by Proactive LTC Consulting | May 9, 2023 | Blog, Compliance, Medical Review, Medicare, PDPM
On May 4th, CMS issued Transmittal 12015 instructing MACs to perform a 5 claim probe and educate medical review on every SNF in their jurisdiction. A 15.1% SNF error rate in 2022 based on the Comprehensive Error Rate Testing (CERT) program is the catalyst for this... by Proactive LTC Consulting | May 9, 2023 | Documentation, Medicare, Q&A
Q: If we have a new admission on or prior to May 11th using the QHS waiver, what happens when they require a hospital stay? A: John Kane addressed this during the Open Door Forum (ODF) on March 2nd. The full transcript for this ODF is located under the Skilled... by Proactive LTC Consulting | May 1, 2023 | Documentation, Medicare, Q&A
Q: Why is daily charting necessary and how do you tackle compliance with Medicare A charting? A: Documentation is an important part of providing resident care, it is a means to facilitate communication among the healthcare team, allowing for collaboration and... by Proactive LTC Consulting | Apr 12, 2023 | Blog, Compliance, Medical Review, Medicare, Reimbursement
The Q4FY22 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2022 is now available for download. Follow these steps to access your PEPPER and analyze any outlier billing... by Proactive LTC Consulting | Mar 21, 2023 | Blog, MDS, Medicare, PDPM, Reimbursement
Resident conditions and resource needs drive reimbursement under the Patient-Driven Payment Model (PDPM). Successful facilities have developed systems to effectively recognize and capture the differences among residents, particularly in the utilization of resources.... by Proactive LTC Consulting | Mar 7, 2023 | Blog, MDS, Medicare, PDPM, SNF
The Social Service department plays a significant role in daily nursing facility operations. From patient care planning, patient adjustment to facility admission, discharge planning, engaging with family/representatives, and beyond, social service staff members wear...