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... by Proactive LTC Consulting | Jul 15, 2020 | Blog, PDPM, Physicians
Working together for the best clinical outcomes and for reimbursement accuracy requires good systems for communication – both verbally and in our documentation. The fundamental expectations for documentation to support skilled level of care, medical necessity, and... by Proactive LTC Consulting | Mar 4, 2020 | Coding, MDS, Medicare, PDPM, Physicians, Q&A
Q: The physician documented dehydration on the discharge summary, however, the resident does not qualify for any of the 3 items listed in the RAI manual in J1550. Should dehydration be coded on the MDS? A: The coding for dehydration is based on the presence of... by Proactive LTC Consulting | Nov 5, 2019 | CMS, Medicare, Physicians
Medicare Final 2020 Physician Fee Schedule (PFS) Released & Rule Includes Challenges for Part B Therapy Providers CMS released the final 2020 Medicare Physician Fee Schedule on November 1, 2019 which includes updates to payment policies, rates and quality...