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Category: Home Health

Here’s Why Hospice Cost Reports Matter

  • By Sandy McCleve
  • April 29, 2019
  • No Comments

HHAs, pay attention. While Medicare’s proposal to rebalance hospice payment between care levels isn’t exactly a shock, it does underscore why providers — all providers — should complete their cost … Continue Reading →

Take These 6 Steps To Avert RCD Disaster

  • By Sandy McCleve
  • April 5, 2019
  • No Comments

Most agencies will want prepay review. The Review Choice Demonstration will be here in less than two months. Here’s what smart home health agencies will be prioritizing between now and then. 1. … Continue Reading →

Review Choice Demo To Launch June 1 In Illinois

  • By Sandy McCleve
  • April 5, 2019
  • No Comments

Slowed cash flow poised to close more doors. The other shoe is finally dropping for the Review Choice Demonstration — and it may smash home health agencies in RCD states. … Continue Reading →

MedPAC To Congress: Strip $10 Billion From HH Spending

  • By Sandy McCleve
  • March 27, 2019
  • No Comments

Medicare profit margin falls once again to 15.2 percent. On top of PDGM and its nearly 6.5 percent payment rate cut, the Medicare Payment Advisory Commission thinks your reimbursement should be slashed … Continue Reading →

HHAs Cost Less, But SNFs Prevent More Hospitalizations

  • By Sandy McCleve
  • March 19, 2019
  • No Comments

More patients should be discharged home due to comparable outcomes, lower cost, editorial suggests. Home care providers often use their cost effectiveness and ability to prevent rehospitalizations as a selling point and argument for … 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 →

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 →

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 →

Billing: PPS Rule Finalizes First Step Of RAP Elimination

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

New HHAs no longer will receive RAP payments under PDGM. Despite many strident industry comments opposing the elimination of Requests for Anticipated Payments, Medicare has started down that path anyway. … 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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