by Proactive LTC Consulting | Dec 10, 2025 | Care Planning, Clinical, Coding, Dietary, Documentation, MDS, Medicaid, Medicare, Nursing, PDPM, Physicians
Q: Can I code Malnutrition (Section I5600) on the MDS based on a dietary assessment that identifies the resident as at risk for malnutrition? A: No. Dietitian assessments alone do not provide sufficient documentation for coding of this item on the MDS. ...
by Proactive LTC Consulting | Nov 5, 2025 | Care Planning, Compliance, Discharge, Documentation, Physicians, Quality, Regulatory, Resident Rights
Capturing Required Transfer/Discharge Documentation Significant emphasis is placed on the need for comprehensive documentation to support that resident transfers/discharges are justified and in compliance with the regulations outlined in the April 28, 2025 update to...
by Proactive LTC Consulting | May 21, 2025 | Behavioral Health, Coding, Compliance, Infection Prevention, Physicians, Survey
Fresh Take on Medical Director Oversight in LTC: F841 Compliance & Schizophrenia Diagnosis Standards Recent updates to the Appendix PP guidance for F841, along with heightened focus on accurate schizophrenia diagnoses, place renewed emphasis on the medical...
by Proactive LTC Consulting | Mar 26, 2025 | Compliance, Pain, Physicians, Psychotropics, QAPI, Regulatory, Survey
Don’t Postpone Preparing for CMS’ Revised Surveyor Guidance Take advantage of the revisions to the surveyor guidance being delayed until April 28, 2025 to hardwire preparation for the changes. Now is the opportunity to complete a thorough review of...
by Proactive LTC Consulting | Oct 30, 2024 | Coding, Compliance, Documentation, ICD.10, MDS, Nursing, PDPM, Physicians, Regulatory, Reimbursement
Keys to Active Diagnosis Documentation and the Provider Query Process Supportive documentation of active diagnosis is crucial—supporting quality care as well as playing a vital role in regulatory compliance, reimbursement, and overall patient outcomes. This week,...
by Proactive LTC Consulting | Dec 18, 2023 | Admissions, Compliance, Physicians, Q&A, Regulatory
Q: Do the physicians have up to 30 days to see new admissions? A: Yes, per guidance at §483.30(c) (F712) “In a SNF, the first physician visit (this includes the initial comprehensive visit) must be conducted within the first 30 days after...
