by Proactive LTC Consulting | May 1, 2023 | Documentation, Medicare, Q&A
Q: Why is daily charting necessary and how do you tackle compliance with Medicare A charting? A: Documentation is an important part of providing resident care, it is a means to facilitate communication among the healthcare team, allowing for collaboration and... by Proactive LTC Consulting | Dec 14, 2022 | Blog, Documentation
Behavioral health can be one of the most complex aspects of long term care. Thoughtful and personalized care planning is key to both proactive preventative strategies and an effective response to challenging behaviors. This week’s blog breaks down the critical... by Proactive LTC Consulting | Dec 7, 2022 | Blog, Documentation
According to the Patient-Driven Payment Model (PDPM), skilled nursing facilities (SNFs) are required to have documentation in the medical record that will allow a medical reviewer, in the case of an additional documentation request (ADR), to determine that Medicare... by Proactive LTC Consulting | Dec 22, 2021 | Blog, Documentation
Quite often, we receive questions related to whether or not a patient can be “skilled.” Perhaps a resident has a new onset cardiac condition, is receiving wound care, or is not making progress in therapy and will be transitioning to a restorative nursing program. In... by Proactive LTC Consulting | Sep 13, 2021 | Blog, Compliance, COVID-19, Documentation, Medical Review, Medicare, SNF
On Sept. 8, 2021, CMS updated SE20011 (see p. 13) regarding Emergency SNF QHS and benefit period requirements under Section 1812(f) of the Social Security Act which were implemented to help restore SNF coverage for patients affected by the emergency. The update... by Proactive LTC Consulting | Jun 17, 2021 | COVID-19, Documentation, Q&A
Q: Our facility is seeing an influx of Medicare Advantage Medical Review. Unfortunately, there have been a few denials based on the PDPM HIPPS code billed versus the HIPPS code generated from the MDS assessment. For example, the MA plan predetermined a score without...