Coding Available
- No Minimum Quotas
- No Startup Fees

Partner with MAC Legacy for seamless coding support, helping you maintain efficiency, compliance, and high-quality care.

Let’s talk today about how we can support your agency’s goals.

Don't forget about our Ultimate Coding Subscription Service.
This subscription offers comprehensive services designed to enhance your in-house coding team's efficiency while ensuring accuracy and compliance.

What does this unique subscription service offer?
- Annual Consulting (2 hours/$500 value)
- Bi-Annual Coding Update Education ($500 value and more)
- Annual Coding Audit
- PRN (As-Needed) Coding Support

Contact Us - mailto:[email protected]

06/02/2026

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.

“Our strategic partnership with MAC Legacy has enhanced our ability to support the Interim network in many ways. The collaboration has brought automation for quick access, timely support during survey, and an ongoing partnership we can depend on. We always find MAC Legacy willing to help, no matter the challenge.”– Interim Corporate

Contact Us - mailto:[email protected]

06/01/2026

The sun is shining, vacations are booked, and schedules are filling up. But while you're enjoying your summer, compliance doesn't take a break

Don't let compliance melt this summer!

We've got everything you need to keep your agency compliant and stress-free this summer:

- Policy & Procedure Manuals
- Subscription Service
- PRN Coding Services
- QAPI & Compliance Tools

Let MAC Legacy help you stay Cool, Current and Compliant!

Order Now - https://www.askmaclegacy.com/

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