by Proactive LTC Consulting | Aug 23, 2023 | Q&A, Regulatory
Q: While it is the resident’s right to refuse care, what are the responsibilities of the facility when this occurs? A: As we see in the Federal Regulatory Grouping §483.10 Resident Rights, the resident absolutely has the right to refuse care. This is specified... by Proactive LTC Consulting | Aug 23, 2023 | Blog, ICD.10, Medicare, PDPM, Reimbursement
PDPM has been in place for nearly four years, and with it came the shift from payment based on resource utilization to payment driven by patient characteristics and service provision. PDPM presents with many nuances and complexities that open the door to sinking... by Proactive LTC Consulting | Aug 16, 2023 | MDS, Q&A, Reimbursement
Q: What are some tips to determine if the completion of the optional Interim Payment Assessment (IPA) is appropriate to impact reimbursement? A: The IPA may be completed when a Medicare Part A beneficiary’s condition and/or the care and services provided change... by Proactive LTC Consulting | Aug 16, 2023 | Blog, Infection Prevention, Nursing
As nursing home professionals, you play a crucial role in caring for vulnerable residents and maintaining a safe and healthy environment. One of the most pressing challenges faced by healthcare facilities is the emergence and spread of multidrug-resistant organisms... by Proactive LTC Consulting | Aug 9, 2023 | Appeals, Medical Review, Medicare, Q&A
Q: My facility is going through a Medicare UPIC review and received a significant number of denials followed by a demand letter requiring repayment. What are our options for appealing the decision and what is the interest rate that will apply if we aren’t able to...