by Proactive LTC Consulting | Oct 25, 2023 | Blog, CASPER, MDS, Quality, Quality Measure, Reimbursement
Earlier this year CMS transitioned from QIES to IQIES for MDS submission and CASPER reporting access. This transition left some MDS coordinators confused about how to access reports that were previously made available through QIES. Available report types for each user...
by Proactive LTC Consulting | Aug 23, 2023 | Blog, ICD.10, Medicare, PDPM, Reimbursement
PDPM has been in place for nearly four years, and with it came the shift from payment based on resource utilization to payment driven by patient characteristics and service provision. PDPM presents with many nuances and complexities that open the door to sinking...
by Proactive LTC Consulting | Aug 16, 2023 | MDS, Q&A, Reimbursement
Q: What are some tips to determine if the completion of the optional Interim Payment Assessment (IPA) is appropriate to impact reimbursement? A: The IPA may be completed when a Medicare Part A beneficiary’s condition and/or the care and services provided change...
by Proactive LTC Consulting | Jun 13, 2023 | ADL, Blog, CMI, PDPM, Quality Measure, Reimbursement, Restorative
Dedication to robust restorative nursing programming will bring countless benefits to your residents, as well as improved facility outcomes. Designed to achieve and maintain optimal physical, mental, and psychosocial functioning, restorative nursing programs are...
by Proactive LTC Consulting | Apr 12, 2023 | Blog, Compliance, Medical Review, Medicare, Reimbursement
The Q4FY22 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2022 is now available for download. Follow these steps to access your PEPPER and analyze any outlier billing...
by Proactive LTC Consulting | Mar 21, 2023 | Blog, MDS, Medicare, PDPM, Reimbursement
Resident conditions and resource needs drive reimbursement under the Patient-Driven Payment Model (PDPM). Successful facilities have developed systems to effectively recognize and capture the differences among residents, particularly in the utilization of resources....
