by Proactive LTC Consulting | Oct 30, 2024 | Coding, Compliance, Documentation, ICD.10, MDS, Nursing, PDPM, Physicians, Regulatory, Reimbursement
Keys to Active Diagnosis Documentation and the Provider Query Process Supportive documentation of active diagnosis is crucial—supporting quality care as well as playing a vital role in regulatory compliance, reimbursement, and overall patient outcomes. This week,... by Proactive LTC Consulting | Oct 22, 2024 | Compliance, Documentation, Medical Review, Medicare, SNF
Mandatory update to SNF ABN (CMS-10055) – 10/31/2024 The Centers for Medicare & Medicaid Services (CMS) released an update to the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN)—Form CMS-10055 in August. The revised form and updated... by Proactive LTC Consulting | Oct 14, 2024 | Coding, Compliance, Dementia Care, Documentation, MDS
Q: Our social worker attempted to complete the BIMS with a resident, but the resident refused to answer the questions. As a result, the social worker coded all responses in C0200, 0300 and 0400 as “0” with a BIMS Summary Score of “00” at C0500. This seems odd because... by Proactive LTC Consulting | Oct 9, 2024 | Coding, Documentation, MDS, Quality Measure, RAI Manual
Q: My facility is triggering high for the Quality Measure: Prevalence of Behavior Symptoms Affecting Others, but we don’t have many behavioral issues in our population. Why is this happening? A: This measure may trigger if the most recent MDS is coded... by Proactive LTC Consulting | Oct 7, 2024 | ADL, Documentation, F-Tag, Nursing, Restorative, Survey
Addressing Refusal of Care and Non-Adherence to Care Plans in Skilled Nursing Facilities: Strategies for Success Refusal of care and non-adherence to care plans by residents in Skilled Nursing Facilities (SNFs) present significant challenges for healthcare teams. When... by Proactive LTC Consulting | Oct 1, 2024 | ADL, Documentation, F-Tag, Nursing, Restorative, Survey
Nursing home regulations are designed to ensure that residents receive quality care while maintaining their dignity and independence. Two key regulations, F676 (Quality of Life) and F688 (Mobility), focus on monitoring a resident’s ability to perform Activities of...