by Proactive LTC Consulting | Sep 4, 2024 | Coding, Medicare, Q&A, Reimbursement
Q: My biller is requesting a HIPPS code for a Medicare resident who admitted to our SNF and then transferred to an assisted living facility on the same day. I didn’t think we could bill for the day of discharge. Please clarify. A: Generally, the day of... by Proactive LTC Consulting | Jun 4, 2024 | Medicare, Q&A, Therapy
Q: We have a patient who has achieved ambulation in the hallways at supervision level using a walker. Our new case manager is insistent that we discharge as soon as possible, or our services could be denied by Medicare. The patient wants to return to PLOF, independent... by Proactive LTC Consulting | May 8, 2024 | Admissions, Medicare, Q&A
Q: Is it best practice to have witnesses write their own statements for incidents or investigations or to write these statements for them? A: Deciding whether to have witnesses write their own statements or not is going to depend on your specific state... by Proactive LTC Consulting | May 8, 2024 | ICD.10, MDS, Medicare, PDPM, SNF
CMS issued corrections to the FY 2024 SNF PPS Final Rule PDPM ICD-10 Mapping. The document, which was issued and effective April 10, 2024, makes corrections to technical errors that are applicable beginning 10/1/2023. This correction document can be accessed at the... by Proactive LTC Consulting | May 1, 2024 | Admissions, Medicare, Q&A
Q: I have a resident that was admitted Medicare part A on the 11th, discharged to the hospital on 13th and is returning today (22nd). Is her admission MDS due earlier because of the 04/11 admission date? A: The admission assessment should be reinitiated... by Proactive LTC Consulting | Nov 21, 2023 | Blog, Compliance, Documentation, Medical Review, Medicare, Nursing, PDPM, SNF
SNF Meetings– UR & Triple Check Essentials According to a recent Agency Financial Report released by the Department of Health and Human Services (HHS), the primary reasons for SNF payment error include (1) missing or insufficient documentation to support the...