by Proactive LTC Consulting | Sep 12, 2023 | Blog, Compliance, Medicare, Physicians
MACs have begun rolling out the mandated 5-Claim Probe and Educate audit and will eventually review claims for every eligible SNF in their jurisdiction. SNF certifications and recertifications are important elements of SNF Medicare stay compliance and will be...
by Proactive LTC Consulting | Sep 12, 2023 | Admissions, Compliance, Physicians, Q&A, Regulatory
Q: How long does the physician have to see new admissions? A: 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 admission, and...
by Proactive LTC Consulting | Jun 21, 2023 | Blog, Compliance, F-Tag, Physicians, Regulatory, Survey
Physicians play a crucial role in supervising the care of residents in nursing facilities. Physician visits should be thorough and comprehensive, encompassing an evaluation of the resident’s condition, review of medications and treatments, and a review of the plan of...
by Proactive LTC Consulting | Feb 23, 2023 | Compliance, Physicians, Q&A, Regulatory
Q: We have a physician who has requested that all patients be seen in her office rather than on-site at the facility. Will this satisfy the physician visit requirements? A: The regulations do not specifically address a location requirement; however, according...
by Proactive LTC Consulting | Dec 2, 2020 | Blog, Compliance, Physicians
CMS defines “emergency/disaster” as an event that can affect the facility internally as well as the overall target population or the community at large or community or a geographic area(1). COVID-19 certainly meets that definition. Even if your facility has not...
by Proactive LTC Consulting | Nov 24, 2020 | Blog, Compliance, Physicians
The Department of Health and Human Services (HHS) and The Centers for Medicare and Medicaid Services (CMS) published two final rules last week, targeting the reduction of regulatory barriers to care coordination and increased flexibility for provider participation in...
