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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....
Ask Proactive – Each skilled nursing facility arranging for the provision of hospice care under a written agreement must designate a member of the facility’s interdisciplinary team who is responsible for working with hospice representatives to coordinate care to the resident provided by the LTC facility staff and hospice staff. What do those responsibilities entail?
Q: Each skilled nursing facility arranging for the provision of hospice care under a written agreement must designate a member of the facility’s interdisciplinary team who is responsible for working with hospice representatives to coordinate care to the resident...
Learning from Adverse Events & Incidents
Learning from Adverse Events & Incidents Studies show that nearly one in three skilled nursing facility residents experience an adverse event during their stay, with approximately 60% of these events being potentially preventable. Adverse events in skilled...
Ask Proactive – What are the most common reasons for the citing of F761 – Storage of Drugs and Biologicals?
Q: What are the most common reasons for the citing of F761 – Storage of Drugs and Biologicals? A: In Appendix PP the regulatory guidance for F761 is as follows: §483.45(g) Labeling of Drugs and Biologicals Drugs and biologicals used in the facility must be...
Documentation To Support Transfer or Discharge for F622 & F623 Compliance
Documentation To Support Transfer or Discharge for F622 & F623 Compliance The decision to transfer or discharge a resident from the nursing facility is not to be taken lightly. Recent updates to Appendix PP of the State Operations Manual are a reminder to...
Home Health News: EMR Set-up Negatively Impacting Your HHA’s Cashflow?
EMR Set-up Negatively Impacting Your HHA’s Cashflow? A properly implemented EMR system significantly streamlines and improves home health billing. By automating data capture, reducing manual input, and enhancing data accuracy, an effective EMR promotes fewer...
Home Health News: Home Health Infection Control Program Essentials
Home Health Infection Control Program Essentials As part of the home health conditions of participation home health agencies must have a robust infection control program aimed at preventing and controlling infections and communicable diseases. § 484.70...
Fresh Take on Medical Director Oversight in LTC: F841 Compliance & Schizophrenia Diagnosis Standards
Fresh Take on Medical Director Oversight in LTC: F841 Compliance & Schizophrenia Diagnosis Standards Recent updates to the Appendix PP guidance for F841, along with heightened focus on accurate schizophrenia diagnoses, place renewed emphasis on the medical...
Ask Proactive – What are the necessary components of a hospice services agreement?
Q: What are the necessary components of a hospice services agreement? A: The following provisions are required: Ensuring that the hospice services meet professional standards and principles that apply to individuals providing services in the facility, and to...