MDS Consulting for Skilled Nursing Facilities, Nursing Homes and LTC Facilties
Skilled Nursing Facility Medicare PDPM Support
Proactive’s MDS coding and documentation experts provide the coaching and validation services you need to succeed under PDPM. Let us assist your team in coding accurately to capture the patient-centered care you’re providing to ensure proper Medicare reimbursement. PDPM Support Services include remote MDS validation audits, supportive documentation and coding training, and clinical reimbursement process improvement consulting. Facility specific projects and annual partner work plans are available. Proactive consultants are experts in the critical elements of MDS coding, SNF ICD.10-CM, systems of IDT clinical collaboration and reimbursement/billing compliance for SNF/long term care settings.
Download our “Understanding the Patient Driven Payment Model (PDPM)” here.
Download a printable PDPM Coding Support Solutions Information Sheet here.
The Primary Diagnoses Under PDPM: How to Avoid Common Mistakes
MDS 3.0/RAI Systems Audit
- PDPM Coding and Documentation Audits
- Medicaid CMI Reviews
- Quality Measures
- MDS Validation Audits
- MDS Systems Development and Management
- Medicare Program Compliance Audits
- Contract or in-house therapy medical necessity audit services by qualified therapist consultants
- Mock Surveys
- Medical Review Risk Management
Interim MDS Staffing
Proactive provides remote interim MDS completion services for post-acute care settings including SNF/LTC facilities and Swing Bed/Transitional Care Units
RAI Training & Education
- Orientation of new MDS Staff
- RAC-CT and RAC-CTA Workshops as a Training Partner with AAPACN. Find upcoming workshops
- Advanced MDS training topics such as: Improving CMI, Quality Measures, CAA Processes, and Clinical Meetings
- Functional Measures (GG) and ADL (G) Coding Training
- Nursing Skilled Documentation Training
- Therapy Skilled Documentation Training
- Person-Centered Care Planning
- ICD-10 Coding Training with AHIMA-approved Trainers
- Restorative Nursing Program Education
- Quality Measures
Square Away MDS with Proactive!
“Proactive Medical Review and Consulting has been a great resource to our team. Their passion and professionalism show in everything they do. From reimbursement processes to regulatory compliance, PMR keeps us on the leading edge of our industry. We are happy to have them in our corner.”
“We operate a large CCRC campus with a 170 bed SNF facility. On a couple of occasion we turned to Proactive to assist us remotely with MDS support and completion. They communicated well with my nursing department in coordinating MDS schedules and assessment needs. The nicest aspect overall was the level of competency they brought to temporarily fulfilling our MDS Coordinator needs. I would not hesitate to turn to them again should a short term or longer MDS Coordination need occur.”
Long-Term Care Federal Monitoring Surveys
On November 20, 2023, CMS released Guidance for Federal Monitoring Surveys (FMS) which identifies the FY2024 and FY2025 focus concerns and guidance on how CMS staff will conduct FMS and communicates estimated FY2024-FY2025 required number of long-term care (LTC) FMS...
SNF Meetings– UR & Triple Check Essentials
SNF Meetings– UR & Triple Check Essentials According to a recent Agency Financial Report released by the Department of Health and Human Services (HHS), the primary reasons for SNF payment error include (1) missing or insufficient documentation to support the...
Ask Proactive – For PBJ, where do we allocate NP hours?
Q: For PBJ, where do we allocate NP hours? A: If performing MD delegated duties report Job code 13 (see definitions below) Per the PBJ manual, Job Code 7 Registered Nurse hours include: Those persons licensed to practice as registered nurses in the...