Billing privileges begin at enrollment — and a lapse turns delivered care into unbillable visits.

What changes when we work the case:

• A clean PECOS record that survives revalidation. Ownership, managing-employee, and reassignment data reconciled and current — so a revalidation cycle never deactivates billing.
• Enrollment approved without avoidable rework. Applications built right the first time — correct forms, ownership disclosures, supporting documents — to clear contractor review without development requests that stall billing.
• Revalidation deadlines that never lapse. Every provider and reassignment tracked to its due date, with submissions filed ahead of deactivation.
• CHOW transactions structured to survive review. Change-of-ownership filings built to hold under the active moratorium, with billing continuity protected through the transition.
• Payer enrollment that keeps pace with Medicare. Commercial and Medicaid managed-care participation and re-credentialing aligned to the same clean record.

Enrollment has become enforcement’s front door. CMS imposed a nationwide six-month moratorium on new home-health and hospice Medicare enrollment on May 13, 2026 (FR Doc. 2026-09717), restricting certain changes in majority ownership with it — and a separate DMEPOS supplier moratorium has run since February 27, 2026 (91 FR 9855). For everyone already enrolled, revalidations and accurate PECOS data are what keep billing privileges alive: a missed deadline deactivates billing and converts delivered care into write-offs.

The throughline: enrollment, revalidation, and CHOW timing are now strategic decisions made against an active integrity regime — not administrative tasks.

Can you still enroll a new home health or hospice agency under the moratorium?

The nationwide moratorium freezes new Medicare enrollment for home health and hospice and restricts certain majority-ownership changes. We assess where your situation falls, structure what can move now, and stage the rest so you’re filing-ready the day it lifts.

A revalidation deadline is close — or already missed. What now?

Case file open immediately. We reconcile the PECOS record, build the submission, and file ahead of the deadline; if billing has already deactivated, we work the reactivation and document the gap.

Can you structure a change of ownership (CHOW) that survives review?

Yes. We structure and file CHOW transactions to hold under current ownership-change restrictions, and protect billing continuity so delivered care keeps getting paid through the transition.

What does this cost?

Enrollment work scoped to entity and provider count; revalidation and CHOW scoped to the transaction. Scoping memo in week one before any meaningful commitment.

How quickly can you start?

Standard intake within five business days. Time-sensitive revalidations and deactivations, faster.