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Does your Falls Management Program Have Room for Improvement?

by Proactive Medical Review | Jan 27, 2021 | 5 Star, blog, Education, Falls, Quality Measure, Webinars

Did you know that  of the 1.6 million residents in U.S. nursing facilities, approximately half fall annually? (CDC) About 1 in 3 of those who fall will fall two or more times in a year. The CDC also indicates that one in every 10 residents who fall has a serious...

Compliance in Action: Yearly Licensed Nurse Competency Evaluations

by Proactive Medical Review | Nov 12, 2020 | blog, Compliance, Education, QAPI

Under regulation §483.35 Nursing Services we find the regulatory requirement for sufficient and competent nursing staff at section §483.35(a)(3) which states “The facility must ensure that licensed nurses have the specific competencies and skill sets necessary to care...

Q & A – How often do restorative progress notes need to be written?

by Proactive Medical Review | Jul 15, 2020 | blog, Education, MDS, PDPM, Q&A, RAI Manual

Q: How often do restorative progress notes need to be written?   A: The RAI Manual, p. O-43 states, “Evidence of periodic evaluation by the licensed nurse must be present in the resident’s medical record.”  Facility policy should determine the frequency of the...

Q & A – Can we query the MD AFTER the MDS assessment is completed for documentation of an active diagnosis, or does it have to be prior to the ARD?

by Proactive Medical Review | Jul 8, 2020 | blog, Education, MDS, PDPM, Q&A

Q: Can we query the MD AFTER the MDS assessment is completed for documentation of an active diagnosis, or does it have to be prior to the ARD?   A: Unfortunately, the documentation needs to be present during the appropriate assessment reference period (which ends...

Q & A – Can I code TIA if a resident is receiving Eliquis routinely to prevent further TIAs

by Proactive Medical Review | Jun 24, 2020 | blog, Education, PDPM, Q&A

Q: Can I code TIA if a resident is receiving Eliquis routinely to prevent further TIAs   A: In order for TIA to be considered an active diagnosis, the physician would need to specifically document that the diagnosis is active (and not by listing TIA on the...

Q & A – Would C-diff be a qualifying diagnosis when coding Multi-Drug Resistant Organism (MDRO) in I1700?

by Proactive Medical Review | Jun 24, 2020 | blog, Education

Q: Would C-diff be a qualifying diagnosis when coding Multi-Drug Resistant Organism (MDRO) in I1700?   A: According to the Centers for Disease Control, C-diff is not considered a MDRO. Common MDRO’s include, Methicillin/oxacillin-resistant Staphylococcus aureus...
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Proactive Medical Review Consulting, LLC

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Evansville, IN 47711

Phone: (812) 471-7777
Fax: (812) 471-7802
info@proactivemedicalreview.com