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 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... by PMR Team | Oct 4, 2017 | Audits, Compliance, Education, Medical Review, Medicare, SNF, Therapy
This four part webinar series reviews recent trends of rehabilitation service medical review, common denial trends and proactive measures to reduce risk and improve outcomes during active medical review. Recent audit activity will be discussed under both part A and...