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DOJ’s Fraud Section Issues New Guidance on Compliance Programs: Questions You Should Be Asking

by PMR Team | Mar 3, 2017 | Compliance

This post has been modified or updated. Learn more about our services here or shop our tools and resources here. The Fraud Section of the U.S. Department of Justice published the first formal guidance since the new administration took office. It includes a list of...

Update on CMS/Jimmo Case and What it Means for Your Therapy Program

by PMR Team | Feb 21, 2017 | Medical Review, Therapy

This post has been modified or updated. Learn more about our services here or shop our tools and resources here. On February 1st, a Vermont U.S. District Court Judge filed a decision ordering CMS to implement a Corrective Action Plan for improved education related to...

New SNF Medical Review Activity Tied to COT OMRA Outliers

by PMR Team | Jan 10, 2017 | Uncategorized

This post has been modified or updated. Learn more about our services here or shop our tools and resources here. A sharp increase in the number of SNF Part A Post-Pay ADRs (Additional Documentation Requests) was noted in late December for claims with 2015 dates of...

New Coding System: 2017 Evaluation Codes for PT/OT Webinar Recording Now Available

by PMR Team | Dec 27, 2016 | Education, Therapy, Webinars

This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Did you miss the webinar? Don’t worry, the recording is now available! This course gives a description of methodology consistent with CMS and payment...

Breaking News! Conditions of Participation Final Rule Released

by PMR Team | Sep 29, 2016 | Compliance, Regulatory, RoP, SNF

This post has been modified or updated. Learn more about our services here or shop our tools and resources here. CMS has released the public inspection version of the SNF Conditions of Participation Final Rule. Proactive will be reviewing the update of the public...
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Proactive LTC Consulting

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Evansville, IN 47711

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