Is Your SNF Involved in the “SPE” Yet?
As you should be aware, the Centers for Medicare and Medicaid put out a statement in Transmittal 12037 regarding the intention to have the Medicare Administrative Contractors (MACs) perform a five (5) claim probe and educate medical review on every Skilled Nursing Facility (SNF) in their jurisdiction. The purpose of this widespread review is to lower the SNF improper payment rate. This transmittal was published May 15, 2023. The reason for the audit was because…
