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Home Health and Hospice Revenue Cycle Management
Home Health and Hospice Revenue Cycle Management Efficiencies with revenue cycle management begin with intake and end with collections. Let’s review the key considerations for agencies to effectively manage billing processes for compliance, ample cash flow and...
Don’t Postpone Preparing for CMS’ Revised Surveyor Guidance
Don't Postpone Preparing for CMS' Revised Surveyor Guidance Take advantage of the revisions to the surveyor guidance being delayed until April 28, 2025 to hardwire preparation for the changes. Now is the opportunity to complete a thorough review of the Appendix...
Ask Proactive – How can behavior tracking help identify the root cause of a resident’s agitation?
Q: How can behavior tracking help identify the root cause of a resident's agitation? A: Behavior tracking allows staff to analyze patterns and triggers contributing to a resident's agitation. By documenting factors such as time, environment, interactions, and...
Home Health VBP: Potentially Preventable Hospitalization
Home Health VBP: Potentially Preventable Hospitalization In Home Health Value Based Purchasing (HHVBP), the new Potentially Preventable Hospitalization (PPH) measure, introduced in 2025, aims to assess and reduce preventable hospitalizations and observation stays...
Ask Proactive – What are key steps to ensure compliance with the updated Enhanced Barrier Precautions (EBP) guidance that takes effect 4/28/25?
Q: What are key steps to ensure compliance with the updated Enhanced Barrier Precautions (EBP) guidance that takes effect 4/28/25? A: Facilities should take the following steps to prepare for surveyor evaluation of EBP implementation: 1. Identify Residents Who...
Addressing Top Complaints of Residents & Family
Addressing Top Complaints of Residents & Family Did you know that communication breakdowns, staffing shortages, and dining concerns are among the most frequent complaints in long-term care facilities? Resident and family satisfaction is critical to maintaining...
Home Health: Successfully Navigating the Post Acute Continuum
Successfully Navigating the Post Acute Continuum Many home health providers are connected to other business lines within the post-acute home care continuum including private duty and hospice. Owners and operators often find it challenging to successfully...
Understanding Interpretive Guidance for F656: Comprehensive Care Plans
Understanding Interpretive Guidance for F656: Comprehensive Care Plans Care planning is a fundamental component of quality patient care, offering an organized structure for identifying resident needs through comprehensive assessment. So far in Calendar Year...
Ask Proactive – Our Resident Council has poor attendance. What documentation do we need to keep, and how can we improve participation?
Q: Our Resident Council has poor attendance. What documentation do we need to keep, and how can we improve participation? A: Documentation: Maintain detailed Resident Council Minutes for each meeting. These minutes should capture attendance, discussion points,...
Ask Proactive – The resident admitted with an unstageable pressure injury to the right heel. Now the pressure injury is stage 3. I coded stage 3 at M0300. Would the pressure injury be coded as present on admission?
Q: The resident admitted with an unstageable pressure injury to the right heel. Now the pressure injury is stage 3. I coded stage 3 at M0300. Would the pressure injury be coded as present on admission? A: If a pressure ulcer or injury is documented as...
F812: Food Procurement, Storage, Preparation, & Sanitation Compliance
F812: Food Procurement, Storage, Preparation, & Sanitation Compliance F812 Food Procurement, Storage, Preparation, and Sanitary Practices is the third most frequently cited deficiency for the 2025 fiscal year. Most citations have been issued at a scope and...
Benefits of Home Health Consulting
The purpose of home health consulting is to provide expert advice and guidance to home health agencies, helping them improve their operations, quality of patient care, financial stability, and compliance with regulations. Ultimately this allows agencies to deliver the...
The Vital Role of the Infection Preventionist in Long-Term Care
The Vital Role of the Infection Preventionist in Long-Term Care The Infection Preventionist (IP) plays a crucial role in preventing and controlling infections in long-term care facilities. An Infection Prevention and Control (IPC) program ensures compliance...
Updated 5 Star Ratings Released with Unfrozen QMs! What You Need to Know
Updated 5 Star Ratings Released with Unfrozen QMs! What You Need to Know CMS has officially released the January 2025 Five-Star Quality Rating updates on Care Compare, and providers across the country are reviewing their new ratings. The January 2025 Care...
Ask Proactive – How does Consolidated Billing apply to dialysis services during a Skilled Nursing Facility (SNF) stay, and what is covered versus not covered?
Q: How does Consolidated Billing apply to dialysis services during a Skilled Nursing Facility (SNF) stay, and what is covered versus not covered? A: The consolidated billing requirement assigns the SNF the responsibility for billing the entire package of care...