by Proactive LTC Consulting | Mar 25, 2020 | CMS, COVID-19, Infection Prevention, IPA, PDPM, Regulatory
COVID-19 can be a recordable illness if a worker is infected as a result of performing their work-related duties. However, employers are only responsible for recording cases of COVID-19 if all of the following are met: The case is a confirmed case of COVID-19 (see CDC... by Proactive LTC Consulting | Mar 25, 2020 | CMS, COVID-19, Education, Regulatory
As of a March 23 report by CMS, at least 147 nursing homes across 27 states have at least one resident with COVID-19. As we work to protect our residents and staff in response to the risk of COVID-19 infection, providers are encouraged to consider these action items... by Proactive LTC Consulting | Mar 20, 2020 | COVID-19, Infection Prevention, MDS, PDPM, Regulatory
The RAI Manual provides clear instruction on the coding of isolation. Documentation must support the medical necessity of isolation. Per the MDS 3.0 RAI User’s Manual, Isolation is coded only when: The resident requires transmission-based precautions AND Single room... by Proactive LTC Consulting | Mar 18, 2020 | Medicare, PDPM, Q&A, Regulatory, Reimbursement, SNF
Q: How should situations, in which the 3-day qualifying hospital stay normally required for a covered Medicare admission to the SNF is waived due to the national emergency, be reported on the UB04 claim form? A: Providers that receive beneficiaries without a... by Proactive LTC Consulting | Jan 28, 2020 | 5-Star, Blog, Compliance, Education, Regulatory, Survey
As we begin a new year, there is benefit in evaluating lessons learned in 2019 to establish improvement goals for 2020. As you know, both annual surveys and complaint surveys can have a significant impact on the overall 5-Star Rating. To help guide action planning,... by Proactive LTC Consulting | Jan 22, 2020 | Blog, Education, Regulatory, RoP, Survey
Nursing facilities are required to complete a comprehensive Facility Assessment as part of the Requirements of Participation (RoP.) The assessment must be presented to surveyors during each annual survey within four hours of entrance. Surveyors will review the...