News / Blog
Need to brush up on the latest industry news? Look no further! Proactive Medical Review consultants provide up-to-date blog postings to keep you in the know.
The latest news, events, blogs and more…
CMS releases 2019 RAI
Highlights from the new RAI release Opportunity to Review Assessment Steps and Coding Guidance CMS has released the MDS 3.0 Resident Assessment Instrument (RAI) Manual v1.17 effective for assessments with an ARD of 10/1/2019 and after. PDPM guidance and calculation...
read moreRestorative Considerations for PDPM
It may be time to assess your facility Restorative Nursing Program as part of your PDPM transition preparedness plan. Restorative Basics The fundamental requirements for Restorative nursing will remain the same under PDPM. Per the RAI manual, Restorative Nursing...
read moreAchieve Section GG – PDPM Function Score Accuracy
New! Easy Front-Line Staff Training Tool-Kit for Section GG Is your team up to speed on GG coding for PDPM? Under PDPM, Section GG significantly impacts Medicare reimbursement. Section GG replaces the Section G ADL score coding as the function measure under the new...
read moreComments from the 5 Star Webinar
What Our Clients Say About Us Webinar: 5-Star Ready! 2019 5-Star Quality Rating System Changes Here are the comments from those who attended this 1.25-hour webinar recording which focused on exploring the April 2019 revisions to the three domains of the CMS 5 Star...
read moreDoes your staff training and competency assessment program measure up?
Protect your facility and residents from adverse events and negative survey outcomes. The Phase 3 SNF §483.95 Training Requirements must be in place by November 28, 2019. As part of the new requirements, nursing facilities will be required to develop, implement, and...
read moreEVENT: PDPM Implementation Intensive Summer Road Trip
PDPM Implementation Intensive: Advanced PDPM Skill Building Workshop Register NOW! Only accepting 60 Registrants at each location. Seminar Details: Seminar Title: PDPM Implementation Intensive: Advanced PDPM Skill Building Workshop Event Dates and Locations: 6/25/19 -...
read morePDPM transition worries?
PDPM transition worries? Trust Proactive to guide your team through a step-by-step transition plan. You’ve attended PDPM training, now what? If your team is struggling with implementation of a transition plan from RUG IV to the new payment model, you’re not alone....
read more5 Star Rating take a hit in April?
5 Star Rating take a hit in April? We can help! Nearly 40% of SNFs experienced a decline in overall star rating due to the changes in the 5 Star Rating calculation put into effect in April. Proactive partners with providers to drive 5 Star improvement through a...
read moreSNF Proposed Payment Updates for FY 2020
On Friday 4/19, CMS released the pre-publication of the FY 2020 Skilled Nursing Facility Prospective Payment System Proposed Rule. As expected, the Patient-Driven Payment Model is confirmed to go into effect October 1, 2019. SNF Proposed Payment Updates for FY 2020:...
read moreMDS Accuracy Key For PDPM Success
PDPM: MDS Accuracy and QAPI Initiatives With the implementation of the Medicare Patient Driven Payment Model (PDPM) on October 1st, 2019 comes the need for increased MDS accuracy and supportive documentation. Under PDPM, responses to 188 MDS items will be used to...
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