by Proactive LTC Consulting | Feb 13, 2020 | Blog, CMS, Coding, Education, Reimbursement
The therapy industry recently received some good news in terms of hard edits that were previously applied effective January 1, 2020 without warning. Our blog posted on 1/16/2020 shared that therapeutic activities (97530) and group therapy (97150) could no longer be... by Proactive LTC Consulting | Jan 6, 2020 | ICD.10, MDS, PDPM, Q&A, Reimbursement
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Which reimburses more: the orthopedic or neurological category? A: In most cases, the orthopedic pays more. In some cases, as when the resident also has... by Proactive LTC Consulting | Dec 2, 2019 | CMS, PDPM, Q&A, Reimbursement
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Do you know how providers should handle the October claims that are either overpaying or underpaying since PDPM went into effect? A: To be sure, I suggest you... by PMR Team | Oct 1, 2019 | MDS, Medicare, PDPM, Reimbursement, SNF
IPA is an optional SNF PPS stand-alone MDS item set under PDPM The Interim Payment Assessment (IPA) is an optional SNF PPS stand-alone MDS item set under PDPM. The IPA can be completed when providers determine that the resident has experienced changes to his or her... by PMR Team | Sep 25, 2019 | Audits, Compliance, MDS, PDPM, Reimbursement
Tips to focus your attention in October based on actual Proactive client pre-PDPM audit trends You’ve followed the PDPM transition checklists. You’ve analyzed historic billing patterns and projected revenue shifts under the new model. You’ve trained extensively.... by PMR Team | Sep 17, 2019 | Medicare, PDPM, Reimbursement
What does PDPM mean for Medicare Part A beneficiaries who will reside in the facility under both payment models? RUG-IV comes to a hard stop at 11:59pm on September 30th, 2019 and will be replaced with the Patient Driven Payment Model at 12:00am on October 1st. What...