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Nursing Home Care Compare Update Delay: 5 Star Implications for Nursing Homes

by Proactive LTC Consulting | Feb 5, 2025 | Uncategorized

Nursing Home Care Compare Update Delay: 5 Star Implications for Nursing Homes   Recent developments have left nursing homes without the anticipated update on CMS’s Care Compare website. The scheduled January 29th refresh of key quality measures—including...

Ask Proactive – Do beneficiary notices have to be issued for Medicare Advantage patients?

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...

Respecting the Crime Scene

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...

Revisions to Special Focus Facility (SFF) Program

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...

New SNF Medical Review Activity Tied to COT OMRA Outliers

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...

Comprehensive Care for Joint Replacement (CJR) Model Overview

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,...
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Proactive LTC Consulting

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Evansville, IN 47711

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info@proactiveltcexperts.com