by Proactive Medical Review | Nov 29, 2022 | MDS, Q&A
Q: We do not currently have an MDS Coordinator and it will be some time before the new one can start. Who can complete the MDS; does it have to be a nurse? A: Each facility self-determines its policies and procedures for patient documentation practices and...
by Proactive Medical Review | Nov 22, 2022 | Q&A
Q: I have a Medicare Part A resident that went home for a visit and stayed overnight. Do I need to complete MDS assessments for an interrupted stay? A: Unless your State has a different policy, a Leave of Absence (LOA) which includes a temporary home visit of...
by Proactive Medical Review | Nov 16, 2022 | Q&A
Q: We recently received the outcome of our TPE audit. The MAC denied even with our delayed certifications for the skilled stays. We thought this was an accepted process if the SNF certification / recertifications were late. How can we dispute the determination? ...
by Proactive Medical Review | Nov 9, 2022 | Q&A
Q: I am a floor nurse and have a concern about a coworker’s practices at work. When I am on the medication cart that she normally works, I find many medications that still have blisters packs that are full, and unopened inhalers, eye drops, etc. She and I are friends...
by Proactive Medical Review | Nov 2, 2022 | F-Tag, Q&A, Therapy
Q: When someone is still on Med A benefits and the therapy team reduces or ends one type of therapy but not all types, does the ABN need to be given each time? A: The notices aren’t required when therapy reduces or ends services, but rather when the SNF...
by Proactive Medical Review | Oct 26, 2022 | Q&A, Survey
Q: My facility just completed our annual survey and is in denial of payment until a Directed In-Service training is completed. What is a Directed In-Service training and how do we ensure compliance? A: Directed In-service training is one of the enforcement...
