by Proactive LTC Consulting | Nov 28, 2023 | Blog, Compliance, Quality, Regulatory, Survey
On November 20, 2023, CMS released Guidance for Federal Monitoring Surveys (FMS) which identifies the FY2024 and FY2025 focus concerns and guidance on how CMS staff will conduct FMS and communicates estimated FY2024-FY2025 required number of long-term care (LTC) FMS...
by Proactive LTC Consulting | Nov 21, 2023 | Blog, Compliance, Documentation, Medical Review, Medicare, Nursing, PDPM, SNF
SNF Meetings– UR & Triple Check Essentials According to a recent Agency Financial Report released by the Department of Health and Human Services (HHS), the primary reasons for SNF payment error include (1) missing or insufficient documentation to support the...
by Proactive LTC Consulting | Nov 15, 2023 | Activities, Blog, Compliance, F-Tag, Regulatory, Survey
While residents and families are not required to organize a resident or family group in their facility, the F 565 regulation does stipulate the obligations of the facility when residents/families choose to exercise this right. F565 states “The resident has a right to...
by Proactive LTC Consulting | Nov 8, 2023 | Blog, Coding, Compliance, MDS
As of October 1, 2023, the code G20 is now obsolete and will likely reject on any billing to Medicaid, Medicare, or insurance companies. Prior to your November billing, you will want to update to the appropriate new codes to avoid delayed billing processes. This...
by Proactive LTC Consulting | Oct 17, 2023 | 5-Star, Blog, Compliance, Nursing, QAPI, Quality, Survey
As a new fiscal year begins, it’s the perfect time to dive into survey trends we’ve witnessed across the nation in the past year. These these trends can serve as a guide to preparations for upcoming surveys. For those eagerly awaiting the survey...
by Proactive LTC Consulting | Oct 4, 2023 | Blog, Coding, Compliance, Documentation, MDS, Nursing
With the implementation of the MDS 3.0 v1.18.11 this past Sunday, October 1st, it may not be surprising that there have been a few bumps in the road. Software vendors continue to work diligently to address issues, but here are some transitional potholes that you may...
