by Proactive LTC Consulting | Nov 26, 2024 | Uncategorized
Q: Do beneficiary notices have to be issued for Medicare Advantage patients? A: The NOMNC is required to be issued to both Medicare Beneficiaries and Medicare Advantage Plan members. The SNF ABN is only required to be issued to Traditional Medicare... by Proactive LTC Consulting | Feb 6, 2023 | Abuse, Blog, Compliance, Falls, Legal, Regulatory, Uncategorized
Every incident, whether it involves a crime, an accident, or a natural disaster, leaves traces of evidence at the scene. The goal of every investigation is to correctly identify the facts, reconstruct the events and deduce what occurred. When possible illegal... by Proactive LTC Consulting | Nov 1, 2022 | CMS, Quality, Regulatory, Uncategorized
On Oct. 21, 2022, CMS issued QSO-23-01-NH, announcing revisions to the Special Focus Facility (SFF) program with an emphasis on improving the quality of care that residents living in SFF receive. The changes to the program aim to address facilities that remain in the... by PMR Team | Jan 10, 2017 | Uncategorized
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. A sharp increase in the number of SNF Part A Post-Pay ADRs (Additional Documentation Requests) was noted in late December for claims with 2015 dates of... by PMR Team | Apr 20, 2016 | Uncategorized
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. The most common type of inpatient surgery for Medicare beneficiaries is the hip and knee replacement with the average Medicare expenditure for surgery,... by PMR Team | Apr 19, 2016 | Uncategorized
This post has been modified or updated. Learn more about our services here or shop our tools and resources here. On March 30, 2016, the Department of Justice announced the launch of 10 regional Elder Justice Task Forces to coordinate and enhance efforts to investigate...