by Proactive LTC Consulting | Aug 10, 2020 | Blog, COVID-19
In addition to the obvious concerns related to the current Public Health Emergency (PHE), the Coronavirus pandemic has created secondary challenges that numerous SNFs are facing including increased public scrutiny, changes in admission patterns, and declining census... by Proactive LTC Consulting | Aug 5, 2020 | Blog, CMS
On July 31, 2020 the Centers for Medicare and Medicaid Services (CMS) issued the FY 2021 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule. This updates the Medicare payment rates and Value-Based Purchasing program for Skilled Nursing Facilities... by Proactive LTC Consulting | Aug 4, 2020 | Blog, Medicare, PDPM, Q&A
Q: A resident had a UTI in the hospital but their antibiotics were finished before admitting to the facility. The DC Summary notes “UTI-Resolved”. Should UTI be coded? A: Yes, UTI must be coded in I2300 if occurred in the last 30 days. The RAI Manual (page... by Proactive LTC Consulting | Aug 4, 2020 | Blog, CMS, COVID-19
On July 17, 2020, CDC updated the guidance related to Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance) and the Criteria for Return to Work for Healthcare Personnel with SARS-CoV-2... by Proactive LTC Consulting | Jul 29, 2020 | Blog, COVID-19, PDPM
Per the MLN Connects news issued July 23, 2020, a new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month. The system incorrectly assigns edits U5601-U5608 (overlapping a... by Proactive LTC Consulting | Jul 29, 2020 | Blog, COVID-19, PDPM
PEPPER summarizes Medicare claims data statistics for billed claims in target areas that may be at risk for improper payments. Your facility data is compared to all SNFs in the nation, in your state, and in your jurisdiction to assess how your past billing practices...