by Proactive LTC Consulting | Nov 24, 2020 | Blog, Compliance, Physicians
The Department of Health and Human Services (HHS) and The Centers for Medicare and Medicaid Services (CMS) published two final rules last week, targeting the reduction of regulatory barriers to care coordination and increased flexibility for provider participation in... by Proactive LTC Consulting | Jul 15, 2020 | Blog, PDPM, Physicians
Working together for the best clinical outcomes and for reimbursement accuracy requires good systems for communication – both verbally and in our documentation. The fundamental expectations for documentation to support skilled level of care, medical necessity, and... by Proactive LTC Consulting | Mar 4, 2020 | Coding, MDS, Medicare, PDPM, Physicians, Q&A
Q: The physician documented dehydration on the discharge summary, however, the resident does not qualify for any of the 3 items listed in the RAI manual in J1550. Should dehydration be coded on the MDS? A: The coding for dehydration is based on the presence of... by PMR Team | Nov 5, 2019 | CMS, Medicare, Physicians
Medicare Final 2020 Physician Fee Schedule (PFS) Released & Rule Includes Challenges for Part B Therapy Providers CMS released the final 2020 Medicare Physician Fee Schedule on November 1, 2019 which includes updates to payment policies, rates and quality... by PMR Team | Aug 21, 2019 | Hospitals, Medicare, PDPM, Physicians, Reimbursement, SNF
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... by PMR Team | Jun 19, 2019 | Hospitals, PDPM, Physicians, Reimbursement
Proactive has released two new PDPM toolkits: PDPM Physician Toolkit and Hospital PDPM Quick Guide and Hospital to SNF Discharge PDPM Documentation Checklist PDPM Physician Toolkit ($129) The PDPM Physician Toolkit provides the essential information and query process...