by Proactive LTC Consulting | Jan 14, 2025 | 5-Star, Falls, Regulatory, SNF, Survey
24/7 Survey Ready How to Prepare for a Survey and Be Ready Every Day: An interview with Shelly Maffia, Director of Regulatory Services Q: Why is it important for facilities to be survey-ready every day, not just during survey windows? A: Being survey-ready every day... by Proactive LTC Consulting | Dec 30, 2024 | MDS, Medical Review, Medicare, SNF
Q: How can I ensure that claims are accurate prior to billing? A: The key to accurate claims submission is an effective Triple Check or Clean Claim review process. The Triple Check process is an interdisciplinary self-audit that aims to reduce the risk of... by Proactive LTC Consulting | Nov 13, 2024 | Compliance, Documentation, Medical Review, Medicare, Nursing, PDPM, SNF, Therapy
The Landscape of Skilled Service Justification in Skilled Nursing Facilities Compliance and accountability related to justifying skilled services is more important than ever. In Part 2 of this blog addressing justification of SNF Skilled Care, we’ll take a deeper look... by Proactive LTC Consulting | Nov 5, 2024 | Compliance, Documentation, MDS, Medical Review, Medicare, Nursing, PDPM, Quality, Regulatory, Reimbursement, SNF, Therapy
Skilled Service Justification in SNFs In the ever-evolving landscape of skilled nursing facilities (SNFs), the stakes have never been higher. With constant advancements in data analytics, regulatory bodies are sharpening their focus on compliance and accountability... by Proactive LTC Consulting | Oct 22, 2024 | Compliance, Medicare, Regulatory, SNF
Mandatory Off-cycle SNF Revalidation Process—What You Need to Know CMS will be notifying facilities via letter sent from their Medicare Administrative Contractor (MAC) sometime between October to December 2024 that they must complete the off-cycle revalidation... by Proactive LTC Consulting | Oct 22, 2024 | Compliance, Documentation, Medical Review, Medicare, SNF
Mandatory update to SNF ABN (CMS-10055) – 10/31/2024 The Centers for Medicare & Medicaid Services (CMS) released an update to the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN)—Form CMS-10055 in August. The revised form and updated...