MAC Legacy

Your Home Care and Hospice Resource. MAC Legacy exists to create, develop, & promote excellence in pa

FMS exists to create, develop, and promote excellence in patient care and premiere home care & hospice leadership.

09/03/2025

Coding, OASIS & Plan of Care Review — Simplified
For over two decades, MAC Legacy has partnered with agencies like yours to make coding, OASIS, and Plan of Care reviews straightforward, accurate, and stress-free.

We’re not just another vendor, we’re former providers who know the pressures you face. Since 2004, our “Coding to Go” solution has helped agencies stay compliant, improve outcomes, and free up clinicians to focus on what matters most: patient care.

Here’s what you can count on with MAC Legacy:
• Completed directly in your EMR for seamless workflow.
• Accuracy that strengthens outcomes — OASIS reviews and recommendations from our tenured team improve scoring and quality ratings.
• Fast 24-hour turnaround to keep billing and operations on track.
• Proven standards — our certified coders must maintain a 95% accuracy rate to remain on our team.
• Responsive support — every email or phone call answered within 24 hours.

With decades of experience and a team that understands the field from the inside, we bring more than accuracy — we bring partnership.

Let’s talk about how MAC Legacy can simplify the complicated for your team.

Contact Us for More Information - mailto:info@mac-legacy.com

09/03/2025

Leadership Lesson with Marcylle: Adaptability and Resilience

If there’s one thing I’ve learned in my years in home health and hospice, it’s this: nothing ever stays the same for long. Regulations shift, surveyors show up at the least convenient time, and sometimes the plans we worked so hard to make just don’t pan out. We may not be able to control those changes, but we can control how we respond.

That’s where adaptability and resilience come in. Adaptability is simply being willing to adjust when the situation demands it. Resilience is the ability to bounce back when things don’t go as we hoped. Together, they help us steady our teams, care for our patients, and keep moving forward.

Here are a few things that have helped me over the years:
• Stay curious instead of digging in. When change comes, I ask, “What can I learn here? How can this make us stronger?”
• Keep calm in the storm. The team will mirror your reaction—if you respond with steadiness, they will too.
• Support your people. Resilience grows when leaders walk with their teams through setbacks, not just the wins.
• Give yourself grace. None of us get it right every time. The important thing is that we don’t stay down when we stumble.

John Maxwell says in Leadershift, “The key to successful leadership today is influence, not authority.” That influence comes when people see us navigating change with wisdom, flexibility, and resilience.

I’ve come to believe that flexibility isn’t weakness—it’s wisdom. Our ability to pivot is what allows us to keep serving well, even when the road looks different than we planned.

Reflection: “What’s one piece of advice you’d give another leader about staying adaptable?”

I’d love to hear your thoughts.

Get Your Book -
https://www.amazon.com/dp/B0F3KYJNN6/?tag=maclegacy00-20

09/02/2025

The confusion continues surrounding the all-payer OASIS that took effect July 1, 2025. The National Alliance for Care at Home confirmed that CMS will retract the July 2025 OASIS Quarterly Q&A guidance that instructed agencies to collect and submit OASIS for patients receiving Part B outpatient therapy services (PT, OT, SLP) through a home health agency. CMS will be revising the relevant OASIS Q&A item to provide corrected instructions on collecting payer data for OASIS in relation to these outpatient therapies. CMS informed the Alliance that they are currently in the process of revising this item to reflect corrected guidance regarding the collection of payer data for the OASIS and associated "outpatient" therapies.

This is great news that CMS has concluded that completion of the OASIS is not required for PT OT or SLP outpatient services provided by an HHA and billed under the Part B benefit - when a home health plan of care is not in effect.

Stay Tuned!!

09/02/2025

When MAC Legacy first started Coding Services in 2004, here’s what the world looked like:
• Juicy sweatsuits were peak fashion
• Low-rise jeans reigned supreme (for better or worse)
• Flip phones were cutting-edge tech (bonus points if yours snapped shut dramatically)
• AOL Instant Messenger ruled our evenings
• And Blockbuster was still the place to be on a Friday night
Amidst all that, MAC Legacy was already making coding accurate, reliable, and timely for agencies like yours.
Fast forward 21 years: fashion trends faded, Blockbuster disappeared, and dial-up went silent… but our coding excellence never went out of style.
If you’d like to talk about how our coding team can support your agency (without the soundtrack of dial-up internet), just hit get started.

Get Started - info@mac-legacy.com

09/01/2025

Today, we honor the dedication, hard work, and achievements of workers across the country. Whether you're spending the day relaxing, celebrating with loved ones, or simply taking a well-deserved break, thank you for all that you do!

08/29/2025

PEPPER REPORTS – The Waiting Game!

Home health and hospice providers know the value of the Program for Evaluating Payment Patterns Electronic Reports (PEPPERs). But in January 2024, CMS suddenly stopped distributing them, and the PEPPER website went dark.

The site is now back online complete with a PEPPER Distribution Schedule (still being finalized). As of August 2025, there have been no public updates indicating a resumption date for these reports. CMS continues to work on improving the system but has not announced a definitive rollout schedule.
What You Can Do Now:
• Monitor the PEPPER Resources site
• Watch for CMS announcements

Check the PEPPERs Website
https://pepper.cbrpepper.org/index.html
for all the details.

MAC Legacy will keep checking the schedule and share updates as soon as new details are released. Stay tuned!

08/28/2025

🎙️ New Episode Alert!
On the most recent episode of 50% with Marcylle Combs, she talks with Brittany Christenson, a powerhouse who transformed her love for math into a mission for impact.

From data-driven decisions to community-focused leadership, Brittany shares how she turned analytical skills into meaningful change. Her journey is a testament to the power of purpose, resilience, and innovation.

🔗 Tune in now to hear how Brittany is shaping the future—one equation at a time!
https://www.marcyllecombs.com/podcast

08/28/2025

We had an absolute blast hosting the Corn Hole Tournament at this year’s TAHCH Annual Meeting in The Woodlands!
From friendly competition to great networking, it was a perfect blend of Texas fun and professional connection. Thank you to everyone who joined us, whether you tossed a bag or cheered from the sidelines!

Chris was a part of a powerful panel discussion titled “Hospice: A Candid Discussion”, diving into the latest hospice regulations, including CAHPS, HOPE, and operational readiness.

08/27/2025

Leadership Lesson with Marcylle – Elevate The Experience

Every Team Member is a Leader – Make Every Interaction Count

In home health and hospice, every interaction matters, whether it’s with a patient, a clinician, or a colleague. Every team member has the power to influence experiences and outcomes, no matter their role. Leadership isn’t about a title; it’s about action.

Here are a few ways to improve patient experience through better leadership:
• Start with Listening: Take time to truly hear your team. Ask questions, check for understanding, and show empathy. For example, if a clinician expresses frustration with scheduling conflicts or documentation processes, listen and work together to identify solutions. A small change, like adjusting visit assignments or streamlining forms, can make their workday smoother and improve overall team performance.
• Lead by Example: Your behavior sets the tone. If you consistently communicate clearly, respond promptly, and stay calm under pressure, your team will mirror that approach. Staff notice when leaders model professionalism and care.
• Coach Daily, Not Just Quarterly: Don’t wait for formal reviews to give guidance. A quick tip after a meeting, or a short note recognizing a team member’s proactive solution, reinforces the importance of service excellence.
• Turn Feedback into Action: Concerns aren’t failures, they’re opportunities to improve. Follow up personally when issues arise and make adjustments. Employees feel valued when their feedback leads to real change.

Pro Tip: Leadership starts with action, no title required.
Check out Simon Sinek's book "Leaders Eat Last'. It is full of practical lessons on building trust, empowering your team, and creating an environment where everyone feels motivated to serve at their best.

Take a moment this week to ask yourself: what small action can I take today to make my team’s experience better?

Get your copy of "Never" Hire Your Friends -
https://www.amazon.com/dp/B0F3KYJNN6/?tag=maclegacy00-20

08/26/2025

Everything you need, all in one package. Manuals and products are bundled together to include items you need when starting a new agency or when looking to update your products. These tools are delivered electronically, saving you time.

Purchase Today - https://www.askmaclegacy.com/product/start-up-package-bundle/

08/25/2025

Come See MAC Legacy at TAHC&H!!

We’re packing up and heading to The Woodlands for the TAHC&H Annual Meeting & Conference—and we want to see YOU there!

Stop by the MAC Legacy booth to meet our team, grab some goodies, and learn how we support home health & hospice agencies with coding, consulting, education, and more.

Don’t miss our very own Chris Gallarneau as he takes the stage as a panelist along with Melinda Gaboury, Angela Huff & Brian Lebanion. Additionally, he will be co-presenting with Brian Lebanion to share insights on Hospice Quality Reporting and more that you won’t want to miss.

08/25/2025

Back to School, Back to Basics!
The school bells are ringing—and so are the alarms on your compliance calendar!
Whether you're brushing up on your QAPI plan, decoding the latest CMS updates, or prepping your team for survey season, MAC Legacy is your classroom of experts.
Our consultants are certified, our coders are sharp, and our tools are designed to make your agency top of the class.

Contact Us Today - info@mac-legacy.com

Address

2800 Shoreline Drive, Suite 105
Denton, TX
76210

Website

http://www.askmaclegacy.com/

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