by Proactive Medical Review | Mar 31, 2020 | blog, Covid, COVID-19, Education, Regulatory
On March 30, CMS issued the Interim Final Rule with Comment (IFC) entitled, Medicare & Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rule with Comment Period (CMS-1744-IFC). The rule gives...
by Proactive Medical Review | Mar 31, 2020 | CMS, Covid, COVID-19, Education, PDPM, Regulatory
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 25, 2020 | CMS, Covid, COVID-19, Infection, IPA, PDPM, Regulatory
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, Covid, COVID-19, Education, Regulatory
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 | Covid, COVID-19, Infection, MDS, PDPM, Regulatory
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 18, 2020 | Medicare, PDPM, PDPM Coding Questions, Regulatory, Reimbursement, SNF
Q: How should situations, in which the 3-day qualifying hospital stay normally required for a covered Medicare admission to the SNF is waived due to the national emergency, be reported on the UB04 claim form? A: Providers that receive beneficiaries without a...
