by Proactive LTC Consulting | Mar 30, 2022 | Blog, Compliance, MDS, Reimbursement
Our office regularly receives urgent calls from providers in crisis. We are in the business of coming alongside nursing facilities to shoulder a portion of the burden, drive corrective actions and assist to remedy problem situations. Given the choice and resources,... by Proactive LTC Consulting | Mar 23, 2022 | Blog, Compliance, MDS, Reimbursement
Compliance, Accuracy, Quality. These are words we’ve heard over and over in long-term care. They are part of our everyday regulatory landscape and are essential to MDS data integrity. Despite two years under our belts operating under the PDPM payment model, data shows... by Proactive LTC Consulting | Aug 31, 2021 | Blog, Compliance, MDS, Medicare, PDPM, QAPI, Reimbursement
Strategies for timely estimation of potential care needs and costs are essential to SNF success, as well as systems for identifying clinical conditions and services that impact reimbursement under PDPM. Follow these steps to drive payment accuracy. Prior to Admission... by Proactive LTC Consulting | Aug 11, 2021 | Blog, Medicare, PDPM, Quality Measure, Regulatory, Reimbursement
July 29th, 2021, the Skilled Nursing Facility (SNF) prospective payment system (PPS) final rule was released. The rule, which goes into effect October 1, 2021, contained several updates, including factors affecting the usual payment rates, changes to diagnosis code... by Proactive LTC Consulting | Aug 3, 2021 | Blog, Regulatory, Reimbursement, Telehealth, Therapy
Last month, CMS released the “Medicare Part B” CY 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule outlining proposed changes which would take effect January 1, 2022. This proposed rule only applies to traditional Medicare and not Medicare Advantage plans. The... by Proactive LTC Consulting | Jul 7, 2021 | Audits, Blog, Coding, Compliance, ICD.10, MDS, Reimbursement
Even though SNFs have collectively seen higher reimbursement rates under the Patient-Driven Payment Model compared to the previous RUG IV payment model, data shows that there is still room for improvement for most facilities in terms of ensuring accurate revenue under...