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Month: April 2018

Quality: How Does Your Live Discharge Rate Stack Up To Your Peers?

  • By Sandy McCleve
  • April 30, 2018
  • No Comments

New quality measure aims to ID discharges followed by hospitalization or death. Concerns about hospices discharging patients alive continue, and a newly proposed quality measure takes aim at the sore … Continue Reading →

Payment: MedPAC Thinks You Don’t Need A Rate Increase

  • By Sandy McCleve
  • April 27, 2018
  • No Comments

LOS is on the rise again. Chances of you getting a decent payment rate increase next year are slimmer, thanks to a recent report from the Medicare Payment Advisory Commission once again … Continue Reading →

Appeals: Weigh New Appeal Options Carefully

  • By Sandy McCleve
  • April 26, 2018
  • No Comments

Your ALJ success rate should factor into your decision, legal experts advise. Don’t forget that the Low-Volume Appeals route isn’t the only way to speed your resolution of Medicare claims … Continue Reading →

Assessment: Take A Closer Look At New GG0170 Items

  • By Sandy McCleve
  • April 25, 2018
  • No Comments

Do your staff understand the difference between ‘Partial/moderate’ and ‘Substantial/maximal’ assistance when scoring mobility? In OASIS-D, the Centers for Medicare & Medicaid Services proposes that clinicians score the following abilities based on this … Continue Reading →

Education: Tip: Stress The Importance Of Avoiding Dashes

  • By Sandy McCleve
  • April 24, 2018
  • No Comments

Now’s the time for clinicians to polish their general OASIS coding skills. With the OASIS-D changes bearing down on home health agencies, providers are ready to take action — but … Continue Reading →

OASIS: Use These 9 Steps To Gain Mastery Over OASIS-D

  • By Sandy McCleve
  • April 23, 2018
  • 1 Comment

23 Tip: Make real-life scenarios part of your staff training. Come January, your reimbursement, outcomes, star ratings, and more will depend on a seriously revamped OASIS tool. Use this expert … Continue Reading →

Assessment: Get Ready For OASIS-D To Shake Up Your World

  • By Sandy McCleve
  • April 20, 2018
  • No Comments

From medical review to star ratings to surveys, expect the revised assessment tool to have a big effect. Don’t let OASIS-D’s impact on a wide variety of your agency’s areas … Continue Reading →

OASIS: Medicare To Drop These 28 Items In OASIS-D

  • By Sandy McCleve
  • April 19, 2018
  • No Comments

Two items will also be deleted only at certain time points. Last year, the Centers for Medicare & Medicaid Services said it was dropping 31 items from OASIS in 2019 totally and … Continue Reading →

Fraud & Abuse: OIG Highlights Home Health Fraud In Latest Report

  • By Sandy McCleve
  • April 18, 2018
  • No Comments

The industry is still living down the Dr. Jacques Roy case. Don’t expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 … Continue Reading →

Regulations: Say Hello To These New OASIS-D Items

  • By Sandy McCleve
  • April 17, 2018
  • No Comments

IMPACT Act-sparked additions are headed your way soon. Focus your attention on the OASIS changes the Centers for Medicare & Medicaid Services has in store for 2019. CMS will add three GG … Continue Reading →

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About Me

Sandy McCleve is the Managing Director at Advantage Healthcare Consulting with nearly a decade of experience as an accounting and tax preparation consultant specifically for healthcare providers.

Sandy has developed proprietary tools and systems that allow Advantage Healthcare Consulting to provide the fastest, most accurate cost reports and truly qualifies him as a specialist in Medicare and Medicaid Cost Reporting for Home Health Care Agencies, Hospice Care Providers, and Skilled Nursing Facilities.

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