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Month: August 2018

Regulations: Hospices’ Wage Index Arguments Fall On Deaf Ears

  • By Sandy McCleve
  • August 31, 2018
  • No Comments

Medicare holds fast to its volatile wage index system. One significant component affecting your payment rates will continue as usual next year — despite the industry’s frustration with the methodology. … Continue Reading →

Reimbursement: Get Ready For A 1.8% Rate Increase Starting Oct. 1

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

Medicare expects rural New England hospices to see a 3.4 percent positive impact. If you made budget plans based on Medicare’s proposed rule for 2019 hospice payment, they should be … Continue Reading →

Regulations: Hospice PA Change Set To Take Effect Oct. 1

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

PA provision should improve hospice access. It may not go as far as some hospices want, but the welcome Physician Assistant change in the 2019 hospice payment final rule will … Continue Reading →

Hospice: Know Your Options When It Comes To Drug Reporting

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

CMS: Stick with one reporting method. The 2019 hospice payment final rule offers providers some welcome clarifications on the changed drug reporting requirements. Old way: Currently, Medicare requires hospices to report … Continue Reading →

Fraud & Abuse: Intermediate Sanctions, Tougher Medical Review, And More May Be Ahead

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

Prepare for these actions focused on GIP, nursing facility patients, and more. The OIG has issued a fraud-fighting wish list for hospices, and many of the recommendations would make life … Continue Reading →

Referrals: Referral-Limiting Transfer Policy Hits Hospices This Fall

  • By Sandy McCleve
  • August 22, 2018
  • No Comments

Plus: OIG examines HH transfer policy. Activity is up around Medicare’s proration policy for patients who are discharged “early” from the hospital. For hospices, the Bipartisan Budget Act of 2018 … Continue Reading →

Hospice: Know Your New Hospice Billing Ins And Outs

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

System changes ease NOE corrections. It’s essential to stay up to date on Medicare billing guidance, and a recent MLN Matters article shows you why. June 7 MLN Matters article SE18007 reviews changes to … Continue Reading →

Fraud & Abuse: OIG Pushes HHA Surety Bond Requirement — Again

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

Watchdog agency isn’t letting this recommendation go. A major home health agency burden nearly tops the latest list of fraud-fighting recommendations from the HHS Office of Inspector General. In its “2018 … Continue Reading →

Hospice: 1.8% Payment Bump For Hospices Stands In Final Rule

  • By Sandy McCleve
  • August 16, 2018
  • No Comments

Medicare holds fast to its volatile wage index methodology. If you made budget plans based on Medicare’s proposed rule for 2019 hospice payment, they should be right on target. In … Continue Reading →

Finance: Make Cost Report Changes Before It Impacts Your Pay Rates

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

Are you in the nearly 40% of hospices not reporting volunteer services coordination? Medicare is getting serious about hospice cost reporting, and that focus is likely to translate into payment … 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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