by Proactive LTC Consulting | Aug 5, 2026 | MDS, Medicare, Nursing Home Consultant, Quality Measure, Reimbursement, SNF
FY 2027 SNF Final Rule: What Facilities Need to Know Now CMS has issued the FY 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule. The rule includes a payment update, Quality Reporting Program (QRP) changes, future all-payer MDS reporting...
by Proactive LTC Consulting | Jul 29, 2026 | Abuse, Coding, Compliance, Fraud, Medicaid, Medicare, PDPM, Reimbursement, SNF
SNF PDPM Fraud and Abuse Risk Update: What Providers Need to Know The Patient-Driven Payment Model (PDPM) significantly changed skilled nursing facility (SNF) reimbursement under Medicare by shifting reimbursement from therapy service volume to residents’ clinical...
by Proactive LTC Consulting | Jul 22, 2026 | Clinical, Falls, MDS, Nursing, Quality, Regulatory, Reimbursement, Resident Rights, Restorative
Q: What should be included in the note for periodic review of restorative nursing programs? A: As the nurse overseeing restorative nursing, when reviewing restorative documentation, ensure the note answers these questions: Was the restorative intervention...
by Proactive LTC Consulting | Jun 17, 2026 | Coding, Compliance, Documentation, MDS, Medicaid, Medicare, Nursing Home Consultant, Person Centered Care, Quality, Reimbursement
Why AI Should Support the MDS Coordinator — Not Replace Them Artificial intelligence is rapidly reshaping healthcare and long-term care operations. Facilities are already using it to review documentation, identify trends, streamline workflows, summarize records, and...
by Proactive LTC Consulting | May 13, 2026 | Coding, Compliance, Documentation, MDS, Medicaid, Medicare, Nutrition, PDPM, Reimbursement
Q: Can IV fluids be coded in K0520A (Parenteral/IV Feeding) on the MDS? A: Yes — but only when the IV fluids are administered specifically to address a nutrition or hydration need and there is supporting documentation in the medical record. CMS clarifies that...
by Proactive LTC Consulting | Apr 8, 2026 | Audits, Compliance, MDS, Medicare, PDPM, QRP, Quality, Quality Measure, Reimbursement, Staffing, VBP
FY 2027 SNF Proposed Payment Rule: What SNFs Need to Know On April 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing...
