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... by Proactive LTC Consulting | Sep 12, 2023 | Blog, Compliance, Medicare, Physicians
MACs have begun rolling out the mandated 5-Claim Probe and Educate audit and will eventually review claims for every eligible SNF in their jurisdiction. SNF certifications and recertifications are important elements of SNF Medicare stay compliance and will be... by Proactive LTC Consulting | Sep 12, 2023 | Admissions, Compliance, Physicians, Q&A, Regulatory
Q: How long does the physician have to see new admissions? A: Per guidance at §483.30(c) (F712) “In a SNF, the first physician visit (this includes the initial comprehensive visit) must be conducted within the first 30 days after admission, and... by Proactive LTC Consulting | Aug 1, 2023 | Blog, Compliance, HIPAA, Regulatory
HIPAA (Health Insurance Portability and Accountability Act) plays a critical role in nursing homes by ensuring the protection and privacy of resident’s sensitive medical information. Nursing homes handle vast amounts of personal health data daily including medical...