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Author: Sandy McCleve

Sandy McCleve is the Principal 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.

Cap Sequestration Math May Be Hard To Beat

  • By Sandy McCleve
  • March 8, 2019
  • No Comments

Should under- and over-cap hospices be treated the same? Hospices may have a tough time fighting Medicare’s cap calculation in court, experts agree. “This decision does not help those hospices that have … Continue Reading →

Mind Hospice Cap Deadline

  • By Sandy McCleve
  • January 11, 2019
  • No Comments

If you don’t submit your self-determined hospice cap report to CGS by the Feb. 28 deadline, the Medicare Administrative Contractor will start withholding your reimbursement March 7, the MAC warns in … Continue Reading →

Take These 10 Steps To Prepare For PDGM Before It Rocks Your World

  • By Sandy McCleve
  • January 11, 2019
  • No Comments

Don’t let paradigm-shifting payment reform put you at risk next year. A year from now, you’ll be a few weeks into a radically revised payment system. To survive and thrive … Continue Reading →

HOSPICE CAP REPORTING: ARE YOU PREPARED TO FILE

  • By Sandy McCleve
  • January 9, 2019
  • 1 Comment

As you know, as published in the Federal Register on August 22, 2014, CMS released the new requirements for hospice cap reporting and overpayment remittances.  Effective for the Cap year … Continue Reading →

Hospice Cap Procrastination Could Cost You

  • By Sandy McCleve
  • January 8, 2019
  • No Comments

If you’ve never accessed your own PS&R data to calculate your self-reported hospice cap, you’d better get moving. “Providers will be required to obtain their own PS&R data in order to … Continue Reading →

Take These Steps To Combat TPE

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

Don’t forget about appeals. Home health agencies affected by Targeted Probe and Educate review, or those just wanting to stay off the TPE radar, should focus on the program’s top … Continue Reading →

New Hospice Compare Measure Goes Live In November Update

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

Plus: Watch for your next Compare preview report in early December. A big change to how potential patients and referral sources view your quality data is imminent. The Centers for Medicare … Continue Reading →

Beware These Gift-Giving Taboos At Holiday Time

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

Remember, Medicare is a whole different world when it comes to gifting to your associates. Giving gifts to those you work with may seem like a natural way to share … Continue Reading →

New Hospice Compare Measure Debuts This Month

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

Plus: New preview reports will be here soon. Will you be thankful for the new measure Medicare has added to its Hospice Compare website? If you’ve checked out the new … Continue Reading →

Patient-Driven Groupings Model: PDGM’s New Admission Source Factor Could Bust — Or Boost — Your Reimbursement

  • By Sandy McCleve
  • November 29, 2018
  • No Comments

Source of admission might add thousands of dollars to your episode. Whether you sink or swim under the new payment reform model taking effect in January 2020 may depend on … 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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