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... by Proactive LTC Consulting | Feb 2, 2022 | Q&A, Therapy
Q: What happens if a patient receives more than 25% of therapy in a concurrent/group setting? A: The provider will receive a warning edit on the validation report that will inform them that they have exceeded the 25% limit. The edit will state: “The total number of... by Proactive LTC Consulting | Aug 3, 2021 | Blog, Regulatory, Reimbursement, Telehealth, Therapy
Last month, CMS released the “Medicare Part B” CY 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule outlining proposed changes which would take effect January 1, 2022. This proposed rule only applies to traditional Medicare and not Medicare Advantage plans. The...