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…
Is Your Staff Prepared for the New Long Term Care Survey Process?
LTC facilities in all states began a new computer-based survey process on November 28, 2017 for standard surveys. This new process incorporates new survey procedures, new survey forms, new F-tags, and 41 new and updated critical element pathways. 3 part Survey...
KY PT Regulation Update
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Two Changes to KY Physical Therapy Practice Act As of June 2, 2017, the Kentucky Board of Physical Therapy set forth changes according to 201 KAR 22:053,...
SNF Pepper: Compliance Action Plan
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. You’ve Taken the First Step and Downloaded Your SNF PEPPER Report Now what? Unfortunately, many facilities fail to glean the full risk assessment and...
DOJ’s Fraud Section Issues New Guidance on Compliance Programs: Questions You Should Be Asking
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. The Fraud Section of the U.S. Department of Justice published the first formal guidance since the new administration took office. It includes a list of...
Update on CMS/Jimmo Case and What it Means for Your Therapy Program
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. On February 1st, a Vermont U.S. District Court Judge filed a decision ordering CMS to implement a Corrective Action Plan for improved education related to...
New SNF Medical Review Activity Tied to COT OMRA Outliers
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. A sharp increase in the number of SNF Part A Post-Pay ADRs (Additional Documentation Requests) was noted in late December for claims with 2015 dates of...
New Coding System: 2017 Evaluation Codes for PT/OT Webinar Recording Now Available
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Did you miss the webinar? Don’t worry, the recording is now available! This course gives a description of methodology consistent with CMS and payment...
Breaking News! Conditions of Participation Final Rule Released
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. CMS has released the public inspection version of the SNF Conditions of Participation Final Rule. Proactive will be reviewing the update of the public...
Countdown to Section GG Begins! Get Answers to FAQ Here!
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Seasons are changing, and so are the MDS 3.0 rules! The start of FY2017 is quickly approaching with the accompanying MDS 3.0 changes effective 10/1....
August 6, 2016 Final Rule
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017, SNF Value-Based Purchasing Program, SNF...
HIPAA Privacy, Security and Breach Notification Audits Underway
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. The HHS Office for Civil Rights (OCR) began the latest phase of audits of covered entities and their business associates in July 2016. The 2016 Phase 2...
Section GG: Key Concepts for Successful Implementation
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. On October 1, 2016, completion of section GG (Functional Abilities and Goals) will be required as part of the admission (Start of SNF PPS Stay) and...
Five Star Preview Reports
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Five Star Preview Reports Now Available The Five Star Preview Reports became available on July 21st. Nursing Home Compare will update with June’s Five Star...
Preview Data Available for New Quality Measures
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. The Five Star Preview Reports were available through the CMS QIES System on April 20th. Beginning with this update, each nursing home is able to review...
Payroll-Based Journal (PBJ) Staffing Data Submission
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. In an effort to promote greater accountability for long-term care facilities, the Affordable Care Act requires facilities to electronically submit direct...