by Proactive LTC Consulting | Apr 1, 2026 | 5-Star, Education, Falls, Nursing Home Consultant, QAPI, Quality, Quality Measure, Safety, SNF
Turning Fall Data into Action: Driving Meaningful Prevention Strategies Falls remain one of the most persistent and costly challenges in skilled nursing facilities. Yet despite ongoing prevention efforts, many facilities find themselves stuck in a cycle of...
by Proactive LTC Consulting | Mar 18, 2026 | 5-Star, Coding, Education, ICD.10, MDS, Medicaid, Medicare, Nursing Home Consultant, Quality, Quality Measure, Reimbursement, SNF
Impact of Primary Diagnosis Selection on the Quality Measures A well‑chosen primary diagnosis and accurate coding of all active diagnoses on the MDS does more than impact reimbursement. It shapes a resident’s clinical category, which in turn determines whether the...
by Proactive LTC Consulting | Mar 11, 2026 | Compliance, Documentation, MDS, Medicare, Nursing Home Consultant, PDPM, SNF, Training
The Nitty Gritty of SNF Skilled Service Criteria Determining whether a resident qualifies for Skilled Nursing Facility (SNF) care is an important, and frequently misunderstood, responsibility in post-acute care. Admission decisions, coverage, documentation, and care...
by Proactive LTC Consulting | Feb 18, 2026 | 5-Star, Billing, MDS, Nursing Home Consultant, QAPI, Quality, Quality Measure, Reimbursement, SNF, Survey
The iQIES Reports Every SNF Should Be Reviewing (and When to Run Them) For MDS and Quality Assurance leaders, the internet Quality Improvement & Evaluation System (iQIES) isn’t just another web portal; it’s your early warning system. When reports are run...
by Proactive LTC Consulting | Jan 28, 2026 | Antipsychotics/Psychotropics, ICD.10, Nursing Home Consultant, Pharmacy, Quality, Quality Measure, SNF
A Big Change Is Showing Up in Your QM Reports: Hybrid Long-Stay Antipsychotic Measure The new Hybrid Long-Stay Antipsychotic Quality Measure is now live and visible on MDS 3.0 QM reports resulting in dramatic shifts in scoring for some facilities. If you haven’t...
by Proactive LTC Consulting | Dec 30, 2025 | Clinical, Coding, MDS, Medicare, PDPM, Reimbursement, SNF
Q: One of our long-term residents fell and fractured their femur requiring a hip replacement. They returned to our facility on a skilled stay. The IDT met to discuss a primary diagnosis. Therapy insists we should use Z47.1 Aftercare following joint replacement...
