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....
by Proactive LTC Consulting | Mar 7, 2023 | Blog, Quality, Reimbursement, SNF
The SNF VBP program encourages SNFs to improve the quality of care provided to Medicare beneficiaries by awarding incentive payments to SNFs based on their performance in the area of reducing unplanned hospital readmissions. Currently, the SNF VBP program utilizes the...
by Proactive LTC Consulting | Feb 22, 2023 | Blog, F-Tag, Medicaid, Medicare, Regulatory, Reimbursement
Medicare beneficiaries in a SNF have rights and safeguards with regard to financial liability and appeal of the denial of Medicare services. Providers are required to inform beneficiaries of their financial liability and their appeal rights in writing by issuing...
by Proactive LTC Consulting | Feb 21, 2023 | Nursing, Pressure Ulcers, Q&A, Reimbursement
Q: We have a patient with a stage IV pressure injury to the ankle that is being treated with a wound vac, which is changed 3x/week. Does this meet the criteria for skilled coverage under Medicare Part A in the SNF? A: The Medicare Benefit Manual Chapter 8...
by Proactive LTC Consulting | Jun 8, 2022 | Blog, IPA, MDS, Quality, Reimbursement
With staff pressed on every side, ensuring clinical meetings are an effective use of time and resources is essential. Strong meeting processes can facilitate key objectives are met related to clinical quality, MDS assessment accuracy, risk management, and...
by Proactive LTC Consulting | Mar 30, 2022 | Blog, Compliance, MDS, Reimbursement
Our office regularly receives urgent calls from providers in crisis. We are in the business of coming alongside nursing facilities to shoulder a portion of the burden, drive corrective actions and assist to remedy problem situations. Given the choice and resources,...
