Key compliance focus areas for 2026 reviews include:

• Medicare payments to related parties (SNFs)
• PDPM billing accuracy
• Medicare Part B billing during Part A stays
• Medicaid supplemental payments
• Medicare Part D drug responsibility during Part A stays
• Potentially preventable hospitalizations
• Employee background checks
• Infection prevention and control
• Reported falls accuracy
• Staffing hours
• Emergency power systems
• Accurate reporting
• Antipsychotic medication use

Proactive compliance reviews help reduce risk and support strong, consistent operations.