by Proactive Medical Review | Jun 23, 2020 | blog, CMS
Infection Control requirements are nothing new, but the Centers for Medicare and Medicaid Services (CMS) is ramping up efforts to identify and assist providers who may be performing poorly in infection control practices. Providers struggling to comply with...
by Proactive Medical Review | May 19, 2020 | blog, CMS, COVID-19, PDPM
Throughout the COVID-19 pandemic, regulatory guidance, reimbursement waivers, and state requirements evolved quickly. Tracking these changes and implementing or updating facility processes to comply was a challenge on the best day. Add to the mix weeks of prolonged...
by Proactive Medical Review | May 19, 2020 | blog, CMS, COVID-19, PDPM
As part of President Trump’s Guidelines for Opening Up America Again, the Centers for Medicare and Medicaid Services (CMS) announced new nursing home reopening recommendations for state and local officials. These recommendations detail criteria for relaxing certain...
by Proactive Medical Review | May 13, 2020 | blog, CMS, PDPM
After 1000 PDPM coding audits completed since the PDPM transition, there are many trends our audit team has identified. This week’s blog highlights specific tips for selecting the primary diagnosis in Section I0020B based on common missed opportunities and errors...
by Proactive Medical Review | May 6, 2020 | blog, CMS, COVID-19, PDPM
CMS released an Interim Final Rule May 1, 2020, which will require all Medicare and/or Medicaid-certified nursing homes to report information about COVID-19 at least weekly to the CDC Long-Term Care Facility Module in the National Healthcare Safety Network (NHSN). The...
by Proactive Medical Review | May 6, 2020 | blog, CMS, Education, PDPM
Q: Now that CMS approved OT, PT, and SLPs for telehealth service delivery, can we start utilizing this distant service option for treatment delivery with appropriate patients? A: New guidance issued by CMS issued on April 30th acknowledges OT, PT, SLP...
