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Category: Reimbursement

Finance: Report Costs For These Lines, Or Else

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

New Level 1 edits make these cost report lines mandatory. Without costs recorded on these lines in Worksheet A of the hospice cost report, Medicare won’t accept your report. Line … Continue Reading →

Hospice: Prepare To Get More Detailed In Your Hospice Cost Report

  • By Sandy McCleve
  • May 9, 2018
  • No Comments

Note this big change to reporting drug costs. Newly released hospice cost report revisions may mean more work for you, but should result in more accurate data that will be … Continue Reading →

Billing: Make Sure You’re Ready For New Medicare Cards

  • By Sandy McCleve
  • May 4, 2018
  • No Comments

Heed this advice on how to handle the MBI. If you use a common trick to get your patients’ correct HICN for billing, that option is going away. The Centers for … Continue Reading →

Quality: How Does Your Live Discharge Rate Stack Up To Your Peers?

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

New quality measure aims to ID discharges followed by hospitalization or death. Concerns about hospices discharging patients alive continue, and a newly proposed quality measure takes aim at the sore … Continue Reading →

Payment: MedPAC Thinks You Don’t Need A Rate Increase

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

LOS is on the rise again. Chances of you getting a decent payment rate increase next year are slimmer, thanks to a recent report from the Medicare Payment Advisory Commission once again … Continue Reading →

OASIS: Watch Out For These OASIS-D Trouble Spots

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

New GG items should top your priority list. If you think the changes coming to OASIS in January are relatively minor because they involve lots of dropped items and only … Continue Reading →

Diagnosis Coding: Stop Using ICD-9 As A Coding Crutch

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

Remember, you won’t get any more GEMs. Question: I often find myself coding ICD-9 in my head and then using a tool to “translate” to ICD-10, just because I’ve used ICD-9 … 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 →

Reimbursement: Turn Audit Losses Into Cap Gains

  • By Sandy McCleve
  • April 5, 2018
  • No Comments

If you’re a hospice provider that’s been hit with an overpayment request from a Recovery Audit or other government contractor, and you’ve exceeded your per beneficiary cap, there may be … 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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