by Proactive LTC Consulting | 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... by Proactive LTC Consulting | 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... 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... by Proactive LTC Consulting | Apr 19, 2023 | Blog, Compliance, Quality, Therapy
A thriving therapy department can have a tremendous impact on nursing home care culture, quality outcomes, and the bottom line. Whether your facility has an in-house or contract therapy program, rehabilitation services should continually contribute to resident... by Proactive LTC Consulting | Apr 4, 2023 | Coding, Dietary, MDS, PDPM, Q&A, Therapy
Q: When a resident who has a feeding tube for nutrition is receiving speech therapy and has orders for a pureed diet/thickened liquid trials at lunch during therapy sessions, should this be coded on the MDS as a mechanically altered diet in section K0510? A:... by Proactive LTC Consulting | Nov 2, 2022 | F-Tag, Q&A, Therapy
Q: When someone is still on Med A benefits and the therapy team reduces or ends one type of therapy but not all types, does the ABN need to be given each time? A: The notices aren’t required when therapy reduces or ends services, but rather when the SNF...