Regulatory Defense
ADR Extrapolation Methodology: Understanding Statistical Sampling in Hospice Audits
How Medicare contractors calculate extrapolated overpayments and what documentation patterns trigger maximum exposure.
February 2026
8 min readAnalysis of Medicare enforcement trends, documentation defensibility, regulatory architecture, and operational compliance strategy for hospice and post-acute organizations.
How Medicare contractors calculate extrapolated overpayments and what documentation patterns trigger maximum exposure.
Designing quality improvement programs that satisfy regulatory requirements while generating actionable operational insights.
Structural principles for clinical documentation that eliminates ambiguity and creates audit-resistant records.
Proactive frameworks for organizing clinical evidence, billing justification, and regulatory communication.
Analysis of recent enforcement actions, common audit findings, and regulatory priorities affecting hospice organizations.
Methodology for objectively measuring compliance risk across clinical, billing, and operational domains.
Designing oversight systems that provide strategic visibility without creating administrative burden.
Structural analysis of physician certification documentation and audit exposure patterns.
Comprehensive framework for organizations facing revocation proceedings or significant enforcement risk.
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