by Proactive LTC Consulting | Apr 1, 2026 | 5-Star, Coding, Compliance, Documentation, MDS, Nursing, Nursing Home Consultant, Quality, Quality Measure, Regulatory, Reimbursement, Survey
Q: I am a Director of Nursing Services (DNS) juggling many responsibilities. What is the best way to support and oversee the MDS department? A: The most effective approach to overseeing MDS is to balance support, accountability, and clinical involvement with a...
by Proactive LTC Consulting | Mar 25, 2026 | Documentation, Nursing Home Consultant, Quality, Reimbursement, Restorative
Q: We are in the process of reviewing the Restorative Nursing Ambulation program. Some residents are only able to walk very short distances. Would these patients be appropriate for the program? A: The restorative ambulation program should include activities...
by Proactive LTC Consulting | Mar 18, 2026 | 5-Star, Coding, Education, ICD.10, MDS, Medicaid, Medicare, Nursing Home Consultant, Quality, Quality Measure, Reimbursement, SNF
Impact of Primary Diagnosis Selection on the Quality Measures A well‑chosen primary diagnosis and accurate coding of all active diagnoses on the MDS does more than impact reimbursement. It shapes a resident’s clinical category, which in turn determines whether the...
by Proactive LTC Consulting | Mar 11, 2026 | Coding, Compliance, Documentation, MDS, Nursing Home Consultant, Quality, Quality Measure, Reimbursement
Q: One of the residents at my facility was sent out to the hospital in the afternoon and returned to the facility later that evening during the 30-day look-back for my MDS. On reviewing the ED paperwork, I saw that she was diagnosed with a UTI. Because this diagnosis...
by Proactive LTC Consulting | Feb 18, 2026 | Coding, Compliance, Documentation, MDS, Medical Review, Medicare, Nursing Home Consultant, PDPM, Reimbursement
Q: Why is nursing documentation one of the biggest risks in medical reviews? A: Nursing documentation is one of the biggest medical review risk areas because it supports Medicare coverage and directly affects the nursing component, Non-Therapy Ancillaries...
by Proactive LTC Consulting | Feb 18, 2026 | 5-Star, Billing, MDS, Nursing Home Consultant, QAPI, Quality, Quality Measure, Reimbursement, SNF, Survey
The iQIES Reports Every SNF Should Be Reviewing (and When to Run Them) For MDS and Quality Assurance leaders, the internet Quality Improvement & Evaluation System (iQIES) isn’t just another web portal; it’s your early warning system. When reports are run...
