by Proactive LTC Consulting | Jul 16, 2025 | 5-Star, Antipsychotics/Psychotropics, Behavioral Health, Compliance, F-Tag, Nursing, Psychotropics, Quality, Regulatory, Survey
F605 Gradual Dose Reduction Updates for Nursing Homes Earlier this year, the Centers for Medicare & Medicaid Services (CMS) issued revised guidance under F605, sharpening its focus on the misuse of psychotropic medications as chemical restraints and... by Proactive LTC Consulting | Jul 16, 2025 | Home Health
Understanding Medicare Secondary Payer (MSP) in Home Health For home health agencies, accurate billing is critical, especially when Medicare is not the primary payor. Understanding Medicare Secondary Payer (MSP) rules ensures compliance and reduces the risk of... by Proactive LTC Consulting | Jul 16, 2025 | ADR, Appeals, Audits, Documentation, Medical Review, Medicare, Reimbursement, SNF
Q: Do we need to obtain prior authorization for every managed care resident who requires skilled services, even if they clearly meet criteria? A: Unfortunately, yes — at least for now. Most managed care plans (including Medicare Advantage) still require prior... by Proactive LTC Consulting | Jul 9, 2025 | Home Health
Home Health Proposed Final Rule CY 2026 CMS issued the proposed home health rule (for Calendar Year 2026) which includes a proposed 6.4% reduction in home health payments—let’s review what you need to know… CY 2026 Home Health Payment Update (Proposed)... by Proactive LTC Consulting | Jul 9, 2025 | 5-Star, Quality, Staffing, Survey
In Case You Missed It….Major Update to Nursing Home Care Compare On June 18, 2025 CMS released update memos QSO-25-19-All and QSO-25-20-NH with significant information related to information to be made available via Nursing Home Care Compare. The first memo...