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Category: Compliance

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 →

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 →

Be Ready To Pounce On Institutional Billing Details

  • By Sandy McCleve
  • November 28, 2018
  • No Comments

Pointer: Start checking HETS reports for hospital billing ASAP. Not only does the new case mix factor on institutional versus community admission source complicate reimbursement levels, it also complicates the billing … Continue Reading →

Medicare Cost Report: What is it?

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

All Medicare certified institutional providers are required file an annual cost report to their respective Medicare Administrative Contract (“MAC”). But what is a Medicare cost report and what is the … Continue Reading →

Find Out Changes Medicare Made To MCReF System Based On User Feedback

  • By Sandy McCleve
  • October 19, 2018
  • 1 Comment

Learn how to use the new Medicare Cost Report e-Filing (MCReF) system. The session will offer a detailed overview as well as changes made based on user feedback, the Centers for Medicare … Continue Reading →

Compliance: No More Patient Rights Verbal Notice, If Rule Finalized

  • By Sandy McCleve
  • October 3, 2018
  • No Comments

Change would save HHAs $55 million per year, CMS estimates. A new Home Health Condition of Participation requirement may get cut, thanks to the Trump administration’s efforts to reduce regulatory burden for providers. … Continue Reading →

Survey & Certification: Proposed Regulatory Relief Won’t Go Very Far For HHAs

  • By Sandy McCleve
  • October 2, 2018
  • No Comments

Patients over Paperwork initiative results in some small — very small — proposed changes. A dab of regulatory relief is better than none at all — or is it? 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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