by Proactive Medical Review | May 18, 2022 | blog, Survey
F656 Develop/implement comprehensive care plans is the #5 most cited deficiency nationally. This week’s blog examines what you need to know about the regulatory requirements related to F656 and how to avoid issues commonly cited by surveyors. There are five standard...
by Proactive Medical Review | May 11, 2022 | blog, SNF
According to the most recent Comprehensive Error Rate Testing (CERT) report released by the Centers for Medicare & Medicaid Services (CMS), $2.7 billion in improper payments were projected for Skilled Nursing Facility (SNF) services for 2021. Inadequate...
by Proactive Medical Review | May 2, 2022 | blog
There are few things that can wake up a nursing home administrator faster than a phone call in the middle of the night from their facility reporting an allegation of abuse. Federal regulations require nursing facilities to promptly report any allegation of abuse,...
by Proactive Medical Review | Apr 27, 2022 | blog
F689 is the fourth most cited deficiency in standard surveys and the first most cited in complaint surveys so far during the 2022 Fiscal Year according to CASPER data as of 4/17/22. F689 has been cited a total of 2,010 times during standard and complaint surveys 7%...
by Proactive Medical Review | Apr 27, 2022 | blog, MDS, Webinars
With staffing challenges and ongoing industry changes looming, it can be difficult to maintain a focus on MDS accuracy despite the considerable implications for care planning, QMs and reimbursement. Some facilities have needed to rely on their MDS Coordinator(s) to...
by Proactive Medical Review | Apr 20, 2022 | 5 Star, blog, Quality Measure
Effective with the April 2022 Five-Star refresh, CMS is now implementing the planned, regular increases to the Quality Measure (QM) rating thresholds, that were originally announced to begin in 2019 but were delayed due to the public health emergency. With the April...