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Private Duty: The Impact of Recruiting on Revenue
Private Duty: The Impact of Recruiting on Revenue Are you a home health agency or private duty provider struggling to build census and billable hours? The financial success of private duty is truly an art that begins with recruiting. Private Duty Financial...
F641 Accuracy of MDS Assessments – Revised LTC Surveyor Guidance
F641 Accuracy of MDS Assessments – Revised LTC Surveyor Guidance CMS and the Department of Health & Human Services released an updated version of the LTC Surveyor Guidance on March 10, 2025. This update, which revises the earlier January 16th release, takes...
The State of SNF Medical Review in 2025: Trends, Challenges, and Key Findings
The State of SNF Medical Review in 2025: Trends, Challenges, and Key Findings Medical review of Skilled Nursing Facilities (SNFs) continues to be a focus of Medicare and Medicare Advantage oversight activities in 2025. With increased scrutiny from Medicare...
Home Health and Hospice Revenue Cycle Management
Home Health and Hospice Revenue Cycle Management Efficiencies with revenue cycle management begin with intake and end with collections. Let’s review the key considerations for agencies to effectively manage billing processes for compliance, ample cash flow and...
Don’t Postpone Preparing for CMS’ Revised Surveyor Guidance
Don't Postpone Preparing for CMS' Revised Surveyor Guidance Take advantage of the revisions to the surveyor guidance being delayed until April 28, 2025 to hardwire preparation for the changes. Now is the opportunity to complete a thorough review of the Appendix...
Ask Proactive – How can behavior tracking help identify the root cause of a resident’s agitation?
Q: How can behavior tracking help identify the root cause of a resident's agitation? A: Behavior tracking allows staff to analyze patterns and triggers contributing to a resident's agitation. By documenting factors such as time, environment, interactions, and...
Home Health VBP: Potentially Preventable Hospitalization
Home Health VBP: Potentially Preventable Hospitalization In Home Health Value Based Purchasing (HHVBP), the new Potentially Preventable Hospitalization (PPH) measure, introduced in 2025, aims to assess and reduce preventable hospitalizations and observation stays...
Ask Proactive – What are key steps to ensure compliance with the updated Enhanced Barrier Precautions (EBP) guidance that takes effect 4/28/25?
Q: What are key steps to ensure compliance with the updated Enhanced Barrier Precautions (EBP) guidance that takes effect 4/28/25? A: Facilities should take the following steps to prepare for surveyor evaluation of EBP implementation: 1. Identify Residents Who...
Addressing Top Complaints of Residents & Family
Addressing Top Complaints of Residents & Family Did you know that communication breakdowns, staffing shortages, and dining concerns are among the most frequent complaints in long-term care facilities? Resident and family satisfaction is critical to maintaining...
Home Health: Successfully Navigating the Post Acute Continuum
Successfully Navigating the Post Acute Continuum Many home health providers are connected to other business lines within the post-acute home care continuum including private duty and hospice. Owners and operators often find it challenging to successfully...
Understanding Interpretive Guidance for F656: Comprehensive Care Plans
Understanding Interpretive Guidance for F656: Comprehensive Care Plans Care planning is a fundamental component of quality patient care, offering an organized structure for identifying resident needs through comprehensive assessment. So far in Calendar Year...
Ask Proactive – Our Resident Council has poor attendance. What documentation do we need to keep, and how can we improve participation?
Q: Our Resident Council has poor attendance. What documentation do we need to keep, and how can we improve participation? A: Documentation: Maintain detailed Resident Council Minutes for each meeting. These minutes should capture attendance, discussion points,...
Ask Proactive – The resident admitted with an unstageable pressure injury to the right heel. Now the pressure injury is stage 3. I coded stage 3 at M0300. Would the pressure injury be coded as present on admission?
Q: The resident admitted with an unstageable pressure injury to the right heel. Now the pressure injury is stage 3. I coded stage 3 at M0300. Would the pressure injury be coded as present on admission? A: If a pressure ulcer or injury is documented as...
F812: Food Procurement, Storage, Preparation, & Sanitation Compliance
F812: Food Procurement, Storage, Preparation, & Sanitation Compliance F812 Food Procurement, Storage, Preparation, and Sanitary Practices is the third most frequently cited deficiency for the 2025 fiscal year. Most citations have been issued at a scope and...
Benefits of Home Health Consulting
The purpose of home health consulting is to provide expert advice and guidance to home health agencies, helping them improve their operations, quality of patient care, financial stability, and compliance with regulations. Ultimately this allows agencies to deliver the...