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Artwork for Hospice Insights: The Law and Beyond

Hospice Insights: The Law and Beyond

Bryan Nowicki
Hospice
Medicare
CMS
False Claims Act
Face-To-Face Attestation
Provisional Period Of Enhanced Oversight (PPEO)
Hospice Final Rule
Palliative Care
General Inpatient Care (GIP)
60-Day Repayment Rule
Telehealth
Centers For Medicare & Medicaid Services (CMS)
Mettle Health
Fraud and Abuse
Artificial Intelligence
Center For Program Integrity
Waiver Of Liability
Nursing Home Reform Act
Hospice Care
Telemedicine

Tune in to Husch Blackwell’s hospice podcast with Bryan Nowicki for conversations with industry innovators and fundamentals for navigating hospice law. In our commitment to monitoring updates and fostering learning, each episode delivers essential information clients need for best solutions in this changing healthcare sector.

PublishesTwice monthlyEpisodes148Founded6 years ago
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BusinessHealth & FitnessEntrepreneurship

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Artwork for Hospice Insights: The Law and Beyond

Latest Episodes

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... more

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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... more

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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 ... more

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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 Decem... more

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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 episod... more

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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 PPE... more

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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 ch... more

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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 Sums... more

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Recent Guests

Meg Pekarske
Hospice advocate and retiring attorney who led hospice practice
Husch Blackwell
Episode: Endings and Beginnings: Reflections on Meg Pekarske’s 25+ Years as a Hospice Advocate
Sonya Dolan
Co-founder of Mettle Health
Mettle Health
Episode: Reimagining How We Navigate Change and Loss: A Conversation with Sonya Dolan and Bridget Sumser of Mettle Health
Bridget Sumser
Director of Counseling and Programs at Mettle Health
Mettle Health
Episode: Reimagining How We Navigate Change and Loss: A Conversation with Sonya Dolan and Bridget Sumser of Mettle Health
Bethany Snider
Chief Medical Officer, Hosparus Health
Hosparus Health
Episode: Making Palliative Care a Win-Win-Win: A Conversation with Dr. Bethany Snider, Chief Medical Officer, Hosparus Health

Hosts

Bryan Nowicki
Host of Hospice Insights: The Law and Beyond
Meg
Host of Hospice Insights: The Law and Beyond

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Talking Points

Recent interactions between the hosts and their guests.

The New 60-Day Repayment Rule: What’s New? What’s the Same? What Does It Mean?
Q: How does the new rule affect the investigation timeline and related overpayments?
There is an initial 60-day repayment window to repay once the overpayment is identified, plus an extended investigation period of up to 180 days for related overpayments, after which the remaining 60 days to repay may apply if applicable.
The New 60-Day Repayment Rule: What’s New? What’s the Same? What Does It Mean?
Q: What has changed in the 60-day repayment rule and how does the identification standard work now?
The identification standard has shifted from a negligence-based trigger to a knowledge-based standard, requiring actual knowledge, reckless disregard, or deliberate ignorance of the overpayment, thereby tightening when the repayment obligation applies.
Endings and Beginnings: Reflections on Meg Pekarske’s 25+ Years as a Hospice Advocate
Q: How did you approach building a growing hospice practice and leading a team that could handle complex regulatory environments?
It required letting go of being the sole doer, growing a corporate presence, investing in team skills, and maintaining strong values and finances to weather audits and changes with a steady hand.
Endings and Beginnings: Reflections on Meg Pekarske’s 25+ Years as a Hospice Advocate
Q: What have you learned as keys to success for hospices and hospice leaders over the years?
Success comes from focusing on community needs, staying mission-driven, and building a reflective leadership approach rather than chasing the latest trend, with an emphasis on authentic mentorship and a capable, diverse team.
Let’s Face (to Face) It: Important Changes to Hospice Face-to-Face Attestation Requirements and Other Tidbits from the 2026 Hospice Final Rule
Q: What is the change and why is it helpful?
The final rule allows providers to satisfy the face-to-face attestation by referencing an existing signed and dated clinical note that already documents the visit details, rather than requiring a separate attestation form, thereby reducing redundancy and administrative burden.

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Frequently Asked Questions About Hospice Insights: The Law and Beyond

What is Hospice Insights: The Law and Beyond about and what kind of topics does it cover?

A practitioner-focused take on hospice and home-health law, compliance, governance, and care-model innovation. Episodes center on practical tools for staying compliant, navigating CMS rules, and building sustainable hospice programs, often featuring healthcare-legal experts, operators, and governance professionals who share actionable templates, checklists, and case stories. Notable throughlines include regulatory updates (Medicare, CMS rules, audits), strategic growth in the hospice ecosystem (LLCs, affiliations, governance), and the integration of technology—from telemedicine to AI tools—to improve care delivery while maintaining human-centered service. The format tends to mix legal insight with real-world operational guidance, making it ... more

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Hospice Insights: The Law and Beyond launched 6 years ago and published 148 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Hospice Insights: The Law and Beyond?

Recent guests on Hospice Insights: The Law and Beyond include:

1. Meg Pekarske
2. Sonya Dolan
3. Bridget Sumser
4. Bethany Snider

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