by Proactive Medical Review | Jan 13, 2021 | IPA, PDPM Coding Questions
Q: During the COVID-19 Pandemic, some states have been allowing facilities to temporarily certify beds during the declared pandemic emergency for Medicare/Medicaid that were not already certified. Do MDS Assessments have to be completed for residents in these beds,...
by Proactive Medical Review | Jan 12, 2021 | blog, COVID-19, Documentation, SNF
Through the challenges of the pandemic, charting quality may have taken a backseat to other priorities during times of staffing shortages and outbreaks. However, claims for services related to COVID-19 care are vulnerable to medical review. Consider these best...
by Proactive Medical Review | Jan 6, 2021 | blog
Early identification of a change in a resident’s condition can lead to timely and effective intervention to minimize risk, avoid hospitalization, and increase the likelihood of positive patient outcomes. To identify changes in condition and be confident in reporting,...
by Proactive Medical Review | Jan 6, 2021 | blog
On 01/04/2021 CMS issued revised QSO-20-31-All. In this memo, CMS has revised the criteria requiring states to conduct focused infection control surveys due to the increased availability of resources for the testing of residents and staff and factors related to the...
by Proactive Medical Review | Jan 6, 2021 | IPA, PDPM Coding Questions
Q: What effect does the IPA have on the variable per diem rate? A: The IPA does not affect the variable per diem. When an IPA is completed and payment changes, it continues the variable per diem schedule that was established by the 5-day PPS assessment. The IPA...
