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Assessment: Get Ready For OASIS-D To Shake Up Your World

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

From medical review to star ratings to surveys, expect the revised assessment tool to have a big effect. Don’t let OASIS-D’s impact on a wide variety of your agency’s areas … Continue Reading →

OASIS: Medicare To Drop These 28 Items In OASIS-D

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

Two items will also be deleted only at certain time points. Last year, the Centers for Medicare & Medicaid Services said it was dropping 31 items from OASIS in 2019 totally and … Continue Reading →

Fraud & Abuse: OIG Highlights Home Health Fraud In Latest Report

  • By Sandy McCleve
  • April 18, 2018
  • No Comments

The industry is still living down the Dr. Jacques Roy case. Don’t expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 … Continue Reading →

Regulations: Say Hello To These New OASIS-D Items

  • By Sandy McCleve
  • April 17, 2018
  • No Comments

IMPACT Act-sparked additions are headed your way soon. Focus your attention on the OASIS changes the Centers for Medicare & Medicaid Services has in store for 2019. CMS will add three GG … 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 →

Medical Review: Pay Attention To Midstream TPE Education

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

Improving your billing rate in the middle of a Targeted Probe & Educate round could save you. Seeing the error of your billing ways — and changing them immediately — … Continue Reading →

Regulations: Stark Law Fate Uncertain, CMS Administrator Indicates

  • By Sandy McCleve
  • April 11, 2018
  • No Comments

Will a decades-long prohibition on physician referrals and ownership get the ax? Home care and other medical care providers have lived with Stark Law restrictions since the 1990s, but don’t … 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 →

OASIS: Submit Your OASIS-D Suggestions Before It’s Too Late

  • By Sandy McCleve
  • April 9, 2018
  • 1 Comment

09 Comment early and often. If you think Medicare needs to change some things about the newly unveiled OASIS-D tool that takes effect Jan. 1, don’t wait until the 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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