by Proactive LTC Consulting | Jan 6, 2020 | Audits, Compliance, Education, MDS, Medical Review, PDPM
When reviewing the CMI components driving PDPM reimbursement it’s important to consider the critical role of the Non-Therapy Ancillary (NTA) score. The NTA component score is based on the presence of certain comorbidities and/or the use of extensive services. CMS... by PMR Team | Aug 5, 2019 | Consulting, Therapy
Providers will benefit from moving beyond a billable minute or RUGs based therapy contract under PDPM Therapy contracts are under review for many providers. In most cases, providers will benefit from moving beyond a billable minute or RUGs based therapy contract under... by Proactive LTC Consulting | Dec 23, 2020 | Blog
Medicaid Case Mix Index (CMI): Common Errors and Opportunities Kristen Walden & Jessica Cairns OSHA Compliant COVID-19 Reporting Janine Lehman Restorative Nursing Under PDPM Part 1 and Part 2 Kristen Walden Reducing PDPM Non-Therapy Ancillary... by Proactive LTC Consulting | Jan 4, 2023 | Audits
The New Year calls for new beginnings and fresh starts! With increasingly sophisticated data analytics, regulatory enforcement of required Compliance and Ethics Programs (CEP) effective October 2022, and President Biden’s nursing home reform, providers must focus... by Proactive LTC Consulting | Jun 15, 2021 | Audits, Blog, Compliance, Medical Review, Regulatory, Reimbursement
The MACs officially resumed post-payment medical review of items and services with dates of service prior to March 2020, but may now officially begin conducting post-payment medical reviews for later dates of service. The Targeted Probe and Educate program will...