News / Blog
Need to brush up on the latest industry news? Look no further! Proactive Medical Review consultants provide up-to-date blog postings to keep you in the know.
The latest news, events, blogs and more…
Changes Coming to Five-Star Quality Rating System
*Information coming soon on Proactive’s 2020 5-Star Insights webinar series focused on helping your facility achieve or maintain 5 Star in 2020. Make plans to join us beginning in March! Easier for Consumers to Identify Facilities with Instances of Non-compliance On...
Upcoming Proactive Training Events
*This blog was updated 10/15/19. Join These Upcoming Proactive Training Events: Oct. 22nd HIN Compliance & Ethics Webinar Learn more. Nov. 5-6th Moving Mountains webinars “ Skilled Nursing Supportive Documentation for PDPM” Nov. 7th PDPM: How’s It Going So Far?...
PDPM Coding Questions – GG Daily for 3 Days?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Does GG have to be completed daily for 3 days? Would it be sufficient to only have it as part of our nursing admission assessment and therapy evaluation by day 3...
PDPM Coding Questions – Cerebrovascular Disease?
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: I am hearing other SLPs in the area stating they have been told that "cerebrovascular disease" can include Parkinson’s, dementia, etc. and to use these codes for...
CMS Final Rule: Revisions to Requirements for Hospital Discharge Planning to Post-Acute Care Settings
It's important that your local hospital discharge planners understand your quality measure data September 26th, CMS issued a final rule requiring hospitals to provide patients greater access to information about available post-acute provider choices as part of the...
Effective Use of the Optional IPA
IPA is an optional SNF PPS stand-alone MDS item set under PDPM The Interim Payment Assessment (IPA) is an optional SNF PPS stand-alone MDS item set under PDPM. The IPA can be completed when providers determine that the resident has experienced changes to his or her...
Last minute PDPM advice
Tips to focus your attention in October based on actual Proactive client pre-PDPM audit trends You’ve followed the PDPM transition checklists. You’ve analyzed historic billing patterns and projected revenue shifts under the new model. You’ve trained extensively....
Pulling the RUG Out: Steps to Completing the PDPM Transitional IPA
What does PDPM mean for Medicare Part A beneficiaries who will reside in the facility under both payment models? RUG-IV comes to a hard stop at 11:59pm on September 30th, 2019 and will be replaced with the Patient Driven Payment Model at 12:00am on October 1st. What...
Top 5 Recommendations for Accurately Coding Cognitive Scoring Under PDPM
Cognitive Scoring impacts revenue under PDPM The Brief Instrument for Mental Status (BIMS) and Cognitive Performance Scale (CPS) – is completed as part of MDS Section C and used to guide care planning of residents with confusion or a cognitive impairment. Under PDPM,...
PDPM Top 10 To-Do List for September
PDPM Top 10 To-Do List for September 1) Integrate PDPM processes for all new traditional Medicare Part A admissions; establish a plan to capture all unique patient conditions/characteristics for those with an anticipated discharge after September 30th. Incorporate the...
Phase 3 & PDPM Ready? Jump Start with Trauma Informed Care
How will you meet Trauma Informed Care standards required under the Phase 3 Requirements of Participation (ROP)? Trauma-informed care is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all...
Moving Mountains Webinar Series Update
*This blog was updated 8/27/19. To register for an upcoming "Moving Mountains" webinar in your area, visit your organization’s website for details. Click here to find your association. More Moving Mountains Webinar Details Added! We've partnered with industry...
LeadingAge IL Full Day PDPM Implementation Workshop
Join Us at this LeadingAge Illinois Event Don't miss this! We've partnered with LeadingAge Illinois to bring you this special event! We're almost 1 month away from the PDPM deadline.... ARE YOU PREPARED? PDPM Implementation Intensive Advanced PDPM Skill Building...
Skilled Charting Under PDPM: Role of Providers & Nursing in Supportive Charting
Factors Impacting Reimbursement Become More Complex Under PDPM, the factors impacting reimbursement become more complex. Supportive documentation should reflect this complexity through descriptions of the relevant care and services impacting each of the five payment...
Are you prepared for the Phase 3 RoP Infection Preventionist requirements?
Nursing facilities will be required to designate one or more individual(s) as the Infection Preventionist(s) The Phase 3 SNF §483.80(b) Infection Preventionist requirements must be in place by November 28, 2019. As part of the new requirements, nursing facilities will...