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Tag: SNF

HHAs Cost Less, But SNFs Prevent More Hospitalizations

  • By Sandy McCleve
  • March 19, 2019
  • No Comments

More patients should be discharged home due to comparable outcomes, lower cost, editorial suggests. Home care providers often use their cost effectiveness and ability to prevent rehospitalizations as a selling point and argument for … Continue Reading →

Medicare Cost Report: What is it?

  • By Sandy McCleve
  • November 15, 2018
  • No Comments

All Medicare certified institutional providers are required file an annual cost report to their respective Medicare Administrative Contract (“MAC”). But what is a Medicare cost report and what is the … Continue Reading →

Compliance: Look To These 2 Bright Spots In Final IGs

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

Aides’ med administration, verbal order clarifications welcome. While there is a lot to be worried about in the newly released final Interpretive Guidelines for the Home Health Conditions of Participation, … Continue Reading →

Medical Review: Try These 5 Tips To TPE Success

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

Do you know the difference between your charge error rate and your claim error rate? Whether you want to avoid Targeted Probe & Educate review or get off TPE once … Continue Reading →

Targeted Probe & Educate: It’s Getting Worse: 91% Bomb TPE So Far

  • By Sandy McCleve
  • September 14, 2018
  • No Comments

One MAC releases new stats about the medical review program. As Targeted Probe & Educate rolls on, home health agencies are increasingly getting flattened by the new medical review program. … Continue Reading →

Regulations: Watch Out For These 2 Survey Hot Spots On Heels Of Final IGs

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

SOC, reprisal IGs could give agencies trouble. Home health agencies have a lot to worry about under the new finalized Interpretive Guidelines. Check out two of the top changes to … Continue Reading →

Survey & Certification: Expect Survey Dial To Turn Up To 11

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

Warning: Learning curve likely steep. Although it may not always feel like it, many states have been enjoying a survey “honeymoon” since the drastically revised Home Health Conditions of Participation … Continue Reading →

Fraud & Abuse: Recent Home Health Fraud Cases Focus On Kickbacks

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

Whistleblower rakes in $2.3 million. Be sure to toe the line in your relationships with institutional referral sources, or you could both get in trouble. Long-term care and rehabilitation hospital … Continue Reading →

Billing: Know The Billing Ins And Outs For New Medicare Cards

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

What do you do when an MBI changes? Is it your patients’ turn to wade into the new Medicare card ocean? The Centers for Medicare & Medicaid Services has “started mailing new … Continue Reading →

Audits: Know Your Facts: Audit Contractors

  • By Sandy McCleve
  • September 7, 2018
  • No Comments

TPE net reportedly catches lots of home care providers. Scrutiny of home health and hospice claims is on the rise, and you’d better know where that scrutiny may be coming … 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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