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…
Facility Assessment Tool – Now Available!
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Nursing facilities are required to complete a comprehensive Facility Assessment by November 28, 2017 as part of the Phase 2 Requirements of Participation...
Are You in Compliance with PBJ Reporting?
In April 2018, CMS began 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 were calculated based on the data for the 2017 Calendar...
CMS Five-Star Quality Rating System
Health Inspection Changes On 11/24/2017, in S&C 18-04-NH, CMS announced upcoming changes to the Health Inspection domain of the Five-Star Quality Rating System. In this memo, CMS announced that they will hold constant the current health inspection star ratings on...
Prepare Your Staff For Survey
Join us in April for training focused on the essentials you need to be prepared for the New Survey Process! The New Long Term Care Survey Process What to Expect: On November 28, 2017 all states began a brand new computer-based survey process for LTC facilities. This...
Emergency Preparedness Requirements
Are you Prepared for an Emergency? 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 implement all regulations by November 15,...
Ohio Exception Reviews are Coming – Are You Prepared?
The Ohio Department of Medicaid (ODM) has awarded Myers and Stauffer with the contract to conduct exception reviews. "Exception review" is a review of minimum data set (MDS) assessment data. The purpose of an exception review is to identify any patterns or trends...
Medicare Part B Therapy Caps Permanently Repealed!
Medicare Part B therapy caps have been permanently repealed as part of the bipartisan budget deal passed last week and signed by President Trump on Friday, 2/9/18. The repeal will be retroactive to January 1, 2018, but claims over $2010.00 (OT or PT/SLP combined) will...
The New Survey Process: What Has Changed?
March 15, 2018 9:00 AM – 3:30 PM (Eastern Time) On November 28, 2017 all states began a brand new computer-based survey process for LTC facilities. This coincides with the implementation of Phase 2 of new Requirements of Participation and a newly revised State...
Does Your MDS Office Need an Ally?
We Are Your Resource For MDS Accuracy & MDS Consulting Proactive’s AAPACN certified MDS consulting experts offer the support your team needs to achieve your clinical assessment, coding, and reimbursement goals. Contact us to ensure consistently accurate MDS...
The New Survey Process – What To Expect
The New Survey Process Is Here... What You Need To Know Effective November 28, 2017, the new long term care survey process began. This new process combined the strengths from both the traditional survey process as well as the Quality Indicator Survey (QIS) to form the...
The New Survey Process Is Here—What You Need to Know
Effective November 28, 2017, the new long term care survey process began. This new process combined the strengths from both the traditional survey process as well as the Quality Indicator Survey (QIS) to form the new process that is intended to identify concerns in a...
Medical Review Changes: Target Probe and Educate
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. CMS has announced plans to expand the targeted probe approach to medical review to all MACs (Medicare Administrative Contractors.) TPE includes processes...
Proactive Medical Review Clinical & Reimbursement Experts in Post-Acute Care
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Medical Review Preparedness & Response Efforts to reduce Medicare fraud and abuse have escalated, including expanded auditing of medical records and...
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. Recent audit activity will be discussed under both part A and...
Facility Assessment Compliance Made Easy
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Nursing facilities are required to complete a comprehensive Facility Assessment by November 28, 2017 as part of the Phase 2 Requirements of Participation...