by PMR Team | Jul 9, 2019 | Audits, Compliance, Medicare, Regulatory, Reimbursement
The Quality Improvement Organization (QIO) Program originated with the Peer Review Improvement Act of 1982 and is authorized by Title XI Part B and Title XVIII the Act. The goal of the QIO program is to improve the quality of care for Medicare beneficiaries, including... by PMR Team | Jun 27, 2019 | Audits, Coding, Compliance, Medicare, PDPM, Regulatory, Reimbursement
A strong Triple Check process requires a group effort The Triple Check process is an internal audit that ensures billing accuracy and compliance with regulatory guidelines prior to the submission of claims to Medicare and other payors. A strong Triple Check process... by PMR Team | Feb 25, 2019 | Audits, Compliance, Consulting, Regulatory
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... by Amie Martin | Sep 7, 2018 | Audits, Compliance, Consulting, PDPM, Reimbursement, Therapy
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?... by PMR Team | Oct 4, 2017 | Audits, Compliance, Education, Medical Review, Medicare, SNF, Therapy
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...