by Proactive LTC Consulting | Jul 2, 2025 | Compliance, MDS, Medical Review, Quality, Reimbursement
Top Nursing Home Missed Reimbursement Opportunities Practical Strategies to Capture What You’ve Rightfully Earned In today’s long-term care environment, nursing homes are under more pressure than ever to deliver high-quality care while navigating increasingly... by Proactive LTC Consulting | Apr 2, 2025 | Compliance, MDS, Medical Review, Medicare, PDPM, Reimbursement, Therapy
The State of SNF Medical Review in 2025: Trends, Challenges, and Key Findings Medical review of Skilled Nursing Facilities (SNFs) continues to be a focus of Medicare and Medicare Advantage oversight activities in 2025. With increased scrutiny from Medicare... by Proactive LTC Consulting | Dec 30, 2024 | Home Health, Medical Review
Home Health Survey Preparedness Survey windows are a source of anxiety for many home health operators. Ensuring your agency is consistently survey ready is imperative for survey success. Surveys must be unannounced, so home health agencies must always be... by Proactive LTC Consulting | Dec 30, 2024 | MDS, Medical Review, Medicare, SNF
Q: How can I ensure that claims are accurate prior to billing? A: The key to accurate claims submission is an effective Triple Check or Clean Claim review process. The Triple Check process is an interdisciplinary self-audit that aims to reduce the risk of... by Proactive LTC Consulting | Dec 10, 2024 | Home Health, Medical Review
Medical Necessity: The Key to Successful Home Health Documentation One of the top denial reasons for home health claims is “services were not medically necessary”. Many home health agencies face challenges related to documenting medical necessity for both... by Proactive LTC Consulting | Nov 13, 2024 | Compliance, Documentation, Medical Review, Medicare, Nursing, PDPM, SNF, Therapy
The Landscape of Skilled Service Justification in Skilled Nursing Facilities Compliance and accountability related to justifying skilled services is more important than ever. In Part 2 of this blog addressing justification of SNF Skilled Care, we’ll take a deeper look...