by Proactive LTC Consulting | Mar 11, 2024 | Clinical, Nursing, Quality, Regulatory, SNF
As the acuity and complexity of long-term care residents has increased, the responsibilities of the Director of Nursing (DON) have also escalated significantly. The duties of the DON are not just clinical in nature, they also involve regulatory, reimbursement, and... by Proactive LTC Consulting | Feb 6, 2024 | Blog, Compliance, Documentation, ICD.10, MDS, Nursing, PDPM, Reimbursement, SNF
PDPM coding and reimbursement success relies significantly on ICD-10 coding accuracy. In particular, the impact of ICD.10 coding on the clinical category, SLP, Nursing, and NTA comorbid diagnoses cannot be overstated; Medicare reimbursement for SNF services depends on... by Proactive LTC Consulting | Dec 19, 2023 | Blog, MDS, Quality Measure, Reimbursement, SNF
During the December SNF Open Door Forum call, CMS announced their plan to release the MDS 1.19.1, which will be effective October 1, 2024. CMS has indicated the revisions will be minor and impact primarily the following 3 areas of the MDS: Section GG: Self-care and... by Proactive LTC Consulting | Nov 21, 2023 | Blog, Compliance, Documentation, Medical Review, Medicare, Nursing, PDPM, SNF
SNF Meetings– UR & Triple Check Essentials According to a recent Agency Financial Report released by the Department of Health and Human Services (HHS), the primary reasons for SNF payment error include (1) missing or insufficient documentation to support the... by Proactive LTC Consulting | Aug 30, 2023 | Blog, Medicare, Nursing, Quality, SNF
How much of your time is spent in meetings? Depending on your role, time in meetings may take more time than any other task or responsibility you have. Do you sometimes wonder if all these meetings are even necessary (“Could this have been an email?”) Days are busy... by Proactive LTC Consulting | Mar 7, 2023 | Blog, Quality, Reimbursement, SNF
The SNF VBP program encourages SNFs to improve the quality of care provided to Medicare beneficiaries by awarding incentive payments to SNFs based on their performance in the area of reducing unplanned hospital readmissions. Currently, the SNF VBP program utilizes the...