by Proactive Medical Review | Apr 1, 2020 | 5 Star, blog, Education
Q: What is an advance payment and how do I apply for one? A: An accelerated/advance payment is a payment intended to provide necessary funds when there is a disruption in claims submission and/or claims processing. These expedited payments can be offered in...
by Proactive Medical Review | Mar 17, 2020 | Education, Medical Review, PDPM, SNF
With the growing concern surrounding Coronavirus (COVID-19) and the slew of emails you’re likely receiving, we want to provide you with a brief, focused summary of how this pandemic has temporarily changed our current practices and regulations surrounding our Medicare...
by Proactive Medical Review | Mar 10, 2020 | Education, Medical Review, PDPM, SNF
Most facilities have fared better than anticipated under Patient-Driven Payment Model (PDPM). What will this mean from the standpoint of Medicare claims audits and how should we prepare for the inevitable start of medical review activity for PDPM claims? For many...
by Proactive Medical Review | Mar 4, 2020 | blog, Education, PDPM, Reimbursement
The QM, Functional Outcome & Reimbursement Perks of Restorative Nursing Restorative & PDPM As we began discussing in part 1 of this blog last week, there are many benefits to considering Restorative Nursing programs. In part 2 of this blog, let’s review some...
by Proactive Medical Review | Feb 26, 2020 | 5 Star, blog, Education
Q: How do you pull the 5-Star Report? A: Select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the ‘Folders’ button and access the Five Star Report in your ‘st LTC...
by Proactive Medical Review | Feb 26, 2020 | blog, Education, PDPM
The QM, Functional Outcome & Reimbursement Perks of Restorative Nursing Restorative & PDPM Several months into the swing of PDPM, some facilities are taking a second look at the benefits of restorative nursing programs. In many cases, facilities may need to...
