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... by Proactive LTC Consulting | May 8, 2024 | ICD.10, MDS, Medicare, PDPM, SNF
CMS issued corrections to the FY 2024 SNF PPS Final Rule PDPM ICD-10 Mapping. The document, which was issued and effective April 10, 2024, makes corrections to technical errors that are applicable beginning 10/1/2023. This correction document can be accessed at the... by Proactive LTC Consulting | May 1, 2024 | Compliance, Documentation, Medical Review, Nursing, SNF, Therapy
Audits are on the rise! Skilled nursing facilities (SNFs) are at an all-time high when it comes to active medical review. From the SNF 5 Claim Probe and Educate and individual Medicare Advantage reviews, to recovery audit contractors (RACs) and Supplemental Medical...