by Proactive LTC Consulting | Sep 30, 2020 | Blog, MDS, PDPM, Q&A
Q: Recently, we’ve had several new admissions who have a diagnosis of major depression. Just by talking with some residents in my rounds, I would think depression would be captured on the MDS assessment. I’m told that we almost never capture depression, but our... by Proactive LTC Consulting | Sep 29, 2020 | Activities, Blog, Compliance, MDS
We are now all familiar with the 48-hour baseline care plan that was implemented with the Requirements of Participation (ROP). One of the often overlooked or under developed components of this care plan is the resident activity needs. While the comprehensive MDS and... by Proactive LTC Consulting | Sep 23, 2020 | Audits, Blog, Coding, MDS, Medical Review, Medicare, PDPM
As we began discussing in part 1 of this article last week, the accuracy of coding, documentation and data monitoring is vital as we prepare for the inevitable start of PDPM medical review audit activity. Provider data outliers will trigger audits, and any coding... by Proactive LTC Consulting | Sep 23, 2020 | Blog, COVID-19, Reimbursement
CARES Act Provider Relief Fund The U.S. Department of Health and Human Services (HHS) Provider Relief Fund has made $50 billion available for distribution to Medicare fee-for-service providers as financial relief during the coronavirus (COVID-19) pandemic. Phases of... by Proactive LTC Consulting | Sep 22, 2020 | Blog, MDS, PDPM, Q&A
Q: Can I use M codes as primary diagnosis? A: M codes can be used as long as they are not “return to provider” codes. Recommend utilizing the CMS ICD-10 Mapping Tool listed under the resources below to determine if diagnosis can be considered as... by Proactive LTC Consulting | Sep 16, 2020 | Blog, COVID-19
CMS announced that Medicare Fee for Service medical review (which was temporarily suspended due to the public health emergency,) may now resume beginning August 3, 2020. CMS has expressed their intent to examine provider behavior, patterns of therapy provision and...