Long Term Care CFO — Page 3

Staffing data errors in cost reports now trigger audits and rating cuts.

Medicaid managed care shifts financial risk to SNFs, triggering heightened audit scrutiny.

Nursing homes must maintain accrual-basis records or face immediate Medicare payment clawbacks.

Auditors focus on clinical documentation and coding accuracy to catch SNF reimbursement risk.

Documentation gaps, not fraud, drive most Medicaid audit findings and can be fixed with process.

SNFs must submit audited financials within 90 days of fiscal year end.

Thirteen OIG work plan items target nursing homes before audits begin.

Prepare these financial documents before audit fieldwork begins.

Blended AR metrics hide collection problems that threaten facility cash flow.

Auditors are targeting PDPM coding errors and documentation gaps that cost SNFs billions.

Providers have five months to file cost reports, and extensions are rarer than most assume.