by Proactive Medical Review | Jan 14, 2020 | Compliance, PDPM, PDPM Coding Questions
Q: Is it correct that CNA’s are not allowed to complete section GG? Is it possible to have CNAs submit documentation to an RN who then completes the assessment for GG? A: As per the RAI – assess the resident’s self-care and mobility performance based on...
by Proactive Medical Review | Jan 14, 2020 | Compliance, PDPM, PDPM Coding Questions
Q: When should the comprehensive care plan be completed if you are submitting MDS’ day 14 as best practice? A: As per regulation – a comprehensive care plan must be developed within 7 days after completion of the comprehensive assessment (Admission,...
by Proactive Medical Review | Jan 14, 2020 | blog, Compliance, Therapy
Hindsight is 20/20… this is something that comes to mind when taking a deep dive into the new and unforeseen National Correct Coding Initiative (NCCI) procedure to procedure (PTP) edits that were effective January 1, 2020. Without any warning, Capitol Bridge, LLC,...
by Proactive Medical Review | Jan 6, 2020 | Audits, Compliance, Education, Medical Review, PDPM
When reviewing the CMI components driving PDPM reimbursement it’s important to consider the critical role of the Non-Therapy Ancillary (NTA) score. The NTA component score is based on the presence of certain comorbidities and/or the use of extensive services. CMS...
by PMR Team | Oct 23, 2019 | Compliance
Delay for one year the SNF Compliance and Ethics Program requirements While CMS published a proposed rule to delay for one year the SNF Compliance and Ethics Program requirements, providers have good reason to move forward in implementing the Compliance and Ethics...
by PMR Team | Oct 15, 2019 | 5 Star, Compliance, Regulatory, SNF
*Information coming soon on Proactive’s 2020 5-Star Insights webinar series focused on helping your facility achieve or maintain 5 Star in 2020. Make plans to join us beginning in March! Easier for Consumers to Identify Facilities with Instances of Non-compliance On...
