The 2026 Home Health Final Rule: Fraud, Compliance, and What Agencies Must Fix Now

As home health agencies prepare for 2026, CMS is turning up the heat on fraud, compliance, and enforcement—and the consequences are more serious than ever.

In this episode of Gravity Healthcare Hacks, host Melissa Brown, COO of Gravity Healthcare Consulting, is joined by Devin Kassi, VP of Home Health Operations, for a critical follow-up discussion on the Home Health Final Rule. This time, they dive deep into Medicare’s expanded authority around fraud investigations, retroactive payment recoupment, and why even unintentional missteps can put agencies at risk.

Melissa and Devin unpack:

• How CMS is redefining and enforcing fraud
• Why documentation errors can trigger massive repayment demands
• The growing importance of homebound status documentation
• How weak processes, outdated technology, and lack of education create dangerous blind spots
• What agencies must do now to protect themselves and remain viable

This conversation is a must-listen for home health leaders—especially smaller and single-location agencies—who want to understand what’s coming and how to adapt before it’s too late.

Because in today’s regulatory environment, doing nothing is the biggest risk of all.

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