Surveys and audits are the two most common enforcement processes in home health and hospice.  Providers are aware of, and strive to be prepared for both, as they can come at any time. When surveys and audits identify non-compliance, providers face a number of significant issues. These range from fines to termination of enrollment and Immediate Jeopardy on the survey side and significant recoupment demand, with potential extrapolation, on the audit side. Providers must be aware of not only the broader requirements under the CoPs and applicable payer guidance, but the more specific areas upon which surveyors and auditors focus.  These focus areas can change or include new ways of applying old standards.  This can lead to unexpected bad outcomes.  This session will review CMS QCOR data to provide insight into areas of surveyor focus in 2021-2022 which will guide agency compliance efforts. We will then shift to audits to identify audit trends.  We will review common reasons for denials and the related documentation standards.  We will also discuss the need for agencies to have a well defined ADR response process to avoid losing money simply due to the failure to respond to auditor requests.