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Fraud & Abuse: Beware Bumped Up Penalties In Budget Law

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

The Bipartisan Budget Act did more than change Medicare reimbursement. Get to know the substantial civil and criminal penalty updates for things as minor as improperly filed claims. Among the … Continue Reading →

Legislation: New Budget Law Axes ‘Super-MedPAC’ Board

  • By Sandy McCleve
  • March 22, 2018
  • No Comments

Option to pass the buck to appointed board now gone. While the created by the Affordable Care Act was never convened, many Medicare providers are glad to see it finally killed … Continue Reading →

Documentation: Tap These Resources To Help Make Your Claims Bulletproof

  • By Sandy McCleve
  • March 22, 2018
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Share tips and tools with your referring docs. You can boost your compliance — and reimbursement — by making sure your claims won’t fall prey to medical review denials based … Continue Reading →

Medical Review: Use These 8 Pointers To Defend Your Claims Against F2F & Cert Denials

  • By Sandy McCleve
  • March 22, 2018
  • No Comments

Will new F2F clinical template help you? Scrutiny of your claims is heavier than ever, and physician certification — including the face-to-face encounter — is a hot target for reviewers. … Continue Reading →

Medical Review: Don’t Be Surprised If RAC Review Is Around The Corner

  • By Sandy McCleve
  • March 22, 2018
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Monthly billing make hospice claims a tempting RAC target. Recovery Audit Contractor Performant has yet to name a specific audit topic related to hospice, but that doesn’t mean you shouldn’t worry about … Continue Reading →

OASIS: Prepare For OASIS-D To Hit In January

  • By Sandy McCleve
  • March 22, 2018
  • No Comments

Setting your implementation schedule is still a bit tricky. Just when you were feeling comfortable with the current version of OASIS, get ready for a new one. As promised in … Continue Reading →

HOSPICE CAP REPORTING: Are You Prepared to File?

  • By Sandy McCleve
  • March 22, 2018
  • No Comments

As you may already know, CMS released the new requirements for hospice cap reporting and overpayment remittances as published in the Federal Register on August 22, 2014. Effective for the … Continue Reading →

Maximizing Your Bottom Line: 4 Reasons Why It Makes Sense to Outsource Your Healthcare Organization’s Medicare and Medicaid Reimbursement

  • By Sandy McCleve
  • March 22, 2018
  • No Comments

Even as a healthcare consulting firm, we’re not above admitting that while the cost reporting function is incredibly important in your organization, it is typically very time consuming and has … Continue Reading →

CHANGES TO HOSPICE CAP SELF-REPORTING

  • By Sandy McCleve
  • March 22, 2018
  • 1 Comment

On 8/6/2015, CMS issued the FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. The Final Rule finalized the proposals to align the cap accounting year for both the … Continue Reading →

This Healthcare Provider Stopped Doing Their Own Cost Reporting and Got Their Highest Reimbursement Ever!

  • By Sandy McCleve
  • March 21, 2018
  • No Comments

CareMeridian has been restoring hope to individuals with brain injuries, spinal cord damage, and other catastrophic injuries and medically complex illnesses for more than 25 years. With more than 30 subacute … 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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