by Proactive Medical Review | Mar 31, 2020 | CMS, IPA, PDPM
This week CMS announced blanket Coronavirus waivers and flexibilities impacting multiple provider types including nursing facilities and a 221-page Interim Final Rule adjusting a wide range of Medicare and Medicaid regulations to give providers additional flexibility...
by Proactive Medical Review | Mar 31, 2020 | CMS, IPA, PDPM
The Senate passed the $2 trillion bipartisan Coronavirus Stimulus Bill 3/25/2020 and the House passed this bill 3/27/2020 with President Trump signing the bill into law the same day. The Coronavirus Stimulus Bill includes $200 million in funding for CMS to assist...
by Proactive Medical Review | Mar 25, 2020 | CMS, IPA, PDPM
COVID-19 can be a recordable illness if a worker is infected as a result of performing their work-related duties. However, employers are only responsible for recording cases of COVID-19 if all of the following are met: The case is a confirmed case of COVID-19 (see CDC...
by Proactive Medical Review | Mar 25, 2020 | CMS, IPA, PDPM
As of a March 23 report by CMS, at least 147 nursing homes across 27 states have at least one resident with COVID-19. As we work to protect our residents and staff in response to the risk of COVID-19 infection, providers are encouraged to consider these action items...
by Proactive Medical Review | Mar 20, 2020 | CMS, IPA, PDPM
The RAI Manual provides clear instruction on the coding of isolation. Documentation must support the medical necessity of isolation. Per the MDS 3.0 RAI User’s Manual, Isolation is coded only when: The resident requires transmission-based precautions AND Single room...
by Proactive Medical Review | Mar 20, 2020 | CMS, IPA, PDPM
Residents of long-term care facilities are at the highest risk of being affected by COVID-19 because of advanced age and chronic medical conditions and co-morbidities. Not only are they at higher risk but have an increased risk of critical illness. Also, there are...
