"It is not a transparency tool, it is a targeting system."

On April 2, 2026, CMS released the FY 2027 Hospice Proposed Rule, and the message is clear: the days of flying under the radar are over. While many are focusing on the 2.4% payment increase, Tom Maxwell reveals why that "raise" is actually just a break even point against inflation.. More importantly, he explains why the new SSVI (Service and Spending Variation Index) is the real story you need to be watching.

In this episode, we connect the dots between the new 16 point "report card" and "Operation Never Say Die", which was the FBI’s massive fraud takedown that landed the same week as this rule. If your hospice scores high on the SSVI, you aren't just getting a grade; you’re getting a target on your back for audits and revocations.

What you’ll learn in this breakdown:

• The 16 Point Grading Scale: Learn why Measure 9 (non hospice spending) carries half the total weight and how to audit your patterns before CMS does.
• The FBI Factor: Understand the details behind the $60 million fraud scheme in LA and why CMS is expanding oversight to Georgia, Ohio, Arizona, and beyond.
• The "Red X" Penalty: See how failing to submit quality data in 2026 will lead to a public non compliance icon on Medicare.gov by 2028.
• October 2026 Deadlines: Discover the mandatory workflow changes you must implement for the new Election Statement Addendum.

Chapters:

• 00:00 Overview of the 2027 Hospice Proposed Rule
• 02:47 Payment Increase and Its Implications
• 05:15 Introduction of the SSVI Report Card
• 08:13 Impact of Fraud and Enforcement Actions
• 10:38 Operational Changes and Compliance Requirements
• 13:30 Preparing for Future Changes and Public Comments
• 16:31 Outro

Don't wait for the final rule in August to start adjusting your intake and clinical documentation. Watch now to learn how to protect your PTN and keep your hospice out of the "DANGER ZONE."

Get Involved:

• The public comment period is open until June 1, 2026. Tom shares how you can collaborate with Maxwell TEC and your peers to impact the final ruling.

Connect with Tom Maxwell:

• Email: [email protected]
• Podcast Website: www.lastvisitfirst.com

Connect with Maxwell TEC:

• Website: www.maxwelltec.com
• Email: [email protected]

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