by PMR Team | Aug 29, 2019 | Compliance, PDPM, Regulatory, RoP, SNF
How will you meet Trauma Informed Care standards required under the Phase 3 Requirements of Participation (ROP)? Trauma-informed care is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all...
by PMR Team | Aug 14, 2019 | Compliance, RoP, SNF, Training
Nursing facilities will be required to designate one or more individual(s) as the Infection Preventionist(s) The Phase 3 SNF §483.80(b) Infection Preventionist requirements must be in place by November 28, 2019. As part of the new requirements, nursing facilities will...
by PMR Team | Jul 30, 2019 | 5 Star, Compliance, Consulting, SNF
Poor survey outcomes have serious and long-lasting negative effects Skilled Nursing Facilities (SNFs) are highly regulated and are in the midst of many changes impacting survey success. Ensuring facility compliance prior to the annual recertification survey or...
by PMR Team | Jul 22, 2019 | Audits, Compliance, PDPM, Reimbursement
PDPM should be included in the Compliance and Ethics program work plan Challenges during the transition to PDPM (Patient Driven Payment Model) are unavoidable, but compliance oversight doesn’t need to be one of them. PDPM should be included in the Compliance and...
by PMR Team | Jul 15, 2019 | Compliance, Medicare, PDPM, Reimbursement
ICD.10 coding will have a major impact under PDPM ICD.10 coding will have a major impact under PDPM with the PT, OT, SLP and the bulk of the NTA items (35 of the 50 are diagnosis related items) paid in part based on the diagnoses coded on the MDS. You’ve attended...
by PMR Team | Jul 10, 2019 | Compliance, Medicare, PDPM, Reimbursement
Missed coding will have a significant impact on the bottom line PDPM considers a vast array of patient characteristics in the reimbursement calculation. Primarily based on MDS coding accuracy to “paint the picture” of each resident’s needs, missed coding will have a...
