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Ins and Outs of F582 Medicaid/Medicare Coverage/Liability Notice

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...

2021 Audit Forecast: Cloudy with a Chance of Storms

by Proactive LTC Consulting | Apr 21, 2021 | Audits, Compliance, Legal, Medicaid, Medical Review, Medicare

Following a year of little to no medical review and extensive government spending, most experts forecast reimbursement compliance audits ramping up in 2021. Multiple areas are ripe for potential scrutiny, including, but not limited to PDPM coding and supportive...

Taking Your Nursing Documentation to Court

by Proactive LTC Consulting | Mar 15, 2021 | Blog, Documentation, Legal, Medicaid, Medical Review, Medicare

“No matter how skilled or experienced you are, inaccurate or incomplete nursing documentation can mean serious trouble for your patients – and for you if you’re ever involved in a lawsuit.” Austin, Nursing2021. Many nurses who have had to testify in a deposition or...

Medicaid Case Mix Index (CMI): Common Errors & Opportunities

by Proactive LTC Consulting | Jun 10, 2020 | Blog, CMI, Education, Medicaid, Reimbursement

Case mix index (CMI) is the metric by which the relative cost of treating residents covered by Medicaid is measured.  It also sheds light on the type of residents being treated and the burden of care required.  Because the primary payer source for most facilities is...

Q & A – What is an advance payment and how do I apply for one?

by Proactive LTC Consulting | Apr 1, 2020 | Blog, COVID-19, Education, Medicaid, Reimbursement

Q: What is an advance payment and how do I apply for one? A: An accelerated/advance payment is a payment intended to provide necessary funds when there is a disruption in claims submission and/or claims processing. These expedited payments can be offered in...

Ohio Exception Reviews are Coming – Are You Prepared?

by PMR Team | Mar 1, 2018 | MDS, Medicaid

The Ohio Department of Medicaid (ODM) has awarded Myers and Stauffer with the contract to conduct exception reviews. “Exception review” is a review of minimum data set (MDS) assessment data. The purpose of an exception review is to identify any patterns or...

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Proactive Medical Review Consulting, LLC

2207 Morgan Ave, Suite D
Evansville, IN 47711

Phone: (812) 471-7777
Fax: (812) 471-7802
info@proactivemedicalreview.com