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.... 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...