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Safeguarding Residents – F689 Managing Elopement in LTC
Safeguarding Residents – F689 Managing Elopement in LTC Elopement is one of the most urgent safety risks in long term care, often leading to devastating outcomes and serious regulatory citations. Ensuring the safety and well-being of residents is a top priority...
Ask Proactive – My IDT team determined one of our residents needs a Significant Change assessment completed. I set the ARD, is it correct that I have 14 days from the ARD to complete this?
Q: My IDT team determined one of our residents needs a Significant Change assessment completed. I set the ARD, is it correct that I have 14 days from the ARD to complete this? A: No, the completion date for a Significant Change assessment is not based on the...
Home Health News: Preview Reports and Star Rating Preview Reports for the July 2025 Refresh
Preview Reports and Star Rating Preview Reports for the July 2025 Refresh The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on...
Crack the Code to Payment Accuracy: Why ICD-10 Coding Proficiency Matters Now More Than Ever
Crack the Code to Payment Accuracy: Why ICD-10 Coding Proficiency Matters Now More Than Ever In today’s reimbursement-driven healthcare environment, one thing is clear: accurate coding isn’t optional—it’s essential. For Skilled Nursing Facilities, ICD-10 coding...
Ask Proactive – What is the time frame in which a 5-day assessment should be completed?
Q: What is the time frame in which a 5-day assessment should be completed? A: The answer depends on whether the 5-day MDS is combined with the OBRA admission assessment or completed as a stand-alone Medicare 5-day MDS. When combined with the OBRA admission...
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...