Compliance Risk Assessment Considerations for the New Year

by | Jan 14, 2025 | 5-Star, Abuse, Antipsychotics/Psychotropics, Behavioral Health, CMS, Compliance, Falls, MDS, Nursing, PDPM, QA, Quality, Reimbursement, Therapy

Compliance Risk Assessment Considerations for the New Year   As we enter 2025, nursing home providers face many regulatory and administrative challenges. January is a good time to conduct a compliance risk assessment that considers the updated nursing facility...

The Landscape of Skilled Service Justification in Skilled Nursing Facilities

by | 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...

Ask Proactive – We have a resident on Enhanced Barrier Precautions (EBP) due to an indwelling catheter that has completed therapy and is transferring to RNP. Staff will be providing partial/moderate assistance, which will involve extended high contact, during restorative ambulation in the hallway. Therapy staff wore gowns and gloves while working with him in the therapy gym, but what should restorative nursing staff do in the hallway?

by | Jul 10, 2024 | Compliance, Infection Prevention, Nursing, Q&A, Restorative, Therapy

Q: We have a resident on Enhanced Barrier Precautions (EBP) due to an indwelling catheter that has completed therapy and is transferring to RNP. Staff will be providing partial/moderate assistance, which will involve extended high contact, during restorative...

Ask Proactive – We have a patient who has achieved ambulation in the hallways at supervision level using a walker. Our new case manager is insistent that we discharge as soon as possible, or our services could be denied by Medicare. The patient wants to return to PLOF, independent ambulation, so her therapists do not feel a discharge is appropriate at this time. Would this claim be at risk for denial?

by | Jun 4, 2024 | Medicare, Q&A, Therapy

Q: We have a patient who has achieved ambulation in the hallways at supervision level using a walker. Our new case manager is insistent that we discharge as soon as possible, or our services could be denied by Medicare. The patient wants to return to PLOF, independent...