by Proactive Medical Review | Jul 7, 2021 | Abuse, blog, Compliance, Legal, Nursing, Regulatory
Even though SNFs have collectively seen higher reimbursement rates under the Patient-Driven Payment Model compared to the previous RUG IV payment model, data shows that there is still room for improvement for most facilities in terms of ensuring accurate revenue under...
by Proactive Medical Review | Jun 29, 2021 | Abuse, blog, Compliance, Legal, Nursing, Regulatory
When you became a long-term care Administrator or Director of Nursing you probably didn’t envision that you would also wear the hat of a detective. In today’s long-term care environment, being able to conduct a thorough internal investigation is a critical strength...
by Proactive Medical Review | May 19, 2021 | blog, Legal
Receiving a subpoena requesting medical records or to give deposition or trial testimony, is the last thing on any health care professionals wish list. Carefully assembling medical records or preparing for testimony however, is extremely important. As with most...
by Proactive Medical Review | Apr 21, 2021 | Audits, Compliance, Legal, Medicaid, Medical Review, Medicare
Following a year of little to no medical review and extensive government spending, most experts forecast reimbursement compliance audits ramping up in 2021. Multiple areas are ripe for potential scrutiny, including, but not limited to PDPM coding and supportive...
by Proactive Medical Review | Apr 7, 2021 | blog, COVID-19, Legal, Regulatory
Nursing homes have seen a wave of complaints alleging negligence and wrongful death as a result of purportedly failing to protect residents from contracting the COVID-19 virus. As of March 23, 2021, over 9,500 complaints related to COVID-19 have already been filed in...
by Proactive Medical Review | Mar 15, 2021 | blog, Documentation, Legal, Medicaid, Medical Review, Medicare
“No matter how skilled or experienced you are, inaccurate or incomplete nursing documentation can mean serious trouble for your patients – and for you if you’re ever involved in a lawsuit.” Austin, Nursing2021. Many nurses who have had to testify in a deposition or...
