>90% of facilities have missed PDPM coding opportunities—are you one of them?
Schedule a Proactive Audit Sample to Be Sure
Proactive provides PDPM coding audits to identify potential MDS errors, missed coding opportunities and to assess the quality of SNF supportive documentation. Contact us to schedule a budget friendly pre-submission audit sample today. How can we help? Learn more here.
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Your time is valuable. So, why reinvent the wheel? Proactive’s clinical team has created budget friendly facility assessment and policy templates, staff competency tools, and on demand training.
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Mock Surveys, Phase 1-3 Requirements of Participation help, and regulatory guidance to manage the many industry changes facing providers.
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Compliance & Ethics program implementation services including policies/tools, training, investigations, and HCCA certified Compliance Officer partnerships available as short and long term projects.
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Proactive provides education through live workshops, webinars, and in partnership with provider organizations and associations throughout the US. Our on-demand trainings are a convenient way to gain the knowledge that allows you to bring value to your care team, while meeting individual CE requirements. Staff Competency toolkits meet requirements of participation standards and are customizable to meet your staff development needs.
Amie Martin
OTR/L, CHC, RAC-CT
President
Shelly Maffia
MSN, MBA, RN, LNHA, QCP
Director of Regulatory Services
Stacy Baker
OTR/L, RAC-CT
Director of Audit Services
PDPM Coding & Documentation Top Risks: Tips from an Auditor (Part 2 of 2)
As we began discussing in part 1 of this article last week, the accuracy of coding, documentation and data monitoring is vital as we prepare for the inevitable start of PDPM medical review audit activity. Provider data outliers will trigger audits, and any coding...
New Details on Incentive Based Provider Relief Funds
CARES Act Provider Relief Fund The U.S. Department of Health and Human Services (HHS) Provider Relief Fund has made $50 billion available for distribution to Medicare fee-for-service providers as financial relief during the coronavirus (COVID-19) pandemic. Phases of...
PDPM Coding Question – Can I use M codes as primary diagnosis?
Q: Can I use M codes as primary diagnosis? A: M codes can be used as long as they are not "return to provider" codes. Recommend utilizing the CMS ICD-10 Mapping Tool listed under the resources below to determine if diagnosis can be considered as primary....