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…
Vaccine Mandate Preparedness
Effective Feb. 14, 2022, state surveyors (and/or CMS) will begin enforcing COVID-19 vaccine requirements under F888. By this date, nursing facilities must demonstrate that COVID-19 vaccination policies and procedures have been developed and implemented and that 100%...
A Fresh Look at Fall Prevention
It probably comes as no surprise that falls are the number one cause of injury for seniors, the leading cause of hospital admissions for nursing home residents, and the top issue prompting facility lawsuits. The average facility fall-related cost is $17,000.00. Half...
Ask Proactive – I’ve just received an old findings letter from our recent RAC audit. Unfortunately, it looks like our time for open discussion has expired. What should we do next?
Q: I’ve just received an old findings letter from our recent RAC audit. Unfortunately, it looks like our time for open discussion has expired. What should we do next? A: A phone call to the customer service number listed on the letter may prove successful. If not, the...
Ask Proactive – Should discontinued and/or revised policies still be maintained by the facility?
Q: Should discontinued and/or revised policies still be maintained by the facility? A: It is always best to check with your facility legal counsel for their guidance on what documents, other than resident care records, should be maintained, where to maintain them and...
PDPM Insights: Are You Leaving Money on the Table?
To ensure accurate coding of all PDPM clinical conditions and comorbidities, it is essential to review the medical record prior to the 5-day MDS ARD. This chart review process is important to identify the need for gaps which may require additional supporting...
Essentials of the 12/28/21 CMS Vaccine Mandate Enforcement Memo
On Dec. 28, CMS released QSO-22-07-ALL Guidance for the Interim Final Rule that was released on Nov. 5, 2021 that established requirements regarding COVID-19 vaccine immunization of staff. The guidance and survey procedures included in this memo currently does not...
Updated CDC Guidance: Managing Staff with COVID-19 Infection or Exposure
On Dec. 23, the CDC released updated Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 and Strategies to Mitigate Healthcare Personnel Staffing Shortages. Key points included in the revised guidance include: In...
Ask Proactive – What do I do if a resident is admitted Med A and then has an unplanned discharge or death in facility prior to the 5 Day MDS being opened/created?
Q: What do I do if a resident is admitted Med A and then has an unplanned discharge or death in facility prior to the 5 Day MDS being opened/created? A: This would be considered a Missed PPS Assessment. The facility would be liable and would not be able to...
Day in the Life of the Effective Infection Preventionst
With COVID Cases on the rise again, and now 3 different COVID variants identified, COVID prevention and management is a primary focus of the Infection Preventionist (IP). However, COVID is only one of many infection related issues challenging our IP professionals...
Ask Proactive – I’m confused about the Interrupted Stay. If a Medicare A resident discharges home and then returns to the SNF two days later due to inability to care for themselves at home, is this an interrupted stay? The discharge was planned and their return was not anticipated.
Q: I’m confused about the Interrupted Stay. If a Medicare A resident discharges home and then returns to the SNF two days later due to inability to care for themselves at home, is this an interrupted stay? The discharge was planned and their return was not...
Top Tips to Improve Skilled Documentation
Quite often, we receive questions related to whether or not a patient can be “skilled.” Perhaps a resident has a new onset cardiac condition, is receiving wound care, or is not making progress in therapy and will be transitioning to a restorative nursing program. In...
Ask Proactive – Who is qualified to provide Restorative Aide training?
Q: Who is qualified to provide Restorative Aide training? A: Recommend that a therapist or nurse performs the training. It would be best practice to have the therapist provide the training or have the therapist train the nurse, and then the nurse trains the...
2022 Staff Development Planning
As we move into a new year, it’s a great time to review and update your 2022 education plan. According to QSO-22-02-ALL issued last month, during annual surveys in 2022, surveyors will be paying additional attention to compliance with the requirements for F-726...
Ask Proactive – What happens if a patient receives more than 25 percent of their therapy in a concurrent/group setting?
Q: What happens if a patient receives more than 25 percent of their therapy in a concurrent/group setting? A: The provider will receive a warning edit on the validation report that will inform them that they have exceeded the 25% limit. The edit will state:...
Survey Management: Drafting Effective Plans of Correction
42 CFR §488.401 defines a Plan of Correction (PoC) as a plan developed by the facility and approved by CMS or the survey agency that describes the actions the facility will take to correct deficiencies and specifies the date by which those deficiencies will be...
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