by Proactive LTC Consulting | Mar 10, 2020 | Coding, Documentation, Education, MDS, Medical Review, PDPM, SNF
Most facilities have fared better than anticipated under Patient-Driven Payment Model (PDPM). What will this mean from the standpoint of Medicare claims audits and how should we prepare for the inevitable start of medical review activity for PDPM claims? For many... 
by Proactive LTC Consulting | Jan 6, 2020 | Audits, Compliance, Education, MDS, Medical Review, PDPM
When reviewing the CMI components driving PDPM reimbursement it’s important to consider the critical role of the Non-Therapy Ancillary (NTA) score. The NTA component score is based on the presence of certain comorbidities and/or the use of extensive services. CMS... by PMR Team | May 29, 2018 | Consulting, Medical Review, Testimonials
What Our Clients Say About Us PROACTIVE 5-STAR ACTION PLAN & SURVEY MANAGEMENT CONSULTING “Our facility was newly Medicare certified and went through a probe review, resulting in some claim denials …. With the help of Proactive, those denied claims have all... by PMR Team | May 3, 2018 | Compliance, Medical Review, Medicare, Reimbursement, SNF
UPDATE!! THE LIVE WEBINAR HAS ENDED. CLICK HERE FOR RECORDING DETAILS. SNF PEPPER Now Available – Implement an Effective Response in Preparation for Government Audits The Q4FY17 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment... by PMR Team | Nov 8, 2017 | Compliance, Medical Review, Therapy
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. CMS has announced plans to expand the targeted probe approach to medical review to all MACs (Medicare Administrative Contractors.) TPE includes processes... by PMR Team | Oct 6, 2017 | Consulting, Medical Review
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. Medical Review Preparedness & Response Efforts to reduce Medicare fraud and abuse have escalated, including expanded auditing of medical records and...