by Proactive LTC Consulting | Oct 15, 2025 | 5-Star, Nursing, Quality, SNF, Staffing
5 Minute Staff Retention Strategies for the Busy DON Most experts agree that the main reasons for high turnover in all areas of healthcare, especially nurses and nursing assistants, include burnout, aging of the workforce and fierce competition to attract... by Proactive LTC Consulting | Sep 17, 2025 | Admissions, Coding, Documentation, Education, MDS, Medicare, SNF, Webinars
Q: When completing an MDS, how do we know which diagnosis should be coded as the primary diagnosis for a resident with multiple conditions (for example, CHF, diabetes, and pressure ulcer)? A: This question comes up often in SNFs. The primary diagnosis should be... by Proactive LTC Consulting | Aug 5, 2025 | SNF
The Minimum Data Set (MDS) plays a vital role in driving resident care through the resident-centered care plan process, regulatory compliance, Medicare and Medicaid reimbursement, quality outcomes, and reporting programs. MDS data accuracy has been under increased... by Proactive LTC Consulting | Jul 30, 2025 | Coding, ICD.10, MDS, Medicare, Nursing, SNF
Q: A resident was admitted with a diagnosis of acute on chronic respiratory failure requiring a new tracheostomy. The trach was placed during the hospital stay and the resident continues to require suctioning, respiratory monitoring, and oxygen therapy here in the... by Proactive LTC Consulting | Jul 16, 2025 | ADR, Appeals, Audits, Documentation, Medical Review, Medicare, Reimbursement, SNF
Q: Do we need to obtain prior authorization for every managed care resident who requires skilled services, even if they clearly meet criteria? A: Unfortunately, yes — at least for now. Most managed care plans (including Medicare Advantage) still require prior... 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...