California Just Changed the Rules for Hospice Documentation. Is Your EMR Ready?

If a CDPH surveyor walked into your agency tomorrow, could your EMR prove compliance with California’s new Title 22 documentation requirements? Most California hospice agencies cannot answer that question with confidence right now. Not because their clinical care is wrong. Because the systems they are running were never built for what California now requires. On […]
The National Hospice Enrollment Moratorium: Why Status Quo Documentation Is Now a Liability

CMS has announced a six-month nationwide moratorium on new Medicare enrollment for hospices and home health agencies. Most headlines are focused on the freeze for new providers. But existing hospice operators should pay attention to the larger message. This is not just an enrollment issue. It is another signal that CMS is tightening program-integrity oversight […]
The SSVI Shift: Is Your Hospice Prepared for Greater Documentation Scrutiny?

How hospice leaders can respond to rising documentation scrutiny with earlier visibility, stronger workflows, and more defensible records. The 2026 regulatory environment is putting hospice documentation under a brighter spotlight. In the FY 2027 hospice proposed rule released on April 2, 2026, CMS introduced the Service and Spending Variation Index, or SSVI, as a new […]
Understanding CMS’s Proposed New Hospice Transparency Measures

CMS’s FY 2027 hospice proposed rule is more than a routine annual payment update. Published in the Federal Register on April 6, 2026, the proposal includes a new Service and Spending Variation Index, or SSVI, a proposal to require the hospice election statement addendum for all Medicare beneficiaries at election, and a proposal to add […]