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Month: September 2018

Finance: New Cost Report Requirement For Chains Takes Effect In October

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

Don’t ignore it just because it’s in the hospital rule. Stay alert to a new cost reporting mandate included in the 2019 hospital inpatient payment rule, if you belong to … Continue Reading →

Hospice: CMS Changes The Channel For Future Hospice Compare Additions

  • By Sandy McCleve
  • September 21, 2018
  • No Comments

Medicare will no longer run new public display of measures through rulemaking. When it comes to approving new quality measures for inclusion on Hospice Compare, Medicare officials are asking hospices … Continue Reading →

Compliance: Look To These 2 Bright Spots In Final IGs

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

Aides’ med administration, verbal order clarifications welcome. While there is a lot to be worried about in the newly released final Interpretive Guidelines for the Home Health Conditions of Participation, … Continue Reading →

Survey & Certification: Beware Aide Competency Testing Under Final IGs

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

Medicare tweaked testing IGs — but not enough. The final Interpretive Guidelines for the Home Health Conditions of Participation contain a little good news and a lot of bad news … Continue Reading →

Industry Note: Keep An Eye Peeled For Your Cap Overpayment Notice

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

The arrival of September may also mean the arrival of your hospice cap repayment notice. Some hospices may have already received a liability statement, but “typically” Medicare Administrative Contractors will begin … Continue Reading →

Medical Review: Try These 5 Tips To TPE Success

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

Do you know the difference between your charge error rate and your claim error rate? Whether you want to avoid Targeted Probe & Educate review or get off TPE once … Continue Reading →

Targeted Probe & Educate: It’s Getting Worse: 91% Bomb TPE So Far

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

One MAC releases new stats about the medical review program. As Targeted Probe & Educate rolls on, home health agencies are increasingly getting flattened by the new medical review program. … Continue Reading →

Regulations: Watch Out For These 2 Survey Hot Spots On Heels Of Final IGs

  • By Sandy McCleve
  • September 13, 2018
  • No Comments

SOC, reprisal IGs could give agencies trouble. Home health agencies have a lot to worry about under the new finalized Interpretive Guidelines. Check out two of the top changes to … Continue Reading →

Survey & Certification: Expect Survey Dial To Turn Up To 11

  • By Sandy McCleve
  • September 12, 2018
  • No Comments

Warning: Learning curve likely steep. Although it may not always feel like it, many states have been enjoying a survey “honeymoon” since the drastically revised Home Health Conditions of Participation … Continue Reading →

Fraud & Abuse: Recent Home Health Fraud Cases Focus On Kickbacks

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

Whistleblower rakes in $2.3 million. Be sure to toe the line in your relationships with institutional referral sources, or you could both get in trouble. Long-term care and rehabilitation hospital … 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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