by Proactive LTC Consulting | Oct 1, 2025 | Coding, Compliance, Depression, MDS, Medicaid, Medicare, Nursing, PDPM, Reimbursement
Q: I have recently been directed, when completing the PHQ-2 to 9, that if a resident acknowledges a symptom, but is unable to give a frequency, I should dash both questions (column 1 and 2). Is this correct? A: No, this is incorrect. If a resident answers “yes”... by Proactive LTC Consulting | Sep 17, 2025 | Compliance, MDS, Medicaid, Medicare, Nursing, Regulatory, Reimbursement
October 1, 2025 MDS Changes: What You Need to Know! CMS has released the RAI User’s Manual v1.20.1, effective October 1, 2025, with updates across multiple MDS sections. While Sections GG and J bring the most significant changes, every adjustment matters for... by Proactive LTC Consulting | Apr 16, 2025 | Coding, Compliance, Documentation, MDS, Medicaid, Medicare, Nursing
CMS has released the draft version of the MDS 3.0 RAI User’s Manual (v1.20.1), now available on the MDS 3.0 RAI Manual page. While the manual is still in draft form, the changes are significant and go into effect October 1, 2025. Facilities should begin planning now... by Proactive LTC Consulting | Feb 20, 2024 | ADL, CMI, MDS, Medicaid, Q&A
Q: We have a lot of residents on Scheduled Toileting. I’m worried we won’t get credit for them during our next CMI validation. What will I need to show our review nurse to receive credit? A: The RAI Manual MDS item H0200C, ‘Current Toileting... by Proactive LTC Consulting | May 24, 2023 | Medicaid, Q&A
Q: Are nursing facilities, who do not accept Medicaid as a payer source, required to provide residents with the State-developed notice of Medicaid rights and obligations that is required at F572 (§483.10(g)(16))? A: Yes, All nursing facilities that are Medicaid... by Proactive LTC Consulting | Feb 22, 2023 | Blog, F-Tag, Medicaid, Medicare, Regulatory, Reimbursement
Medicare beneficiaries in a SNF have rights and safeguards with regard to financial liability and appeal of the denial of Medicare services. Providers are required to inform beneficiaries of their financial liability and their appeal rights in writing by issuing...