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.

03/02/2026

Have you ever had days
When your systems say “no,”
When policies tangle,
And progress feels slow?

When code needs a fix,
Or guidance feels thin,
That’s when MAC Legacy
Steps right on in.

Contact Us - mailto:info@mac-legacy.com

02/27/2026

Federal Scrutiny Highlights the Importance of Medical Necessity and Ethical Billing

On February 25, 2026, Vice President JD Vance and CMS Administrator Dr. Mehmet Oz held a live public conference discussing federal actions underway to address Medicaid fraud, including concerns related to Durable Medical Equipment (DME) and improper billing. The focus was on strengthening oversight, increasing accountability, and protecting Medicaid resources for patients who truly need care.

Continued federal attention on Medicaid and DME fraud reinforces the importance of medical necessity, accurate documentation, and ethical billing practices across Home Care, Home Health, and Hospice.

Mac Legacy assists teams by reviewing documentation and compliance plans for accuracy and completeness, helping to ensure compliance with Medicare/Medicaid requirements, and supporting high quality, defensible patient care.

Learn more:
• PBS NewsHour – Watch the conference:
https://www.pbs.org/newshour/politics/watch-vance-says-administration-is-pausing-some-medicaid-funding-to-minnesota-over-fraud-concerns
• C SPAN – VP Vance & CMS Administrator Dr. Oz event:
https://www.c-span.org/program/public-affairs-event/vice-president-vance-and-cms-admin-dr-mehmet-oz-hold-event-on-medicare-fraud/674086
• HHS Office of Inspector General – Fraud Prevention:
https://oig.hhs.gov/fraud/
• CMS Program Integrity:
https://www.cms.gov/medicare/medicaid-coordination/center-program-integrity

Contact Us - mailto:info@mac-legacy.com

02/26/2026

Preparation Meets Peace of Mind
Navigating the ever-evolving landscape of home health and hospice regulations can be overwhelming, but it doesn’t have to be. At MAC Legacy, we specialize in turning complexity into clarity with our industry-leading Mock Survey Consulting Services.
Whether you're preparing for CHAP, ACHC, or a state survey or simply want peace of mind, our consultants bring decades of hands-on experience to help your agency shine under scrutiny.

Why Choose MAC Legacy?
• 30+ Years of Expertise
• ACHC & CHAP Certified Consultants
• Tailored Support: We don’t just audit—we partner with you. Every mock survey is customized to your agency’s structure, accreditation, and goals.
• Comprehensive Readiness Review: From licensure and infection control to emergency preparedness and quality improvement plans, we cover it all.
• Actionable Results: You’ll receive a detailed audit summary, a prioritized list of recommendations, and optional follow-up training to close the loop.

What’s Included in a Mock Survey?
• On-site or remote survey simulation
• Review of compliance with federal, state, and accrediting body standards
• Chart audits, staff interviews, and policy evaluations
• Risk identification and corrective action planning
• Final report with findings and improvement roadmap

Whether you’re a seasoned provider or new to accreditation, our Mock Survey services are your agency’s best defense against surprises.

Ready to get started? Schedule your Mock Survey with MAC Legacy today and ensure your survey is what you expect!

Get Started - mailto:info@mac-legacy.com

02/26/2026

New episode out today!
This week on 50% with Marcylle Combs, she is joined by Kelsey L. Green, a digital minimalist, strategist, speaker, and community builder who helps people reclaim their focus, creativity, and real-life connection.
With a Master of Science in GeoSciences from the University of Edinburgh and a background spanning conservation, public advocacy, entrepreneurship, and communications strategy, Kelsey brings a powerful systems-thinking lens to how our digital habits shape our nervous systems, our relationships, and our sense of fulfillment.
In this conversation, we talk about digital minimalism, boundaries that actually work, and why so much of “the good stuff” in life still happens face-to-face. Kelsey shares how community, accountability, and intentional presence can help us stop stalling, and start building lives that truly light us up.

Listen to the episode now and get inspired to quiet the noise and reconnect with what matters most. -
https://www.marcyllecombs.com/podcast

Actionable challenge:
Today, choose one small boundary with your phone—leave it in another room for an hour, turn off one notification, or plan a screen-free coffee with someone you care about—and notice what opens up when you do.

02/25/2026

We’re excited to be speaking at a couple of upcoming industry events:
March 2, 2026 | ACHCU Academy
Chris Gallarneau – Under the Surface: Recognizing and Responding to Workplace Violence in Home Care
Lisa McClammy – Achieving Excellence with Quality Assessment Performance Improvement (QAPI)

March 6, 2026 | Texas New Mexico Hospice & Palliative Care Organization
44th Annual Conference
Chris Gallarneau – From Hire to Heart: Sustaining Mission‑Driven Teams Across Generations
Brenda Beggs and Chris Gallarneau will be exhibiting!

Hope to see you there as we share practical, real‑world insights on compliance, quality, and revenue protection.

02/25/2026

Leadership Lesson: Friendship Management

One of the biggest myths in leadership is that friendship and professionalism can’t coexist. In reality, healthy workplaces are built on well‑managed friendships.
I’ve learned that strong working relationships are grounded in three pillars:
Honor – choosing respect in every interaction
Humility – listening, learning, and growing together
Honesty – having real conversations with clarity and care

When we lead with intention and seek to truly know our coworkers, we create stronger teams, healthier cultures, and better results for everyone.

Reflection: What’s one thing you could learn about a coworker this week that might help you both work more effectively?

These lessons inspired my book, "Never" Hire Your Friends, and they’re coming to life in the MAC Legacy Leadership Series launching in 2026 a limited, practical experience for leaders ready to grow.
If this resonates, trust that instinct and join the waiting list.

Contact Us - mailto:info@mac-legacy.com
"Never" Hire Your Friends Book -
https://tinyurl.com/58ks9en3

02/24/2026

Under PDGM, accurate home health coding directly impacts reimbursement, and MAC Legacy’s legacy coding services help ensure you’re paid appropriately for the care you deliver.

Our experienced coders focus on:
• PDGM allowable primary diagnoses to prevent RTPs and payment delays
• Accurate clinical grouping assignment based on CMS guidelines
• Comprehensive, supported secondary diagnoses to maximize comorbidity adjustments

Poor or nonspecific coding can lead to denied claims, missed revenue, and compliance risk. MAC Legacy helps agencies reduce those risks by aligning coding with provider documentation and PDGM requirements.

Let MAC Legacy help you code with confidence.

Contact Us - mailto:info@mac-legacy.com

02/23/2026

At MAC Legacy, we believe regulatory compliance and operational excellence are built the same way: through preparation, accuracy, and proactive oversight, not last minute reactions.

We support Home Health, Hospice, and Homecare providers with comprehensive services designed to strengthen compliance and survey readiness, including:
• Regulatory and operational consulting
• Coding
• Value-Based Purchasing (VBP) education and performance support
• OASIS review to improve accuracy, outcomes, and reimbursement
• Mock surveys to identify gaps before regulators do
• Due diligence support for acquisitions, mergers, and transitions
• Audit preparation and ongoing audit support

Sustained success in today’s regulatory environment requires more than meeting minimum standards—it requires systems, documentation, and processes that consistently withstand review.

This National Tootsie Roll Day, consider an important question: Is your organization’s compliance program built to last? MAC Legacy Consulting partners with providers to reduce risk, improve performance, and protect the legacy you’ve worked hard to build.

Contact Us - mailto:info@mac-legacy.com

02/20/2026

Home service professionals deliver care where patients are most comfortable, in their homes. While this setting supports patient-centered care, it also presents unique and often unseen safety risks for clinicians and caregivers.

Workplace violence is not rare in home-based care, and it is frequently underreported.

Research shows that up to 65 percent of home health workers experience emotional or verbal abuse, while 27 to 41 percent report physical or sexual violence during home visits. Patients, family members, and others present in the home are the most common sources of aggression. Many incidents go unreported because workers feel the behavior is simply part of the job or believe that reporting will not lead to meaningful change.

These risks exist within a broader healthcare context. According to the U.S. Bureau of Labor Statistics, healthcare and social assistance workers experience the highest rate of nonfatal workplace violence injuries of any private industry, at 14.2 cases per 10,000 workers. This rate is nearly five times higher than the overall private industry average.

Read full article -
https://www.askmaclegacy.com/workplace-safety-and-violence-prevention/

02/19/2026

On this week's episode of 50% with Marcylle Combs, she speaks with Dr. Nelva Lee.

Dr. Nelva Lee shares her journey from healthcare administration to running for Georgia Superintendent of Schools. With over 30 years of experience, she emphasizes the importance of education reform and the need for a system that works for every child, regardless of their background or learning abilities. Dr. Lee discusses her personal experiences as a mother of three, including her advocacy for children with learning disabilities and her commitment to ensuring that all students have access to quality education. She also highlights the significance of vocational training and the need for a shift in how we approach education, advocating for a system that empowers students to pursue their passions and prepares them for the workforce.

Listen to her episode today -
https://www.marcyllecombs.com/podcast

02/19/2026

As we begin a new year, agencies across the country continue to face increasing scrutiny, denials, and complex medical review activity. At MAC Legacy, medical appeals are not new to us, they are a core area of expertise built on decades of provider and consulting experience. Our team has successfully supported agencies through ADRs, UPICs, TPE, and complex medical review processes by combining strong clinical insight, regulatory knowledge, and clear, defensible documentation strategies.

We don’t just respond to denials, we help you understand the “why,” strengthen processes, and reduce risk moving forward. As you plan for 2026, now is the time to ensure you have experienced support ready when challenges arise. Our team is here to partner with you, advocate for your agency, and help protect the care you provide.

Request Medical Appeal Support - mailto:info@mac-legacy.com

02/18/2026

We had the honor of speaking today at the Texas Association for Home Care & Hospice Winter Conference alongside an incredible group of leaders. A special thank‑you to out MAC Legacy Speakers Marcylle Combs, Chris Gallarneau, and Lisa McClammy for sharing their expertise and insight with attendees.

Their sessions addressed some of the most important topics facing the home care and hospice community today:
Marcylle Combs – Keynote: Leadership Resilience in Times of Change: Thriving Amid Uncertainty
Chris Gallarneau – Hospice Clues: What’s Next in Quality and Compliance
Lisa McClammy – The FY2026 Home Health Final Rule: Quality Counts—HHQRP, CAHPS Evolution & HHVBP Changes

Missed us today? No worries we’ll be in the booth tomorrow, so if you’re attending the conference, be sure to stop by and connect with our team. Not attending? Email us at info@mac-legacy.com to continue the conversation and we’d love to connect.

Address

2800 Shoreline Drive, Suite 105
Denton, TX
76210

Website

http://www.askmaclegacy.com/

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