by PMR Team | Nov 16, 2018 | Consulting, Education, Medicare, Reimbursement, Therapy
On November 1, CMS finalized proposals that impact payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019. CMS estimates that the conversation factor for CY2019 PFS... by Amie Martin | Sep 7, 2018 | Audits, Compliance, Consulting, PDPM, Reimbursement, Therapy
CMS issued the final rule for Fiscal Year (FY) 2019 SNF Prospective Payment System (PPS) announcing that the Patient-Driven Payment Model (PDPM) will take effect October 1st, 2019, replacing the current PPS RUGs-IV model. How will your facility fare under PDPM?... by PMR Team | Sep 5, 2018 | Compliance, Consulting, Regulatory
Would you like an objective assessment of your Emergency Preparedness Plan? Health care providers and suppliers affected by the final rule Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers were required to comply and... by PMR Team | Apr 4, 2018 | 5-Star, Compliance, Consulting, Education, MDS, SNF
In April 2018, CMS began using the PBJ data to calculate staffing measures which will be posted on Nursing Home Compare and used in the Five Star Quality System. Staffing measures and staffing star ratings were calculated based on the data for the 2017 Calendar... by PMR Team | Dec 22, 2017 | Consulting, MDS
We Are Your Resource For MDS Accuracy & MDS Consulting Proactive’s AAPACN certified MDS consulting experts offer the support your team needs to achieve your clinical assessment, coding, and reimbursement goals. Contact us to ensure consistently accurate MDS... by PMR Team | Oct 6, 2017 | Consulting, Medical Review
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Medical Review Preparedness & Response Efforts to reduce Medicare fraud and abuse have escalated, including expanded auditing of medical records and...