SNF Cost Report Appeal Strategy After MAC Adjustment
Documentation gaps, not policy disputes, drive most MAC adjustments SNFs face on appeal.
David Przybylski
Staff Writer, Compliance & Audit
David Przybylski
A former OIG compliance officer with a background in long-term care operations, David has spent over a decade translating regulatory guidance into practical audit-readiness frameworks for facility administrators and CFOs. He holds a Certified Compliance and Ethics Professional credential and has testified before state Medicaid oversight boards.
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CMS Conditions of Participation Financial Recordkeeping Requirements
Nursing homes must maintain accrual-basis records or face immediate Medicare payment clawbacks.
David Przybylski
Internal Controls Over SNF Revenue Cycle That Auditors Evaluate
Auditors focus on clinical documentation and coding accuracy to catch SNF reimbursement risk.
David Przybylski
HUD 232 Audit Requirements for Skilled Nursing Facilities
SNFs must submit audited financials within 90 days of fiscal year end.
David Przybylski