by Proactive LTC Consulting | Apr 9, 2025 | Audits, Coding, Compliance, Documentation, ICD.10, MDS, Reimbursement
Crack the Code to Payment Accuracy: Why ICD-10 Coding Proficiency Matters Now More Than Ever In today’s reimbursement-driven healthcare environment, one thing is clear: accurate coding isn’t optional—it’s essential. For Skilled Nursing Facilities, ICD-10 coding... by Proactive LTC Consulting | Apr 2, 2025 | Compliance, MDS, Reimbursement
Q: What is the time frame in which a 5-day assessment should be completed? A: The answer depends on whether the 5-day MDS is combined with the OBRA admission assessment or completed as a stand-alone Medicare 5-day MDS. When combined with the OBRA admission... by Proactive LTC Consulting | Apr 2, 2025 | Compliance, MDS, Quality Measure, Reimbursement, Survey
F641 Accuracy of MDS Assessments – Revised LTC Surveyor Guidance CMS and the Department of Health & Human Services released an updated version of the LTC Surveyor Guidance on March 10, 2025. This update, which revises the earlier January 16th release, takes... by Proactive LTC Consulting | Apr 2, 2025 | Compliance, MDS, Medical Review, Medicare, PDPM, Reimbursement, Therapy
The State of SNF Medical Review in 2025: Trends, Challenges, and Key Findings Medical review of Skilled Nursing Facilities (SNFs) continues to be a focus of Medicare and Medicare Advantage oversight activities in 2025. With increased scrutiny from Medicare... by Proactive LTC Consulting | Mar 26, 2025 | Compliance, Pain, Physicians, Psychotropics, QAPI, Regulatory, Survey
Don’t Postpone Preparing for CMS’ Revised Surveyor Guidance Take advantage of the revisions to the surveyor guidance being delayed until April 28, 2025 to hardwire preparation for the changes. Now is the opportunity to complete a thorough review of... by Proactive LTC Consulting | Mar 19, 2025 | Compliance, Infection Prevention, Nursing, Regulatory
Q: What are key steps to ensure compliance with the updated Enhanced Barrier Precautions (EBP) guidance that takes effect 4/28/25? A: Facilities should take the following steps to prepare for surveyor evaluation of EBP implementation: 1. Identify Residents Who...