by Proactive Medical Review | Aug 31, 2021 | blog, Compliance, MDS, Medicare, PDPM, QAPI, Reimbursement
Strategies for timely estimation of potential care needs and costs are essential to SNF success, as well as systems for identifying clinical conditions and services that impact reimbursement under PDPM. Follow these steps to drive payment accuracy. Prior to Admission...
by Proactive Medical Review | Aug 25, 2021 | blog, MDS, Quality, Regulatory, Survey
Care planning is an essential part of quality patient care as it offers an organized structure of identification of needs via the comprehensive assessment. This structure then drives the individualized type of services and care the resident receives by the development...
by Proactive Medical Review | Aug 3, 2021 | MDS, Q&A
Q: Are there going to be any MDS Updates in October? A: Updates are not expected. The CMS PHE Tip Sheet provides the following: The Center for Medicare and Medicaid Services (CMS) posted an update on May 8, 2020 announcing the delayed release of updated...
by Proactive Medical Review | Jun 1, 2021 | blog, COVID-19, MDS, Quality Measure
To manage COVID-19 transmission among residents, nursing facilities had to enforce social distancing between residents, their family and friends, and in certain circumstances, even residents and caregivers. The extended quarantine caused social isolation with adverse...
by Proactive Medical Review | May 12, 2021 | 5 Star, blog, COVID-19, MDS, Nursing, Quality Measure, Weight Loss
As reported by the CDC, chronic lower respiratory disease and respiratory infections are leading causes of morbidity and mortality in the elderly, and perhaps unsurprisingly, provisional data indicates COVID-19 was the third leading cause of death in 2020. Given the...
by Proactive Medical Review | May 12, 2021 | MDS, Q&A
Q: When should I code respiratory failure in Section I of the MDS? A: To code any active diagnose in Section I, RAI manual requirements must be met including MD documented diagnosis in the last 60 days & supporting documentation that the diagnosis is active...
