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Category: Home Health

Reimbursement: CMS Hangs Onto Behavioral Assumption Adjustment Cuts, Despite Industry Outcry

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

Industry needs Congress’ help. While the Patient-Driven Groupings Model is supposed to be a budget-neutral reform to how Medicare pays home health agencies, in realityproviders will see a big cut in transitioning … Continue Reading →

2019 Rate Increase Largest In More Than A Decade

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

Plus: Outlier formula tweak will make them a little easier to obtain. Not surprisingly, home health agencies are consumed with the details of the payment reform model included in the … 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 →

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 →

Managed Care: Watch For Business Opportunities As Medicare Allows MA Plans To Cover Aide Services

  • By Sandy McCleve
  • April 10, 2018
  • No Comments

Key: Help show that aide services will ‘reduce avoidable emergency and healthcare utilization.’ Exactly how much a new broadening of the Medicare Advantage benefit rules will affect home care providers … Continue Reading →

Industry Note: Double-Check Who Is Signing Your Cost Reports

  • By Sandy McCleve
  • April 6, 2018
  • No Comments

Some newly announced changes for home health agency cost reports may alter how you submit them. Transmittal 18, issued by the Centers for Medicare & Medicaid Services last month, updates Chapter 32, Home … Continue Reading →

Know Your Facts: Number Of HHAs, Episodes Fell In 2016

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

Drop in agencies occurred in fraud-prone areas, MedPAC says. Law- and policymakers are basing their decisions on facts and figures the Medicare Payment Advisory Commission provides in its annual report to Congress. … 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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