PDPM Operations: Selecting Primary Diagnosis

by | Nov 12, 2019 | CMS, MDS, PDPM

Driving PDPM Operations:  Selecting the Primary Diagnosis Under PDPM, the diagnosis coded on the 5-day/Initial Minimum Data Set (MDS) in section I0020B (primary reason for skilled stay) largely determines reimbursement for the entire Medicare stay, unless an Interim...

Effective Use of the Optional IPA

by | Oct 1, 2019 | MDS, Medicare, PDPM, Reimbursement, SNF

IPA is an optional SNF PPS stand-alone MDS item set under PDPM The Interim Payment Assessment (IPA) is an optional SNF PPS stand-alone MDS item set under PDPM. The IPA can be completed when providers determine that the resident has experienced changes to his or her...

Last minute PDPM advice

by | Sep 25, 2019 | Audits, Compliance, MDS, PDPM, Reimbursement

Tips to focus your attention in October based on actual Proactive client pre-PDPM audit trends You’ve followed the PDPM transition checklists. You’ve analyzed historic billing patterns and projected revenue shifts under the new model. You’ve trained extensively....

PDPM Coding & Documentation Worries?

by | Aug 5, 2019 | Audits, MDS, PDPM, Reimbursement

PDPM Coding Support Solutions For Compliance and Reimbursement Accuracy Proactive provides the MDS coding support and pre-submission audits you need to capture what scrubbers miss. On average, our clients experience a 90% return on their audit investment. How can we...