by Proactive Medical Review | Apr 14, 2021 | PDPM, Reimbursement
Proactive Medical Review (PMR) is proud to announce that Eleisha Wilkes, RN, RAC-CTA, DNS-CT will join McKnight’s Long-Term Care News (McKnight’s) as the new monthly columnist for the Ask the Payment Expert News Column. This column features responses to frequently...
by Proactive Medical Review | Apr 13, 2021 | Falls, MDS
Q: Is it required that the SNF primary diagnosis and the primary diagnosis for the qualifying hospital stay match? A: No, the SNF primary diagnosis and the primary diagnosis from the qualifying hospital stay do not need to match. We want to be sure we are...
by Proactive Medical Review | Apr 13, 2021 | PDPM, Reimbursement
On April 8, 2021, the Centers for Medicare and Medicaid Services (CMS) released the FY 2022 SNF PPS Proposed Rule which will take effect October 1, 2021. As anticipated, changes to the Patient Driven Payment Model (PDPM) rates and Case Mix Indexes (CMI) are proposed....
by Proactive Medical Review | Apr 13, 2021 | 5 Star, Nursing, Regulatory
Per the CDC, the prevalence of CKD in adults aged 30 years or older is expected to increase from 14.4% in 2020 to 16.7% in 2030. For those progressing to End-Stage Renal Disease (ESRD), dialysis is a crucial intervention to prolong life. While you may already be...
by Proactive Medical Review | Apr 7, 2021 | Falls, MDS
Q: We had a resident that was discharged home with family, return not anticipated. He suffered a fall after returning home, the family decided they could not care for him and readmitted him to our facility 8 hours after discharge. Since he wasn’t out after midnight,...
