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Category: Reimbursement

Reimbursement: Get Ready For A 1.8% Rate Increase Starting Oct. 1

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

Medicare expects rural New England hospices to see a 3.4 percent positive impact. If you made budget plans based on Medicare’s proposed rule for 2019 hospice payment, they should be … Continue Reading →

Hospice: Know Your Options When It Comes To Drug Reporting

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

CMS: Stick with one reporting method. The 2019 hospice payment final rule offers providers some welcome clarifications on the changed drug reporting requirements. Old way: Currently, Medicare requires hospices to report … Continue Reading →

Hospice: Know Your New Hospice Billing Ins And Outs

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

System changes ease NOE corrections. It’s essential to stay up to date on Medicare billing guidance, and a recent MLN Matters article shows you why. June 7 MLN Matters article SE18007 reviews changes to … Continue Reading →

Hospice: 1.8% Payment Bump For Hospices Stands In Final Rule

  • By Sandy McCleve
  • August 16, 2018
  • No Comments

Medicare holds fast to its volatile wage index methodology. If you made budget plans based on Medicare’s proposed rule for 2019 hospice payment, they should be right on target. In … 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 →

Billing: Make Sure You Take Advantage Of Newest Billing Procedures

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

Don’t lose money due to corrected NOEs. It’s essential to stay up to date on Medicare billing guidance, and a recent MLN Matters article shows you why. June 7 MLN Matters article SE18007 reviews … Continue Reading →

Patient Driven Groupings Model: Beware: Pay Reform Impact File Missing Major Adjustment

  • By Sandy McCleve
  • July 23, 2018
  • No Comments

Plus: See how much Medicare’s behavioural adjustments are stripping from base rate. If you thought your home health agency impact file outlining the Patient Driven Groupings Model’s effects is the … Continue Reading →

OASIS: Start Your Next OASIS-D Phase With New Manual

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

CMS plans OASIS-D educational sessions. The wait is over — mostly. Medicare has released the guidance manual for the significant OASIS changes that are coming Jan. 1. Reminder: Back in March, … Continue Reading →

Prospective Payment System: Proposed Rule Addresses Remote Monitoring, Home Infusion, VBP, And More

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

Change could lead to more accurate profit margin figures. Payment reform and rate increases may be grabbing most of the spotlight in the 2019 Home Health Prospective Payment System proposed … Continue Reading →

Regulations: Medicare Provides More Info On Pay Reform This Time Around

  • By Sandy McCleve
  • July 16, 2018
  • No Comments

Data helps pinpoint winners, losers under new payment system. Aside from budget neutrality, the PDGM payment reform model Medicare has proposed for 2020 may look basically the same as last … 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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