by Proactive LTC Consulting | Aug 5, 2026 | MDS, Medicare, Nursing Home Consultant, Quality Measure, Reimbursement, SNF
FY 2027 SNF Final Rule: What Facilities Need to Know Now CMS has issued the FY 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule. The rule includes a payment update, Quality Reporting Program (QRP) changes, future all-payer MDS reporting...
by Proactive LTC Consulting | Jul 29, 2026 | Abuse, Coding, Compliance, Fraud, Medicaid, Medicare, PDPM, Reimbursement, SNF
SNF PDPM Fraud and Abuse Risk Update: What Providers Need to Know The Patient-Driven Payment Model (PDPM) significantly changed skilled nursing facility (SNF) reimbursement under Medicare by shifting reimbursement from therapy service volume to residents’ clinical...
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...
