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ICD10 Mappings and PDPM Grouper DLL updated for COVID-19

by Proactive LTC Consulting | Apr 1, 2020 | CMS, Coding, COVID-19, ICD.10, MDS, PDPM

The Centers for Disease Control and Prevention (CDC) published the final guidelines for the new diagnosis code U07.1, COVID-19, effective April 1 to September 30, 2020. As a result, the Centers for Medicare & Medicaid Services (CMS) also updated the ICD-10-CM to...

Coronavirus Waivers & Flexibilities

by Proactive LTC Consulting | Mar 31, 2020 | CMS, COVID-19, Education, PDPM, Regulatory

This week CMS announced blanket Coronavirus waivers and flexibilities impacting multiple provider types including nursing facilities and a 221-page Interim Final Rule adjusting a wide range of Medicare and Medicaid regulations to give providers additional flexibility...

Reporting Staff COVID-19 Infection-OSHA Requirements

by Proactive LTC Consulting | Mar 25, 2020 | CMS, COVID-19, Infection Prevention, IPA, PDPM, Regulatory

COVID-19 can be a recordable illness if a worker is infected as a result of performing their work-related duties. However, employers are only responsible for recording cases of COVID-19 if all of the following are met: The case is a confirmed case of COVID-19 (see CDC...

Critical Action Steps for LTC Facilities’ COVID-19 Response

by Proactive LTC Consulting | Mar 25, 2020 | CMS, COVID-19, Education, Regulatory

As of a March 23 report by CMS, at least 147 nursing homes across 27 states have at least one resident with COVID-19. As we work to protect our residents and staff in response to the risk of COVID-19 infection, providers are encouraged to consider these action items...

COVID-19 Considerations for IPA Completion

by Proactive LTC Consulting | Mar 20, 2020 | CMS, COVID-19, IPA, PDPM

The Interim Payment Assessment (IPA) is an optional assessment that may be completed to capture changes in a resident’s status and condition and to report a change in a patient’s PDPM classification. Providers determine when to complete an IPA, which may be any time...

CMS Decides to Retain the CCI Edits That Were in Effect Prior to January 1, 2020

by Proactive LTC Consulting | Feb 13, 2020 | Blog, CMS, Coding, Education, Reimbursement

The therapy industry recently received some good news in terms of hard edits that were previously applied effective January 1, 2020 without warning. Our blog posted on 1/16/2020 shared that therapeutic activities (97530) and group therapy (97150) could no longer be...
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Proactive LTC Consulting

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Evansville, IN 47711

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