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…
Preventing Rehospitalizations in Home Health
Preventing Rehospitalizations in Home Health A home health agency's success in helping patients stay safely in their home through high quality care is important for patients, physicians, SNFs, ALFs, ILFs and CMS. Preventing rehospitalization is a home health...
F689 Accidents – Fresh Eyes on Frequent Fallers
F689 Accidents – Fresh Eyes on Frequent Fallers Falls are a critical concern in long-term care facilities, impacting resident safety, health outcomes, and compliance with regulatory standards. Understanding fall statistics, root causes, and regulatory requirements...
Employee Retention: Building for Success
Employee Retention: Building for Success Is your agency struggling with staffing retention? You aren’t alone. It’s estimated that Home Care providers turnover rate was almost 80% with over a 12% increase in turnover in the past two years. [i] To ensure quality...
Compliance Risk Assessment Considerations for the New Year
Compliance Risk Assessment Considerations for the New Year As we enter 2025, nursing home providers face many regulatory and administrative challenges. January is a good time to conduct a compliance risk assessment that considers the updated nursing facility...
How to Be Survey Ready Every Day – An Interview with Shelly Maffia
24/7 Survey Ready How to Prepare for a Survey and Be Ready Every Day: An interview with Shelly Maffia, Director of Regulatory Services Q: Why is it important for facilities to be survey-ready every day, not just during survey windows? A: Being survey-ready every day...
Long-Term Care Litigation: Evolving Challenges and Proactive Solutions
Long-Term Care Litigation: Evolving Challenges and Proactive Solutions Long Term Care (LTC) litigation has transformed into a highly focused and increasingly intimidating process for facilities. Providers can reduce litigation risk by understanding the LTC litigation...
OASIS E-1: Is Your Agency Ready?
OASIS E-1: Is Your Agency Ready? The transition from OASIS-E to OASIS E-1 is just around the corner. This blog will walk you through the upcoming changes to ensure your agency is prepared. Beginning January 1, 2025, home health agencies will transition to OASIS...
Ask Proactive – How long do we have to make corrections to an erroneously coded MDS assessment that has been submitted and accepted into IQIES?
Q: How long do we have to make corrections to an erroneously coded MDS assessment that has been submitted and accepted into IQIES? A: A correction can be submitted for any accepted record within 2 years of the target date of the record for facilities that are...
Home Health Survey Preparedness
Home Health Survey Preparedness Survey windows are a source of anxiety for many home health operators. Ensuring your agency is consistently survey ready is imperative for survey success. Surveys must be unannounced, so home health agencies must always be...
Ask Proactive – How can I ensure that claims are accurate prior to billing?
Q: How can I ensure that claims are accurate prior to billing? A: The key to accurate claims submission is an effective Triple Check or Clean Claim review process. The Triple Check process is an interdisciplinary self-audit that aims to reduce the risk of...
The Top 10 Nursing Home Citations of 2024: Insights and Prevention Strategies
The Top 10 Nursing Home Citations of 2024: Insights and Prevention Strategies Understanding citation trends is critical to improving quality and compliance. By analyzing deficiency data, facilities can focus on priority areas of improvement to prepare for surveys and...
The Missing Piece in Reducing Rehospitalization
Home Health: The Missing Piece in Reducing Rehospitalization Are you a SNF owner or operator who currently has a home health affiliation or the desire to have an affiliation? Home Health may be the missing piece to close the gap in the continuum of care for your...
Keys to Effective Pre-Admission Screening
Keys to Effective Pre-Admission Screening Ensuring that your facility is a good fit for prospective residents (and they are a good fit for your facility) is critical for delivering high-quality care and maintaining operational efficiency. A thorough and structured...
Ask Proactive – Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from?
Q: Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from? A: The SNF QRP measure for falls with...
OASIS E-1: Is Your Agency Ready for January 1st Updates?
OASIS E-1: Is Your Agency Ready for January 1st Updates? The transition from OASIS-E to OASIS E-1 is just around the corner. This blog will walk you through the upcoming changes to ensure your agency is prepared. Beginning January 1, 2025, home health agencies will...