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…
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 more
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 more
NARA’s Spring Conference in Washington DC I was invited to NARA’s Spring Conference in Washington DC to join as an expert panelist during their Pre-Conference session. The expert topic was related to ICD-10-CM and the shift from a payment model that emphasizes volume...read more
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 more
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 more
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 more
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 more
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...read more
UPDATE: This webinar is now available to purchase as a RECORDED WEBINAR DOWNLOAD. Click here for details. Register now for our upcoming webinar! Earn CEs! Seminar Details: Seminar Title: PDPM Ready! Supporting Section K for Rehab & Dietary: Identify & Code...read more
Reimbursement under PDPM Reimbursement under PDPM will require updates to clinical systems, policies and procedures, and operational focus. Diagnosis coding accuracy will be paramount to appropriate payment under PDPM, as ICD-10 Diagnosis codes & other patient...read more
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...read more
PEPPER: Program for Evaluating Payment Patterns Electronic Report Skilled Nursing Facility PEPPER Available The Q4FY18 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September...read more
3 Primary Goals of Compliance & Ethics Programs SNF Compliance and Ethics Program must be in place by November 28, 2019 after which State survey agencies will begin assessing facility implementation. Effective compliance programs need to accomplish three primary...read more
Reimbursement under PDPM Reimbursement under PDPM will require updates to clinical systems, policies and procedures, and operational focus. MDS coding accuracy is paramount to appropriate payment, and coding accuracy requires consistent interdisciplinary team...read more
UPDATE: This webinar is now available to purchase as a RECORDED WEBINAR DOWNLOAD. Click here for details. Register now for our upcoming webinar! Earn CEs! Seminar Details: Seminar Title: 5-Star Ready! 2019 5-Star Quality Rating System Changes Presentation Date:...read more
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