by Proactive Medical Review | Jun 8, 2022 | blog, IPA, MDS, Quality, Reimbursement
With staff pressed on every side, ensuring clinical meetings are an effective use of time and resources is essential. Strong meeting processes can facilitate key objectives are met related to clinical quality, MDS assessment accuracy, risk management, and...
by Proactive Medical Review | Jan 13, 2021 | IPA, Q&A
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,...
by Proactive Medical Review | Jan 6, 2021 | IPA, Q&A
Q: What effect does the IPA have on the variable per diem rate? A: The IPA does not affect the variable per diem. When an IPA is completed and payment changes, it continues the variable per diem schedule that was established by the 5-day PPS assessment. The IPA...
by Proactive Medical Review | Dec 29, 2020 | COVID-19, IPA, Q&A
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...
by Proactive Medical Review | May 6, 2020 | CMS, COVID-19, IPA, PDPM
On April 10, 2020 the Occupational Safety and Health Administration released a memorandum detailing enforcement guidance for recording cases of Coronavirus disease 2019 (COVID-19). The memo provides interim guidance to Compliance Safety and Health Officers (CSHOs) for...
by Proactive Medical Review | Apr 28, 2020 | 5 Star, CMS, IPA, PDPM, Quality Measure
On April 24, CMS issued a memo (QSO-20-28-NH) regarding Nursing Home Five Star Rating System updates, staffing data and frequently asked questions. In this memo, they announced that the health inspection domain of the five-star rating system will temporarily be...