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... 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... 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...