by Proactive Medical Review | Aug 31, 2021 | blog, CMS, Medical Review
CMS announced on August 12, 2021 that the MAC’s Targeted Probe and Educate (TPE) Program is restarting after a temporary pause during the Public Health Emergency. TPE involves a process of selecting providers identified based on data analysis as being at high risk for...
by Proactive Medical Review | Apr 28, 2021 | CMS, COVID-19
On April 27, 2021, the CDC provided updated Healthcare Infection Prevention & Control Recommendations in Response to COVID-10 Vaccination and CMS updated guidance related to COVID-19 testing and visitation. Revisions to QSO-20-38-NH related to facility testing...
by Proactive Medical Review | Apr 21, 2021 | CMS, COVID-19
Q: In addition to the 6 feet spacing guidance, handwashing and the use of masks, what other things should be considered when opening up for communal dining? A: On April 6, 2021, AHCA/NCAL provided a summary of the CMS guidance with the following recommendations...
by Proactive Medical Review | Aug 27, 2020 | blog, CMS, COVID-19
Yesterday, CMS released guidance related to Long-Term Care (LTC) facility COVID-19 testing requirements and a revised COVID-19 Focused Survey Tool. CMS has added a new regulation at 42 CFR § 483.80(h) which requires that the facility test all residents and staff for...
by Proactive Medical Review | Aug 5, 2020 | blog, CMS
On July 31, 2020 the Centers for Medicare and Medicaid Services (CMS) issued the FY 2021 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule. This updates the Medicare payment rates and Value-Based Purchasing program for Skilled Nursing Facilities...
by Proactive Medical Review | Aug 4, 2020 | blog, CMS, COVID-19
On July 17, 2020, CDC updated the guidance related to Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance) and the Criteria for Return to Work for Healthcare Personnel with SARS-CoV-2...
