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Tag: #capreport

Fight To Get Sequestered Funds Excluded From Cap Overages Hits Roadblock

  • By Sandy McCleve
  • March 8, 2019
  • No Comments

The math might be against you. If you think it’s unfair that Medicare calculates your hospice aggregate cap using funds you never receive, you’re not alone. But the Provider Reimbursement Review … Continue Reading →

Cap Sequestration Math May Be Hard To Beat

  • By Sandy McCleve
  • March 8, 2019
  • No Comments

Should under- and over-cap hospices be treated the same? Hospices may have a tough time fighting Medicare’s cap calculation in court, experts agree. “This decision does not help those hospices that have … Continue Reading →

Mind Hospice Cap Deadline

  • By Sandy McCleve
  • January 11, 2019
  • No Comments

If you don’t submit your self-determined hospice cap report to CGS by the Feb. 28 deadline, the Medicare Administrative Contractor will start withholding your reimbursement March 7, the MAC warns in … Continue Reading →

HOSPICE CAP REPORTING: ARE YOU PREPARED TO FILE

  • By Sandy McCleve
  • January 9, 2019
  • 1 Comment

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

Hospice Cap Procrastination Could Cost You

  • By Sandy McCleve
  • January 8, 2019
  • No Comments

If you’ve never accessed your own PS&R data to calculate your self-reported hospice cap, you’d better get moving. “Providers will be required to obtain their own PS&R data in order to … 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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