by Proactive LTC Consulting | Jul 28, 2020 | Blog, Medicare, PDPM, Q&A
Q: Do I have to restart the Medicare physician certification process when a resident qualifies for an interrupted stay? A: The requirements for physician certifications and recertifications for the SNF PPS stay did not change with the implementation of PDPM.... by Proactive LTC Consulting | Jul 22, 2020 | Blog, CMS, COVID-19, PDPM
Since July 20, skilled nursing facilities have the availability of various COVID-19 point-of-care (POC) rapid results tests for both residents and staff in order to fulfill the CMS guidance that recommends a baseline test and weekly testing thereafter. Facilities... by Proactive LTC Consulting | Jul 21, 2020 | Blog, CMS, COVID-19, PDPM
Is your facility CLIA certified? Beginning this week, COVID-19 point of care (POC) testing instruments and supplies will start to be provided to skilled nursing facilities, prioritizing “hot spots” first. Only facilities with a Clinical Laboratory Improvement... by Proactive LTC Consulting | Jul 15, 2020 | Blog, Medical Review, PDPM
CMS suspended most Medicare Fee-For-Service (FFS) medical review in late March due to the public health emergency (PHE). However, CMS has recently updated the COVID-19 Provider Burden Relief FAQ related to claim audit waivers. This update states that Medical Review... by Proactive LTC Consulting | Jul 15, 2020 | Blog, Education, MDS, PDPM, Q&A, RAI Manual
Q: How often do restorative progress notes need to be written? A: The RAI Manual, p. O-43 states, “Evidence of periodic evaluation by the licensed nurse must be present in the resident’s medical record.” Facility policy should determine the frequency of the... by Proactive LTC Consulting | Jul 15, 2020 | Blog, PDPM, Physicians
Working together for the best clinical outcomes and for reimbursement accuracy requires good systems for communication – both verbally and in our documentation. The fundamental expectations for documentation to support skilled level of care, medical necessity, and...