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• How weak processes, outdated technology, and lack of education create dangerous blind spots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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The 2026 Home Health Final Rule is late—but the impact is already here. In this episode, Melissa Brown (COO) sits down with Devin Kassi, Gravity’s VP of Home Health Operations, to break down what agencies should be doing right now to prepare for payment cuts, VBP changes, and rising operational demands.

Together they unpack:

• What a 3–6% payment reduction really means for agency sustainability
• Why your EMR might be costing you more than it’s saving you
• How AI-driven clean claims, documentation support, and automated intake can reduce labor needs and boost margins
• The organizational restructuring every agency should be evaluating before 2026
• How to prepare for the proposed Value-Based Purchasing changes—especially new OASIS measures for bathing and dressing
• Why recurring training, ongoing Oasis auditing, and external quality support are now essential
• Practical, actionable steps to future-proof your operations before the Final Rule arrives

This is Part 1 of a two-part conversation designed to give home health leaders a roadmap for navigating reimbursement cuts without compromising care or burning out their teams.

Because in today’s environment, survival isn't about what you know—it's about how fast you can adapt.

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As more states transition to PDPM for Medicaid, therapy is no longer the primary driver of case mix index (CMI). So where do providers turn next?

In this episode, Melissa Brown, COO of Gravity Healthcare Consulting, sits down with Dr. Rehan Shah, nephrologist and co-founder of CardioRenal Vision (CRV), to explore how cardiology, nephrology, and pulmonology services can transform PDPM Medicaid outcomes.

Together, they discuss:

• Why therapy-driven CMIs are declining under PDPM Medicaid
• How specialty physician programs improve documentation, acuity capture, and reimbursement accuracy
• The power of on-site care models—from dialysis to respiratory therapy—to reduce hospitalizations and boost CMI
• Practical steps for aligning physicians, MDS coordinators, and facility leadership

If your organization is preparing for PDPM Medicaid—or already navigating the transition—this episode offers actionable insights to help you strengthen performance, accuracy, and margins under the new model.

🎧 Hosted by: Melissa Brown, COO, Gravity Healthcare Consulting
📍 Guest: Dr. Rehan Shah, Co-Founder, CardioRenal Vision

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