by Proactive LTC Consulting | Feb 18, 2025 | Medicare, Reimbursement, SNF
Q: How does Consolidated Billing apply to dialysis services during a Skilled Nursing Facility (SNF) stay, and what is covered versus not covered? A: The consolidated billing requirement assigns the SNF the responsibility for billing the entire package of care... by Proactive LTC Consulting | Jan 29, 2025 | 5-Star, Compliance, Regulatory, Reimbursement, Survey
LTC Business Office Survey Prep Refresher The Business Office Manager (BOM) in a long-term care (LTC) facility plays a pivotal role in ensuring the seamless financial and administrative operations of the facility. While their day-to-day duties primarily revolve... by Proactive LTC Consulting | Jan 14, 2025 | 5-Star, Abuse, Antipsychotics/Psychotropics, Behavioral Health, CMS, Compliance, Falls, MDS, Nursing, PDPM, QA, Quality, Reimbursement, Therapy
Compliance Risk Assessment Considerations for the New Year As we enter 2025, nursing home providers face many regulatory and administrative challenges. January is a good time to conduct a compliance risk assessment that considers the updated nursing facility... by Proactive LTC Consulting | Jan 6, 2025 | Compliance, MDS, Reimbursement
Q: How long do we have to make corrections to an erroneously coded MDS assessment that has been submitted and accepted into IQIES? A: A correction can be submitted for any accepted record within 2 years of the target date of the record for facilities that are... by Proactive LTC Consulting | Dec 22, 2024 | Compliance, Falls, MDS, PDPM, Quality, Reimbursement
Q: Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from? A: The SNF QRP measure for falls with... by Proactive LTC Consulting | Nov 5, 2024 | Compliance, Documentation, MDS, Medical Review, Medicare, Nursing, PDPM, Quality, Regulatory, Reimbursement, SNF, Therapy
Skilled Service Justification in SNFs In the ever-evolving landscape of skilled nursing facilities (SNFs), the stakes have never been higher. With constant advancements in data analytics, regulatory bodies are sharpening their focus on compliance and accountability...