News / Blog
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PBJ Policy Manual & FAQs Updated
PBJ Policy Manual & FAQs Updated PBJ Policy Manual Final - V2.7 - 06.30.2025 (PDF) PBJ Policy Manual FAQ 06.30.2025 (PDF) Updates were posted to the PBJ Policy Manual and FAQs on June 30, 2025. New Additions to the policy manual include: Facilities should...
Home Health News: Mandatory “All-Payer” OASIS Changes Effective 7/1/25
Mandatory “All-Payer” OASIS Changes Effective 7/1/25 As of July 1, 2025, every qualified home health patient—regardless of payer—must have a complete OASIS assessment reported. Exclusions remain unchanged. This update represents a shift toward more inclusive...
Ask Proactive – Our facility is thinking about implementing flexible time ranges for medications rather than a specific time to help us stay in compliance with our heavy morning and evening medication passes. What are the pros and cons of making this change?
Q: Our facility is thinking about implementing flexible time ranges for medications rather than a specific time to help us stay in compliance with our heavy morning and evening medication passes. What are the pros and cons of making this change? A: Deciding...
Top Nursing Home Missed Reimbursement Opportunities
Top Nursing Home Missed Reimbursement Opportunities Practical Strategies to Capture What You’ve Rightfully Earned In today’s long-term care environment, nursing homes are under more pressure than ever to deliver high-quality care while navigating increasingly...
Home Health News: Top Home Health Survey Deficiencies and How to Avoid Them
Top Home Health Survey Deficiencies and How to Avoid Them When it comes to home health agency compliance, survey readiness requires year-round attention. Let’s breakdown of the top home health survey deficiencies and actionable tips to prevent them. 1....
Ask Proactive – I heard a rumor that the antipsychotic QMs are about to go through a complete change. Is this true?
Q: I heard a rumor that the antipsychotic QMs are about to go through a complete change. Is this true? A: Not entirely - but there is an important change on the horizon. In a recent memorandum, CMS announced a significant update to the long-stay antipsychotic...
Is Your Facility Truly Prepared for an Emergency? The OIG Says “Maybe Not”
Is Your Facility Truly Prepared for an Emergency? The OIG Says “Maybe Not” Nursing homes play a vital role in keeping vulnerable residents safe, but recent emergencies in facilities (e.g., hurricanes, infectious outbreaks, fires) have revealed critical...
Home Health News: Boosting Staff Retention in Home Health: Strategies That Work
Boosting Staff Retention in Home Health: Strategies That Work In today’s competitive healthcare landscape, retaining qualified home health staff has become more challenging than ever. High turnover not only affects team morale but also compromises the...
CMS Announces Major Updates to Nursing Home Care Compare
CMS Announces Major Updates to Nursing Home Care Compare CMS released QSO-25-20-NH on June 18, 2025, detailing several important updates that will impact how nursing home performance is displayed on Nursing Home Care Compare. These changes aim to provide a more...
Ask Proactive – I recently started working as the MDS coordinator at a facility. MDS assessments have been scheduled, but no one completed them. What should I do to get back in compliance?
Q: I recently started working as the MDS coordinator at a facility. MDS assessments have been scheduled, but no one completed them. What should I do to get back in compliance? A: 1. Assess the Extent of the Delay Identify how many assessments are overdue and...
QAPI & Health Equity: What New Surveyor Guidance Means for Nursing Homes
QAPI & Health Equity: What New Surveyor Guidance Means for Nursing Homes If you’ve worked in long-term care for more than a minute, you understand that QAPI is the backbone of quality improvement. But there’s a new layer added with the recent CMS updates---...
Home Health News: Understanding the Private Duty Letter of Medical Necessity – What It Is and Why It Matters
Understanding the Private Duty Letter of Medical Necessity: What It Is and Why It Matters When a loved one requires around-the-clock care at home, families often look to private duty nursing services. However, obtaining coverage or approval for this...
Ask Proactive – We are caring for a resident who recently admitted with a new G-tube. Can I code the G-tube site as a surgical wound in Section M?
Q: We are caring for a resident who recently admitted with a new G-tube. Can I code the G-tube site as a surgical wound in Section M? A: The RAI describes surgical wounds as any healing and non-healing, open or closed surgical incisions, skin grafts, or...
F761 – Maintaining Compliance through Strong Partnerships
F761 – Maintaining Compliance through Strong Partnerships Maintaining compliance with F761 – Storage and Labeling of Drugs and Biologicals requires ensuring medications are properly stored, secured, and destroyed based on state and federal guidelines....
Home Health News: Preventing Home Health Denials
Preventing Home Health Denials A proactive approach to Home Health claim denial prevention is crucial. Areas of focus should include supportive documentation accuracy, thorough verification of patient coverage, and understanding payer-specific requirements....