Compliance Risk Assessment Considerations for the New Year

by | Jan 14, 2025 | 5-Star, Abuse, Antipsychotics/Psychotropics, Behavioral Health, CMS, Compliance, Falls, MDS, Nursing, PDPM, QA, Quality, Reimbursement, Therapy

Compliance Risk Assessment Considerations for the New Year   As we enter 2025, nursing home providers face many regulatory and administrative challenges. January is a good time to conduct a compliance risk assessment that considers the updated nursing facility...

Ask Proactive – Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from?

by | Dec 22, 2024 | Compliance, Falls, MDS, PDPM, Quality, Reimbursement

Q: Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from?   A: The SNF QRP measure for falls with...

The Landscape of Skilled Service Justification in Skilled Nursing Facilities

by | Nov 5, 2024 | Compliance, Documentation, MDS, Medical Review, Medicare, Nursing, PDPM, Quality, Regulatory, Reimbursement, SNF, Therapy

Skilled Service Justification in SNFs In the ever-evolving landscape of skilled nursing facilities (SNFs), the stakes have never been higher. With constant advancements in data analytics, regulatory bodies are sharpening their focus on compliance and accountability...