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... by Proactive LTC Consulting | Jun 21, 2023 | Blog, Compliance, F-Tag, Physicians, Regulatory, Survey
Physicians play a crucial role in supervising the care of residents in nursing facilities. Physician visits should be thorough and comprehensive, encompassing an evaluation of the resident’s condition, review of medications and treatments, and a review of the plan of... by Proactive LTC Consulting | Jun 7, 2023 | Blog, Compliance, Hospice, Nursing, Quality, Regulatory, Survey
Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional... by Proactive LTC Consulting | Jun 6, 2023 | CMS, Compliance, Q&A, Quality, Regulatory, Survey
Q: My facility was just put on the Special Focus Facility (SFF) candidate list. Why were we selected and what should we expect? A: Candidacy for the SFF program is determined by performance on standard health and complaint surveys in the previous 3 years. CMS...