by Proactive Medical Review | Mar 26, 2021 | 5 Star, COVID-19, Regulatory, Survey
Q: Now that standard surveys are beginning to resume, will surveyors still conduct the annual survey if we have active COVID-19 cases in the facility and will it trigger them to combine a Focused Infection Control (FIC) Survey with the annual survey? A: Yes,...
by Proactive Medical Review | Jan 20, 2021 | blog, COVID-19, PDPM, QAPI, Reimbursement, Survey
With occupancy in senior living communities at an all-time low of 80.7% during the fourth quarter, planning to capture accurate payments, safeguarding revenue to withstand the scrutiny of Medical Review and securing 5 star status is more important than ever as we...
by Proactive Medical Review | Aug 25, 2020 | 5 Star, blog, Compliance, Survey
On 08/17/2020 CMS announced that they are revising guidance on the expansion of survey activities to authorize onsite revisits and other surveys, and guidance was provided to State Survey Agencies (SA) on resolving previously “on hold” enforcement cases. A temporary...
by Proactive Medical Review | Jun 2, 2020 | COVID-19, Infection, MDS, Survey
Focused Infection Control Surveys and CARES Act Funding On June 1, 2020, CMS released a memo to State Survey Agency Directors calling on states to ensure that all Medicare and Medicaid certified nursing homes receive an on-site infection control focused survey and...
by Proactive Medical Review | Jan 28, 2020 | 5 Star, blog, Compliance, Education, Regulatory, Survey
As we begin a new year, there is benefit in evaluating lessons learned in 2019 to establish improvement goals for 2020. As you know, both annual surveys and complaint surveys can have a significant impact on the overall 5-Star Rating. To help guide action planning,...
by Proactive Medical Review | Jan 22, 2020 | blog, Education, Regulatory, RoP, Survey
Nursing facilities are required to complete a comprehensive Facility Assessment as part of the Requirements of Participation (RoP.) The assessment must be presented to surveyors during each annual survey within four hours of entrance. Surveyors will review the...
