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Month: June 2018

Finance: Majority Of Cost Reports Would Fail New Edits, CMS Analysis Finds

  • By Sandy McCleve
  • June 15, 2018
  • No Comments

  Keep long-term impact of expanded Level 1 edits in mind, experts urge. Chances are you need to shore up your cost reporting practices to avoid failing newly announced Level … Continue Reading →

Reimbursement: Hospices To See 1.8% Pay Bump Starting In October

  • By Sandy McCleve
  • June 14, 2018
  • No Comments

Don’t write down next year’s budget in pen yet. Depending on whether you see the glass half full or half empty, Medicare’s modest pay increase proposal for next year is … Continue Reading →

Medical Review: Revise Your Thinking On TPE Rounds

  • By Sandy McCleve
  • June 11, 2018
  • No Comments

Round timing is provider-specific under new initiative. Getting a clear picture of the Targeted Probe & Educate program’s impact on the home care industry is complicated by “round” confusion. Old … Continue Reading →

Compliance: Use These 7 Tips To Protect Your Claims Against TPE Denials

  • By Sandy McCleve
  • June 8, 2018
  • No Comments

Ignoring ADRs pretty much guarantees more review, expert warns. The consequences for not performing well under Targeted Probe & Educate review can be harsh — and eventually fatal to your … Continue Reading →

Targeted Probe & Educate: Nearly 1/3 Of Claims Fail Palmetto TPE Review So Far

  • By Sandy McCleve
  • June 7, 2018
  • No Comments

Plan of Care denials top Palmetto GBA’s list. Another HHH MAC has released preliminary Targeted Probe & Educate review results, and they again bode ill for home health agencies. HHH … Continue Reading →

Reimbursement: Face-To-Face Problems Drive PCR Troubles

  • By Sandy McCleve
  • June 6, 2018
  • No Comments

Postpayment review limits your documentation improvement options. Don’t expect the changes in the Pre-Claim Review program to significantly ease the program’s burden. Many problems continue to accompany the proposed demonstration … Continue Reading →

Pre-Claim Review: It’s Baaaack — CMS Re-Proposes Home Health Pre-Claim Review

  • By Sandy McCleve
  • June 5, 2018
  • No Comments

Know these 3 crucial differences between the old and new PCR program. Just when you thought Pre-Claim Review was in your rearview mirror, Medicare has put the reviled prepayment review … Continue Reading →

Human Resources: Phrase Your Employee Feedback Constructively

  • By Sandy McCleve
  • June 4, 2018
  • No Comments

Watch out for this common supervisory mistake when furnishing staff criticism. Your employees look to you for constructive ways to improve their performance. Avoid the temptation to spout what management … Continue Reading →

HIPAA: Closing Your Agency’s Doors Won’t Close Out Your HIPAA Responsibilities

  • By Sandy McCleve
  • June 1, 2018
  • No Comments

Warning: Proper disposal of Protected Health Information is an OCR hot spot. Ensuring the safety of your patients’ protected health information on your computers, networks, and mobile devices is important. … 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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