by Proactive Medical Review | Feb 24, 2021 | ADL, blog, COVID-19, Regulatory, Restorative
In the heat of the pandemic battle, staffing shortages and emergency prioritization of tasks left many facilities with no choice but to triage programming. Functional decline is not unusual as residents already prone to decline faced pandemic driven activity...
by Proactive Medical Review | Feb 17, 2021 | blog
In Dec 2020, CMS issued its 2020 measures under consideration (MUC) list that included two proposed new SNF QRP quality measures (QMs). The measures under consideration are: Skilled Nursing Facility Healthcare Associated Infections Requiring Hospitalization (outcome...
by Proactive Medical Review | Feb 10, 2021 | blog
There are 47 million people worldwide diagnosed with dementia and 9.9 million new cases each year (World Health Organization Media Center, 2017). It is well known that residents living with dementia have complex care needs that should be taken into account by...
by Proactive Medical Review | Feb 3, 2021 | blog, Documentation, MDS, Medical Review, Medicare, PDPM, Reimbursement
They say hindsight is 20/20. Most are glad to see 2020 go; it’s certainly been a challenging year. After the first full calendar year of the Patient-Driven Payment Model (PDPM), several key takeaways in terms of successful implementation strategies have become clear....
by Proactive Medical Review | Jan 27, 2021 | 5 Star, blog, Education, Falls, Quality Measure, Webinars
Did you know that of the 1.6 million residents in U.S. nursing facilities, approximately half fall annually? (CDC) About 1 in 3 of those who fall will fall two or more times in a year. The CDC also indicates that one in every 10 residents who fall has a serious...
by Proactive Medical Review | Jan 20, 2021 | blog, COVID-19, PDPM, QAPI, Reimbursement, Survey
With occupancy in senior living communities at an all-time low of 80.7% during the fourth quarter, planning to capture accurate payments, safeguarding revenue to withstand the scrutiny of Medical Review and securing 5 star status is more important than ever as we...