by Proactive LTC Consulting | Aug 11, 2021 | Blog, Medicare, PDPM, Quality Measure, Regulatory, Reimbursement
July 29th, 2021, the Skilled Nursing Facility (SNF) prospective payment system (PPS) final rule was released. The rule, which goes into effect October 1, 2021, contained several updates, including factors affecting the usual payment rates, changes to diagnosis code... by Proactive LTC Consulting | Aug 3, 2021 | Blog, Regulatory, Reimbursement, Telehealth, Therapy
Last month, CMS released the “Medicare Part B” CY 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule outlining proposed changes which would take effect January 1, 2022. This proposed rule only applies to traditional Medicare and not Medicare Advantage plans. The... by Proactive LTC Consulting | Aug 2, 2021 | Blog, Regulatory, Survey
On July 28, 2021, CMS issued a memo stating that they are removing the guidance they issued in 2017 that instructed CMS Locations to impose civil monetary penalties (CMPs) for prior noncompliance solely on a per-instance basis. CMS states they will now retain the... by Proactive LTC Consulting | Jul 14, 2021 | 5-Star, Blog, Regulatory, Survey
Wondering when surveyors will be at your facility for your annual survey? You’re not alone. This past year has been anything but normal in terms of survey activities. Let’s take a look at the current state of recertification surveys occurring across the nation and... by Proactive LTC Consulting | Jun 29, 2021 | Abuse, Blog, Compliance, Legal, Nursing, Regulatory
When you became a long-term care Administrator or Director of Nursing you probably didn’t envision that you would also wear the hat of a detective. In today’s long-term care environment, being able to conduct a thorough internal investigation is a critical strength... by Proactive LTC Consulting | Jun 17, 2021 | Audits, Blog, Compliance, Medical Review, Regulatory, Reimbursement
The MACs officially resumed post-payment medical review of items and services with dates of service prior to March 2020 this past August, but according to a June 3, 2021 announcement may now officially begin conducting post-payment medical reviews for later dates of...