by Proactive LTC Consulting | Apr 9, 2025 | Audits, Coding, Compliance, Documentation, ICD.10, MDS, Reimbursement
Crack the Code to Payment Accuracy: Why ICD-10 Coding Proficiency Matters Now More Than Ever In today’s reimbursement-driven healthcare environment, one thing is clear: accurate coding isn’t optional—it’s essential. For Skilled Nursing Facilities, ICD-10 coding...
by Proactive LTC Consulting | Apr 2, 2025 | Compliance, MDS, Reimbursement
Q: What is the time frame in which a 5-day assessment should be completed? A: The answer depends on whether the 5-day MDS is combined with the OBRA admission assessment or completed as a stand-alone Medicare 5-day MDS. When combined with the OBRA admission...
by Proactive LTC Consulting | Apr 2, 2025 | Compliance, MDS, Quality Measure, Reimbursement, Survey
F641 Accuracy of MDS Assessments – Revised LTC Surveyor Guidance CMS and the Department of Health & Human Services released an updated version of the LTC Surveyor Guidance on March 10, 2025. This update, which revises the earlier January 16th release, takes...
by Proactive LTC Consulting | Apr 2, 2025 | Compliance, MDS, Medical Review, Medicare, PDPM, Reimbursement, Therapy
The State of SNF Medical Review in 2025: Trends, Challenges, and Key Findings Medical review of Skilled Nursing Facilities (SNFs) continues to be a focus of Medicare and Medicare Advantage oversight activities in 2025. With increased scrutiny from Medicare...
by Proactive LTC Consulting | Feb 18, 2025 | Medicare, Reimbursement, SNF
Q: How does Consolidated Billing apply to dialysis services during a Skilled Nursing Facility (SNF) stay, and what is covered versus not covered? A: The consolidated billing requirement assigns the SNF the responsibility for billing the entire package of care...
by Proactive LTC Consulting | Jan 29, 2025 | 5-Star, Compliance, Regulatory, Reimbursement, Survey
LTC Business Office Survey Prep Refresher The Business Office Manager (BOM) in a long-term care (LTC) facility plays a pivotal role in ensuring the seamless financial and administrative operations of the facility. While their day-to-day duties primarily revolve...
