News / Blog
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The latest news, events, blogs and more…
Navigate the Requirements of Participation with Ease!
Let us ease the burden of interpretation and compliant implementation of the Final RoP, and help ensure that you are ready to meet the requirements with confidence. Proactive has a partnership plan to carry the burden of Phase 1-3 Requirements of Participation...
National Correct Coding Initiative Update
CMS developed The National Correct Coding Initiative (NCCI) for Medicare Part B and Medicaid claims. NCCI is an automated edit system to control Current Procedural Terminology (CPT) code pairs that can be reported on the same day. The goal is to assure therapists are...
New Webinar Rehab Audit Success, Register Now!
Rehab Medical Review & Auditing: Fundamentals of Success This four part webinar series reviews recent trends of rehabilitation service medical review, common denial trends and proactive measures to reduce risk and improve outcomes during active medical review....
PDPM: Effective Systems and Coding of Section GG Recording Now Available!
This blog has been updated. Please visit the shop to download this recording. This 1.25 hour webinar focuses on effective systems for gathering data and documenting function to support coding decisions for the MDS 3.0 Section GG. The webinar includes a review of...
Time to Update Your Facility Assessment
Pursuant to §483.70(e) (F838), each facility must conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility must review and update...
New! Draft Oct 2019 Item Sets
CMS has posted the draft version of the October 2019 MDS item sets which includes the draft Interim Payment Assessment. Draft item sets can be downloaded here. Need help with PDPM preparedness and training? Proactive can help! Click here fore more info!
CMS Releases Final Rule CY2019 Medicare Physician Fee Schedule
On November 1, CMS finalized proposals that impact payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019. CMS estimates that the conversation factor for CY2019 PFS...
SNF ICD.10 Coding: Integrating SNF Coding Systems In Preparation for PDPM
November 13 + December 10, 2018 9:30 AM-3:30 PM (Eastern Time) SNF ICD.10 Coding: Integrating SNF Coding Systems In Preparation for PDPM This course will review common challenges skilled nursing facilities face regarding ICD-10 coding and provide best practices for...
PDPM—How Will You Fare Under the New Reimbursement Model?
CMS issued the final rule for Fiscal Year (FY) 2019 SNF Prospective Payment System (PPS) announcing that the Patient-Driven Payment Model (PDPM) will take effect October 1st, 2019, replacing the current PPS RUGs-IV model. How will your facility fare under PDPM?...
Emergency Preparedness
Would you like an objective assessment of your Emergency Preparedness Plan? Health care providers and suppliers affected by the final rule Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers were required to comply and...
Are You Prepared for Dementia Care Behavioral Health Requirements?
Blog post and article by Eleisha Wilkes, RN, RAC-CT "Behavioral health services are an important component of fostering quality of life for that population we serve. As stated in the new Requirements of Participation, behavioral health encompasses a resident's whole...
Section GG Proposed Updates
The proposed changes to section GG of the Minimum Data Set (MDS) anticipated on October 1, 2018 will require increased collaboration between therapy and nursing to appropriately fulfill coding requirements. Section GG was implemented in response to the IMPACT Act...
WEBINAR: How Hot is your PEPPER Report?
UPDATE!! THE LIVE WEBINAR HAS ENDED. CLICK HERE FOR RECORDING DETAILS. SNF PEPPER Now Available - Implement an Effective Response in Preparation for Government Audits The Q4FY17 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns...
Transitioning to PBJ Staffing Measures
Are You Ready? In April 2018, CMS will begin using the PBJ data to calculate staffing measures which will be posted on Nursing Home Compare and used in the Five Star Quality System. Staffing measures and staffing star ratings will be calculated based on the data for...
SNF Competency Tool Kits-Now Available!
Meeting RoP Staff Competency Requirements The regulation at F-tag 726 states that nursing facilities must have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or...