by Proactive LTC Consulting | Jun 15, 2021 | Audits, Blog, Compliance, Medical Review, Regulatory, Reimbursement
The MACs officially resumed post-payment medical review of items and services with dates of service prior to March 2020, but may now officially begin conducting post-payment medical reviews for later dates of service. The Targeted Probe and Educate program will... by Proactive LTC Consulting | Jun 9, 2021 | Blog, Medicare, Regulatory, Reimbursement, Restorative, Therapy
Skilled maintenance therapy has long been a service offering available for use in long-term care, yet this programming continues to be the source of confusion for many providers. ”Maintenance Therapy”, is often requested by patients and their representatives/families... by Proactive LTC Consulting | Apr 14, 2021 | PDPM, Reimbursement
Proactive Medical Review (PMR) is proud to announce that Eleisha Wilkes, RN, RAC-CTA, DNS-CT will join McKnight’s Long-Term Care News (McKnight’s) as the new monthly columnist for the Ask the Payment Expert News Column. This column features responses to frequently... by Proactive LTC Consulting | Apr 13, 2021 | PDPM, Reimbursement
On April 8, 2021, the Centers for Medicare and Medicaid Services (CMS) released the FY 2022 SNF PPS Proposed Rule which will take effect October 1, 2021. As anticipated, changes to the Patient Driven Payment Model (PDPM) rates and Case Mix Indexes (CMI) are proposed.... by Proactive LTC Consulting | Feb 3, 2021 | Blog, Documentation, MDS, Medical Review, Medicare, PDPM, Reimbursement
They say hindsight is 20/20. Most are glad to see 2020 go; it’s certainly been a challenging year. After the first full calendar year of the Patient-Driven Payment Model (PDPM), several key takeaways in terms of successful implementation strategies have become clear.... by Proactive LTC Consulting | Jan 20, 2021 | Blog, COVID-19, PDPM, QAPI, Reimbursement, Survey
With occupancy in senior living communities at an all-time low of 80.7% during the fourth quarter, planning to capture accurate payments, safeguarding revenue to withstand the scrutiny of Medical Review and securing 5 star status is more important than ever as we...