by Proactive LTC Consulting | Feb 4, 2020 | Medicare, PDPM, Q&A, SNF
Q: If a resident is cut from skilled services but a new skilled need arises during the interrupted stay window, would the facility be allowed to re-skill the resident? A: The Medicare Benefit Policy Manual, Chapter 8 states that “Another qualifying hospital... by Proactive LTC Consulting | Feb 4, 2020 | Medicare, PDPM, Q&A, SNF
Q: What would happen if the interrupted stay criteria was met, but the resident came back from the hospital with a new diagnosis? A: In order to utilize Medicare benefits, even if the criteria of the Interrupted Stay Policy have been met, the resident must... by Proactive LTC Consulting | Jan 14, 2020 | Blog, Medicare, PDPM, SNF
With focus primarily on successful implementation of the Patient Driven Payment Model (PDPM) in recent months, now is a good time to revisit the importance of a solid process for the Medicare Meeting, or Utilization Review Meeting. Under PDPM, some providers have... by Proactive LTC Consulting | Dec 31, 2019 | Medicare, PDPM, Q&A, SNF
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: If a resident discharges and returns from an interrupted stay do we start over on the Medicare certification? A: If the resident qualifies for the interrupted... by Proactive LTC Consulting | Nov 5, 2019 | CMS, Medicare, Physicians
Medicare Final 2020 Physician Fee Schedule (PFS) Released & Rule Includes Challenges for Part B Therapy Providers CMS released the final 2020 Medicare Physician Fee Schedule on November 1, 2019 which includes updates to payment policies, rates and quality... by Proactive LTC Consulting | Oct 22, 2019 | CMS, Medicare
CMS Will Continue to Report RUG-III and RUG-IV HIPPS Codes, as Requested by the State, Until September 30, 2020 As of October 1, 2019, all scheduled PPS assessments (except the 5-day) and all unscheduled PPS assessments were retired. If you’re in a Medicaid case-mix...