Hospice providers are no strangers to sensitive patient situations, but a subpoena or other third-party request for patient records can quickly raise complex legal and compliance challenges. In this episode, Husch Blackwell’s Bryan Nowicki and Taylor Crossley provide a practical roadmap for navigating those requests. They discuss the HIPAA framework governing legal process disclosures, the types of demands hospice providers often encounter, and how state privacy laws can affect the analysis—and offer guidance for avoiding common compliance pitfalls when responding to requests for patient information.

CMS revised the Medicare 60-Day Repayment Rule, changing how overpayments are identified. In this episode, Husch Blackwell’s Bryan Nowicki and Andrew Brenton analyze this change and how it affects the time frames applicable to internal investigations and repayment obligations. They also introduce a handy one-page summary of key deadlines.

Additional resources:

60-Day Repayment Rule

In hospice and home health, certain compliance problems can have a big impact on the organization’s bottom line—and ability to keep operating. Even seemingly minor issues can affect whether the organization will be fully paid for services it provided, subject to financial penalties, or even barred from participating in a payment program. To help home health agencies and hospices spot and prevent these problems, Husch Blackwell has created checklists of top compliance issues for hospice and home health, plus template spreadsheets for prioritizing and addressing each. In this episode, Husch Blackwell’s Bryan Nowicki, Andrew Brenton, and Josi Wergin discuss these tools and how you can use them.

Get the Hospice and Home Health Compliance Checklists

Hospice providers remain under heavy scrutiny, with prepayment audit and other audit activity on the rise. Unified Program Integrity Contractors (UPICs) historically conducted post-payment reviews. However, over the last six months, they have joined Medicare Administrative Contractors in reviewing claims on a prepayment basis. In this episode, Husch Blackwell’s Bryan Nowicki and Zaina Niles discuss this new type of UPIC audit and what your hospice can expect if a UPIC picks you.

Since September 2024, CMS’s Medicare Administrative Contractors have been conducting expanded prepayment reviews (also known as “EPRs” or targeted high-risk reviews) of existing hospice providers in Arizona, California, Nevada, and Texas. As of December 2025, hospices in Georgia and Ohio are also under the microscope. In this episode, Husch Blackwell attorneys Bryan Nowicki and Zaina Niles discuss how hospices can differentiate between EPRs and other audit types. You’ll also learn what to expect throughout the EPR process and strategies to overcome claim denials and other possible EPR consequences.

Since July 13, 2023, CMS has applied a Provisional Period of Enhanced Oversight (PPEO) to “new” hospice providers in Arizona, California, Nevada, and Texas. On December 30, 2025, CMS announced it was expanding PPEO to Georgia and Ohio. In this episode, Husch Blackwell attorneys Bryan Nowicki and Adam Royal discuss how these changes impact new (and not-so-new) hospice providers.

In this episode, Husch Blackwell’s Claire Postman joins host Bryan Nowicki to discuss CMS’s provisional period of enhanced oversight (PPEO) program that has now expanded to six states. From the basics to the fallout, they unpack who is subject to PPEO, what it involves, and how to avoid and handle the worst-case consequences of a PPEO gone awry.

Meg Pekarske has dedicated her professional life to the hospice community. In this episode, Bryan Nowicki interviews her about her years as a hospice attorney. Meg reflects on the characteristics of successful hospices and hospice leaders, current challenges, and why hospices should have hope for the future.

Welcome to a very special podcast! It’s special for many reasons. First, as a longtime admirer of Mettle Health’s visionary work supporting people through change and loss, Meg Pekarske was elated when co-founder Sonya Dolan and counselor Bridget Sumser said yes to being on the podcast. Second, a discussion of how we face endings seems fitting for Meg’s last episode as host of the Hospice Insights podcast. 

Endings, whether a result of a diagnosis, aging, or other life changes, raise big questions related to identity, purpose, and meaning. Mettle Health offers emotional accompaniment for patients and caregivers working through not only the existential but practical questions brought about by illness, disability, and aging. The organization fills an essential gap left in our fragmented healthcare system. 

In this passionate and compassionate conversation, we explore how Mettle Health’s unique model of care works, the advantages and challenges of running a largely “direct to consumer” healthcare business, how generational shifts may impact how we confront the challenges of serious illness in the future, the role and limits of technology in providing meaningful support and much more. 

We’re confident the Hospice Insights podcast will live on in the capable hands of longtime colleague and frequent guest Bryan Nowicki. He will do an outstanding job, and Meg will still be around and looks forward to being a guest a time or two. She started this podcast more than six years ago as a way to connect and provide support to our colleagues and partners. Thanks as always for your loyal support! 

For more information on the innovative work of Mettle Health, check out their website. 

A common referral scenario involves hospital clinicians referring a dying patient to hospice. This circumstance gives rise to questions relating to hospice eligibility, the appropriate level of hospice care, and the expectation of the patient and the hospital. In this episode, Husch Blackwell’s Meg Pekarske and Bryan Nowicki address these questions and provide insights into effectively managing this situation.

Additional resources:

Medicare Benefit Policy Manual Chapter 9 Excerpt - General Inpatient Care