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Tag: Hospice

Lawsuits: Patient Steering Suit Ruling May Open Door To More Legal Action

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

Hospital-based agencies should review their processes, attorneys advise. A patient steering lawsuit filed by a freestanding home health agency against a hospital in Indiana will move forward, possibly paving the … Continue Reading →

Budget: Look To Trump Administration Proposal For Budget Threats

  • By Sandy McCleve
  • April 3, 2018
  • No Comments

Survey fees among resource-draining proposals. While most observers agree the Trump administration’s budget proposal is DOA as an entire document, politicians looking for ways to raise funds for their initiatives are likely … Continue Reading →

Audits: Use These 8 Pointers To Prepare For Medical Review

  • By Sandy McCleve
  • April 2, 2018
  • No Comments

  Target your education efforts by using your self-audit findings. Don’t wait until it’s too late to get ready for potential Recovery Audit Contractor reviews of your claims. And the … Continue Reading →

Utilization: RN Visits Tick Up Under Payment Reform

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

Social worker visits remain virtually unchanged under SIA policy. The jury is still out on whether Medicare’s hospice payment reform model implemented last year is fixing the benefit’s perceived problems, … Continue Reading →

Hospice: Rebounding Hospice Stats Underlie Rate Freeze Rec

  • By Sandy McCleve
  • March 29, 2018
  • No Comments

Number of providers climbed 4%. Although spring is here, hospices are still feeling the chill as the Medicare Payment Advisory Commission once again urges Congress to freeze their payment rates. Increases in … Continue Reading →

Payment: MedPAC Continues To Push Unified Post-Acute PPS

  • By Sandy McCleve
  • March 28, 2018
  • No Comments

Under PAC PPS, home health stays would see downward adjustment. While home care providers may have more pressing matters to deal with, they shouldn’t lose sight of the Medicare Payment Advisory … Continue Reading →

Know Your Facts: Number Of HHAs, Episodes Fell In 2016

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

Drop in agencies occurred in fraud-prone areas, MedPAC says. Law- and policymakers are basing their decisions on facts and figures the Medicare Payment Advisory Commission provides in its annual report to Congress. … Continue Reading →

Reimbursement: MedPAC Report Urges Congress To Cut Home Health Pay By 5%

  • By Sandy McCleve
  • March 26, 2018
  • No Comments

Expect 14.4 percent profit margin for 2018. Home health agencies would see cuts on top of cuts, if Congress heeds an influential advisory body. As it voted in meetings earlier … Continue Reading →

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 →

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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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