Home Health Medicare Audit Defense: Compliance Guide for 2026
CMS's CERT data reported a 6.55% FY 2025 Medicare FFS improper payment rate, totaling $28.83 billion nationally, with TPE, UPIC, and RAC contractors now reviewing home health Medicare compliance simultaneously under different lookback windows and escalation triggers. Medicare audit defense depends on documentation discipline built at the point of care, not the response filed after an ADR or denial arrives.