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...
by Proactive Medical Review | Dec 29, 2020 | COVID-19, IPA, PDPM Coding Questions
Q: After completing the PPS 5-day assessment, a Medicare resident developed symptoms and tested positive for COVID-19 later in their stay. The resident was subsequently moved to the COVID (RED) unit in single room isolation. Should I complete an IPA? A: Once...
by Proactive Medical Review | Dec 23, 2020 | blog
Medicaid Case Mix Index (CMI): Common Errors and Opportunities Kristen Walden & Jessica Cairns OSHA Compliant COVID-19 Reporting Janine Lehman Restorative Nursing Under PDPM Part 1 and Part 2 Kristen Walden Reducing PDPM Non-Therapy Ancillary...
by Proactive Medical Review | Dec 22, 2020 | 5 Star, blog, Regulatory
With the challenges of 2020 dictating the priority focus for most, the New Year presents the opportunity for goal setting and strategic planning that includes 5-Star Improvement and positive survey outcomes. What should your 2021 strategic plan for survey success...
