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Updating Your Emergency Preparedness Plan in the Wake of COVID-19

by Proactive Medical Review | Dec 2, 2020 | blog, Compliance, Physicians

CMS defines “emergency/disaster” as an event that can affect the facility internally as well as the overall target population or the community at large or community or a geographic area(1). COVID-19 certainly meets that definition. Even if your facility has not...

Stark Law and Anti-Kickback Statute (AKS) Final Rules Published

by Proactive Medical Review | Nov 24, 2020 | blog, Compliance, Physicians

The Department of Health and Human Services (HHS) and The Centers for Medicare and Medicaid Services (CMS) published two final rules last week, targeting the reduction of regulatory barriers to care coordination and increased flexibility for provider participation in...

Supporting Skilled Level of Care for the COVID Positive Resident

by Proactive Medical Review | Nov 18, 2020 | blog, Compliance, COVID-19, Medicare

As most providers are aware, the Centers for Medicare & Medicaid Services (CMS) suspended most Medicare fee-for-service medical reviews because of the COVID-19 pandemic on March 30, 2020. This included pre-payment medical reviews conducted by Medicare...

Compliance in Action: Yearly Licensed Nurse Competency Evaluations

by Proactive Medical Review | Nov 12, 2020 | blog, Compliance, Education, QAPI

Under regulation §483.35 Nursing Services we find the regulatory requirement for sufficient and competent nursing staff at section §483.35(a)(3) which states “The facility must ensure that licensed nurses have the specific competencies and skill sets necessary to care...

Nursing PDPM Documentation Suffering Due to COVID-19?

by Proactive Medical Review | Oct 19, 2020 | blog, Coding, Compliance, Documentation, MDS, Medical Review, Medicare, PDPM, Reimbursement

Has nursing documentation and internal auditing suffered due to COVID-19 prevention or outbreak efforts? Many facilities have had to prioritize staff and resources in order to meet the challenge of the public health emergency and the many additional responsibilities...

Facility Assessment Updates related to COVID-19 PHE

by Proactive Medical Review | Oct 14, 2020 | blog, Compliance, COVID-19

Federal regulations require each facility to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The intent of the facility assessment is to...
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Proactive Medical Review Consulting, LLC

2207 Morgan Ave, Suite D
Evansville, IN 47711

Phone: (812) 471-7777
Fax: (812) 471-7802
info@proactivemedicalreview.com