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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.
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Pulling the RUG Out: Steps to Completing the PDPM Transitional IPA
What does PDPM mean for Medicare Part A beneficiaries who will reside in the facility under both payment models? RUG-IV comes to a hard stop at 11:59pm on September 30th, 2019 and will be replaced with the Patient Driven Payment Model at 12:00am on October 1st. What...
Top 5 Recommendations for Accurately Coding Cognitive Scoring Under PDPM
Cognitive Scoring impacts revenue under PDPM The Brief Instrument for Mental Status (BIMS) and Cognitive Performance Scale (CPS) – is completed as part of MDS Section C and used to guide care planning of residents with confusion or a cognitive impairment. Under PDPM,...
PDPM Top 10 To-Do List for September
PDPM Top 10 To-Do List for September 1) Integrate PDPM processes for all new traditional Medicare Part A admissions; establish a plan to capture all unique patient conditions/characteristics for those with an anticipated discharge after September 30th. Incorporate the...
Phase 3 & PDPM Ready? Jump Start with Trauma Informed Care
How will you meet Trauma Informed Care standards required under the Phase 3 Requirements of Participation (ROP)? Trauma-informed care is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all...
Upcoming Proactive Training Events
*This blog was updated 9/12/19. Join These Upcoming Proactive Training Events: Available now On Demand! Phase 3 Nitty Gritty: What Needs to Be Done by November? Download here. Sept. 16th Indiana Health Care Association PDPM Triple Check Process - Indianapolis, IN...
Moving Mountains Webinar Series Update
*This blog was updated 8/27/19. To register for an upcoming "Moving Mountains" webinar in your area, visit your organization’s website for details. Click here to find your association. More Moving Mountains Webinar Details Added! We've partnered with industry...
LeadingAge IL Full Day PDPM Implementation Workshop
Join Us at this LeadingAge Illinois Event Don't miss this! We've partnered with LeadingAge Illinois to bring you this special event! We're almost 1 month away from the PDPM deadline.... ARE YOU PREPARED? PDPM Implementation Intensive Advanced PDPM Skill Building...
Skilled Charting Under PDPM: Role of Providers & Nursing in Supportive Charting
Factors Impacting Reimbursement Become More Complex Under PDPM, the factors impacting reimbursement become more complex. Supportive documentation should reflect this complexity through descriptions of the relevant care and services impacting each of the five payment...
Are you prepared for the Phase 3 RoP Infection Preventionist requirements?
Nursing facilities will be required to designate one or more individual(s) as the Infection Preventionist(s) The Phase 3 SNF §483.80(b) Infection Preventionist requirements must be in place by November 28, 2019. As part of the new requirements, nursing facilities will...
PDPM Coding & Documentation Worries?
PDPM Coding Support Solutions For Compliance and Reimbursement Accuracy Proactive provides the MDS coding support and pre-submission audits you need to capture what scrubbers miss. On average, our clients experience a 90% return on their audit investment. How can we...
Therapy Vendor Contracts Under PDPM
Providers will benefit from moving beyond a billable minute or RUGs based therapy contract under PDPM Therapy contracts are under review for many providers. In most cases, providers will benefit from moving beyond a billable minute or RUGs based therapy contract under...
Key Steps to 5 Star Rating: Mock Survey
Poor survey outcomes have serious and long-lasting negative effects Skilled Nursing Facilities (SNFs) are highly regulated and are in the midst of many changes impacting survey success. Ensuring facility compliance prior to the annual recertification survey or...
EVENT: PDPM Implementation Intensive Summer Road Trip
UPDATE: This blog has been updated 8/16/19. Please see below for details. Feedback from Summer Road Trip Attendees: “I started going to trainings last October for PDPM, but this was by far the best PDPM session I’ve ever attended!” "Relevant content & interesting...
Auditing & Monitoring Updates Essential under PDPM
PDPM should be included in the Compliance and Ethics program work plan Challenges during the transition to PDPM (Patient Driven Payment Model) are unavoidable, but compliance oversight doesn’t need to be one of them. PDPM should be included in the Compliance and...
Expert Panel Session on Operational Strategies for Success Under PDPM
Don’t miss the expert panel session on Operational Strategies for Success Under PDPM coming in August in our Moving Mountains Series! SNF experts in MDS coding, software, reimbursement, accounting, compliance and legal issues will share tips and strategies to conquer...
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