by Proactive Medical Review | Feb 13, 2020 | blog, CMS, Education
The therapy industry recently received some good news in terms of hard edits that were previously applied effective January 1, 2020 without warning. Our blog posted on 1/16/2020 shared that therapeutic activities (97530) and group therapy (97150) could no longer be...
by PMR Team | Dec 17, 2019 | CMS, IPA, PDPM
While a SNF’s decision to complete the IPA itself is optional, they must remain fully aware of any changes in a resident’s condition. The Interim Payment Assessment (IPA) is an optional assessment that may be completed to capture changes in a...
by PMR Team | Dec 2, 2019 | CMS, PDPM, PDPM Coding Questions
PDPM coding questions? Proactive has answers. Click here to see all these PDPM Coding Questions blogs. Q: Do you know how providers should handle the October claims that are either overpaying or underpaying since PDPM went into effect? A: To be sure, I suggest you...
by PMR Team | Dec 2, 2019 | CMS, Phase 3 RoP, RoP
The Long-Awaited Phase 3 Requirements Are Now In Effect… But Still No Interpretive Guidance For the Phase 3 Regulations The Phase 3 requirements went into effect on Nov. 28 as planned and facilities are now required to comply with these and all requirements. In a memo...
by PMR Team | Nov 19, 2019 | CASPER, CMS, Quality Measure, SNF
Using CASPER Reports for Quality Measure Monitoring with Recommended Run Schedule This is part 1 or a 2 part blog on the effective using of CASPER reports. Certification and Survey Provider Enhanced Reports, better known as CASPER, offer an assortment of real-time...
by PMR Team | Nov 12, 2019 | CMS, MDS, PDPM
Driving PDPM Operations: Selecting the Primary Diagnosis Under PDPM, the diagnosis coded on the 5-day/Initial Minimum Data Set (MDS) in section I0020B (primary reason for skilled stay) largely determines reimbursement for the entire Medicare stay, unless an Interim...
