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…
COVID-19: Staffing Measures
Staff Monitoring & Return to Work Ill employees are one of the most common sources of COVID-19 transmission into facilities. Therefore, it is important to screen and manage employees with symptoms of respiratory illness. Staff should promptly report any...
Q & A – What should be documented in the medical record when therapy treatment is disrupted because of COVID-19?
Q: What should be documented in the medical record when therapy treatment is disrupted because of COVID-19? For example, in my facility essential therapy staff are unavailable to treat because they are on a 14 day quarantine. A: In many cases, therapy services...
Proper Use and Conservation of Personal Protective Equipment (PPE)
The unexpected surge in patient volume within our healthcare facilities due to the COVID-19 pandemic has caused PPE shortages around the country. Healthcare facilities are having difficulty accessing the needed PPE and are having to find alternative ways to provide...
COVID-19: Best Practices for Communication & Cooperation
Quickly sharing information about prevention efforts and disease outbreak can help stop the spread of disease, and reduce the incidence of illness and even death. In addition to immediately reporting details of positive cases to your state and local health...
ICD10 Mappings and PDPM Grouper DLL updated for COVID-19
The Centers for Disease Control and Prevention (CDC) published the final guidelines for the new diagnosis code U07.1, COVID-19, effective April 1 to September 30, 2020. As a result, the Centers for Medicare & Medicaid Services (CMS) also updated the ICD-10-CM to...
Q & A – What is an advance payment and how do I apply for one?
Q: What is an advance payment and how do I apply for one? A: An accelerated/advance payment is a payment intended to provide necessary funds when there is a disruption in claims submission and/or claims processing. These expedited payments can be offered in...
Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rule
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...
Coronavirus Waivers & Flexibilities
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...
Coronavirus Stimulus Bill Passes by House Today
The Senate passed the $2 trillion bipartisan Coronavirus Stimulus Bill 3/25/2020 and the House passed this bill 3/27/2020 with President Trump signing the bill into law the same day. The Coronavirus Stimulus Bill includes $200 million in funding for CMS to assist...
Reporting Staff COVID-19 Infection-OSHA Requirements
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...
PDPM Coding Questions – Where do we find guidelines on how to establish a baseline temp?
Q: Where do we find guidelines on how to establish a baseline temp? A: Fever is defined as a temperature 2.4 degrees F higher than baseline. The resident’s baseline temperature should be established prior to the Assessment Reference Date. A temperature of 100.4...
PDPM Coding Questions – How should isolation be coded on the MDS since there is guidance to restrict movement around the facility as part of the COVID-19 prevention plan?
Q: How should isolation be coded on the MDS since there is guidance to restrict movement around the facility as part of the COVID-19 prevention plan? A: You cannot code isolation on the MDS if it is only in place to prevent contracting the COVID 19...
Critical Action Steps for LTC Facilities’ COVID-19 Response
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...
Coding Isolation on MDS
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...
COVID-19 CDC Nursing Home Guidance and Managing Suspected Cases
Residents of long-term care facilities are at the highest risk of being affected by COVID-19 because of advanced age and chronic medical conditions and co-morbidities. Not only are they at higher risk but have an increased risk of critical illness. Also, there are...
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