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National Correct Coding Initiative Update

by PMR Team | Feb 7, 2019 | Compliance, Medicare, Therapy

CMS developed The National Correct Coding Initiative (NCCI) for Medicare Part B and Medicaid claims. NCCI is an automated edit system to control Current Procedural Terminology (CPT) code pairs that can be reported on the same day. The goal is to assure therapists are...

PDPM: Effective Systems and Coding of Section GG Recording Now Available!

by PMR Team | Jan 17, 2019 | Consulting, Education, MDS, Medicare, PDPM, Reimbursement, SNF, Webinars

This blog has been updated. Please visit the shop to download this recording. This 1.25 hour webinar focuses on effective systems for gathering data and documenting function to support coding decisions for the MDS 3.0 Section GG. The webinar includes a review of...

Time to Update Your Facility Assessment

by PMR Team | Jan 17, 2019 | Consulting, Facility Assessment Tool, Medicare, Regulatory, SNF, Templates

Pursuant to ยง483.70(e) (F838), each facility must conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility must review and update...

CMS Releases Final Rule CY2019 Medicare Physician Fee Schedule

by PMR Team | Nov 16, 2018 | Consulting, Education, Medicare, Reimbursement, Therapy

On November 1, CMS finalized proposals that impact payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019. CMS estimates that the conversation factor for CY2019 PFS...

Are You Prepared for Dementia Care Behavioral Health Requirements?

by PMR Team | Jul 20, 2018 | Behavioral Health, Compliance, Dementia Care, Medicare

Blog post and article by Eleisha Wilkes, RN, RAC-CT “Behavioral health services are an important component of fostering quality of life for that population we serve. As stated in the new Requirements of Participation, behavioral health encompasses a...

WEBINAR: How Hot is your PEPPER Report?

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...
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Proactive LTC Consulting

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Evansville, IN 47711

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