by Proactive LTC Consulting | Aug 26, 2026 | Audits, Clinical, Compliance, Documentation, DON, Education, MDS, Medical Review, Nursing, QA, QAPI, Quality, Quality Measure
Q: As a Director of Nursing Services, what can I do to support the MDS department? A: As a Director of Nursing Services (DNS), one of the best ways to support the MDS department is to treat MDS as an interdisciplinary clinical function, not simply as an...
by Proactive LTC Consulting | Jul 1, 2026 | Accidents/Incidents, Audits, Compliance, Documentation, Falls, Medical Review, Medication, Nursing Home Consultant, Person Centered Care, QAPI, Quality, Survey
Top Nursing Documentation Mistakes Impacting Survey Outcomes—And How to Avoid Them Documentation has always been an essential part of resident care, but in today’s regulatory environment, it has become one of the most powerful pieces of evidence surveyors...
by Proactive LTC Consulting | Jul 1, 2026 | Compliance, Documentation, Medical Review, Medicare, Nursing Home Consultant
Q: Our facility was selected for a second round of a Medicare TPE. Should we be worried that Medicare is targeting us? A: No. While receiving a second round of a TPE can certainly be unsettling, it is important to know that you are not alone. Over the...
by Proactive LTC Consulting | Feb 18, 2026 | Coding, Compliance, Documentation, MDS, Medical Review, Medicare, Nursing Home Consultant, PDPM, Reimbursement
Q: Why is nursing documentation one of the biggest risks in medical reviews? A: Nursing documentation is one of the biggest medical review risk areas because it supports Medicare coverage and directly affects the nursing component, Non-Therapy Ancillaries...
by Proactive LTC Consulting | Sep 24, 2025 | ADR, Appeals, Compliance, Documentation, Medical Review, Reimbursement
SNF ADR Management: Prepare for Post-Probe Surge The SNF 5-Claim Probe & Educate officially ended on June 30, 2025, but for many providers, the scrutiny is just beginning. While CMS guidance indicates that providers with 100% error rates (5/5 claims in...
by Proactive LTC Consulting | Jul 16, 2025 | ADR, Appeals, Audits, Documentation, Medical Review, Medicare, Reimbursement, SNF
Q: Do we need to obtain prior authorization for every managed care resident who requires skilled services, even if they clearly meet criteria? A: Unfortunately, yes — at least for now. Most managed care plans (including Medicare Advantage) still require prior...
