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Home care can be tricky and you simply can't afford to make mistakes. Through our auditing services, we will provide you with a snapshot of how your agency adds up in each of our specialized auditing areas. Our audit services include a private coaching session with one of our experts explaining the findings. Let MAC Legacy help you find areas for improvement and opportunity.

Our Auditing Services Include:

  • Chart Audit and Review
  • OASIS Audit and Review
  • Therapy Audit and Review
  • ICD-10 Start of Care Coding Audit

Mock Audit and Consulting Services
Today's demands on home health/hospice administrators are greater than ever with Medicare cuts and new protocols. With a comprehensive on-site evaluation of your agency, MAC Legacy can assist in building on your staff's strengths and recognizing your weaknesses through customized training and consulting. Our experienced staff will offer solutions and recommendations that will result in improved quality of care, cost-effective strategies and increased efficiencies.


  • Annual Evaluation
  • Billing/Reimbursement
  • Chart Audits
  • Coding Evaluation & Training
  • Financial Management Analysis
  • OASIS Evaluation & Training
  • Outcomes Based Quality Improvement
  • Performance Improvement Initiatives
  • Productivity Levels
  • Risk Management & Referral Database
  • HIPAA Compliance & Gap Analysis


  • Compliance Plans
  • Executive Placement
  • Personnel Management
  • Policy Implementation
  • Regulatory Training
  • Internal Analysis
  • Productivity Levels
  • Strategic Initiatives

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Under the current reimbursement system, there are no margins for error. MAC Legacy the solution for accurate home care and hospice coding, sequencing, and optimal reimbursement. By partnering with an industry-leading service, your field staff and case managers will have more time to focus on quality patient care and proper documentation. Coding-To-Go gives your agency access to Certified Home Care & Hospice Coding Specialists (HCS-D & HCS-H), who are audited for accuracy.

Benefits of Coding-To-Go:

  • 24 hour turnaround
  • Reduced stress in your office
  • More time for clinicians to focus on other tasks
  • Optimized reimbursement with proper sequencing by certified coders
  • No long-term commitment required; simply pay as you go

How to get started:

  • Contact your MAC Legacy Solutions Consultant
  • Receive and complete your start-up packet
  • Return your start-up packet to begin services with Coding to Go

Additional Service:

  • OASIS Review
  • Star Review

Even if you have dedicated coding staff, chances are your coders will take vacation days, have sick days, and sometimes need back-up support for an influx of new patients or difficult assessments. When that happens, call MAC Legacy for PRN help. Let MAC Legacy help you with all your outsource coding needs!

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Welcome to the FMS Online University!

FMS Online University gives you the opportunity to choose from our ever-expanding online library. Our online education offers flexibility for your field clinicians to have access to education on demand.

FMS online training offers a comprehensive library providing training and education to most disciplines. You can choose online training to review a topic, to investigate a new specialty, or to gain in-depth knowledge. Training is rated by degree of difficulty and some are offered in a series.

Link to FMS University here!

Does the majority of your staff need training? Let FMS come to you. Drawing from decades of experience, our team of experts provide onsite training in a wide variety of subject areas. This customizable education option is as cost-efficient as it is convenient.

FMS offers:

  • Current, cutting-edge training for all your clinical and non-clinical staff
  • Continuing education hours for administrators, nurses, therapists, and social workers
  • Nationally recognized expert instructors who make learning fun
  • Instruction that simplifies complicated and constantly changing industry regulations

Sample topics include:

  • Coding
  • Documentation
  • Home Health Survey Protocols
  • Therapy

Interested in having FMS teach at your site? Ask us how.

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About FMS

It is with great excitement we announce that effective June 1, 2019, the assets of Foundation Management Services were purchased by our previous owner and Founder, Marcylle Combs, MS, RN, BS, CHCE.

Marcylle started her career in home care part time in 1985 as a young nurse with small children. Since that time she has done almost every job in a home care agency as well as serving on committees within the industry as an advocate for both home care and hospice. In 1995 she established FMS to provide outstanding resources and comprehensive training for home care and hospice agencies.

We are excited to release our new business name, MAC Legacy. Even though our name might be changing our same team of experts look forward to providing you with the same high quality services and products which you have been accustomed to over the past 25 years.

Thank you for your loyalty as a customer, we are honored to be your home care and hospice resource. Please don’t hesitate to contact us with any questions.

Mission Statement

MAC Legacy exists to create, develop and promote excellence in home health and hospice leadership and achieve superior results in patient care.

Our Vision:

As we forge ahead each day with a servant heart and a giving spirit, our uniquely talented and well equipped team of experts seek out each task and develops each product with one guiding question:

“How will this decision and these actions create a positive impact for our customers and ultimately their patients?”

Staff & Speakers

Marcylle Combs



Jeremy Combs


Chief Information Officer

Kati Hale


Chief Operations Officer

DeAnn Briscoe


Senior Director of Clinical Education

Nanette Minton


Senior Clinical Coding Manager

Lisa McClammy


Senior Clinical Education Consultant

Mitsy Robison

Education & Services Manager

Jess Sanders

Product & Client Relations Specialist

LeShea Mason

Sales Director

Amy Ross

Education Consultant