by Proactive LTC Consulting | Nov 2, 2021 | Blog, Quality Measure
Quality Measures (QMs), have set the standards for SNF/LTC QA focus. QM ratings objectively assess the quality of care a skilled nursing facility provides compared to peers and play a key role in the facility selection process for the resident, their family,... by Proactive LTC Consulting | Oct 27, 2021 | Blog, COVID-19, Legal
As the COVID-19 pandemic swept through the nation in early 2020, one fact that became clear to us all was that the elderly population, especially those residing in nursing facilities, were disproportionately impacted. Around 140,000 residents and staff of nursing... by Proactive LTC Consulting | Oct 18, 2021 | ADR, Appeals, Audits, Blog, Medical Review, Medicare
Are your processes achieving accurate CMI reimbursement for the care that your staff delivers? The case mix index is intended to reflect the type of residents being treated and the level of care required. Therefore, it is important to ensure that procedures are in... by Proactive LTC Consulting | Oct 13, 2021 | Blog
Caring for patients nearing the end of life or in the advanced stage of a serious illness should address needs in the areas of physical comfort and practical life tasks, as well as spiritual and emotional needs. This blog overviews Hospice and Palliative Care services... by Proactive LTC Consulting | Oct 6, 2021 | ADR, Appeals, Audits, Blog, Medical Review, Medicare
Wrongful death claims pose a significant concern for healthcare facilities. In a 2019 review of claims, roughly half of fall-related claims involved a death and 62% of closed claims involved death related to pressure injury with total payments related to pressure... by Proactive LTC Consulting | Sep 29, 2021 | ADR, Appeals, Audits, Blog, Medical Review, Medicare
The Centers for Medicare & Medicaid Services (CMS) indicated in an August 2021 MLNConnects newsletter that the targeted probe and educate (TPE) program would resume ending the temporary suspension since in place since March 2020 due to the COVID-19 public health...