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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…

Ask Proactive – During the COVID-19 Pandemic, some states have been allowing facilities to temporarily certify beds during the declared pandemic emergency for Medicare/Medicaid that were not already certified. Do MDS Assessments have to be completed for residents in these beds, that are only certified temporarily?

Q: During the COVID-19 Pandemic, some states have been allowing facilities to temporarily certify beds during the declared pandemic emergency for Medicare/Medicaid that were not already certified.  Do MDS Assessments have to be completed for residents in these beds,...

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Ask Proactive – After completing the PPS 5-day assessment, a Medicare resident developed symptoms and tested positive for COVID-19 later in their stay. The resident was subsequently moved to the COVID (RED) unit in single room isolation. Should I complete an IPA?

Q: After completing the PPS 5-day assessment, a Medicare resident developed symptoms and tested positive for COVID-19 later in their stay. The resident was subsequently moved to the COVID (RED) unit in single room isolation. Should I complete an IPA?   A: Once...

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Ask Proactive – Would I be able to capture isolation for a resident with the documentation that the resident had periods of wandering out of her room?

Q: Would I be able to capture isolation for a resident with the documentation that the resident had periods of wandering out of her room?   A: No. The resident must remain in her room and alone because of active infection.   Reference Center for Medicare and...

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Ask Proactive – We have a patient nearing the end of their 100 Part A days, but now he is COVID+. Will we need to have 1 non-skilled day in order to elect the benefit period waiver?

Q: We have a patient nearing the end of their 100 Part A days, but now he is COVID+. Will we need to have 1 non-skilled day in order to elect the benefit period waiver?   A: In November, CMS released an update to the MLN Matters Number (SE20011 Revised) for...

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