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F689 Accident Hazards/Supervision/Devices

by Proactive Medical Review | Sep 13, 2021 | 5 Star, blog, Compliance, Falls, Nursing, QAPI, Quality, Regulatory, SNF, Survey

F689 Free of Accident Hazards/Supervision/Devices has been the third most frequently cited F tag so far in the 2021 fiscal year per Casper data (9/5/21).  3,466 citations have been issued nationally for the  16.6% of providers surveyed. Scope and Severity has ranged...

Addressing Pain – The “Fifth Vital Sign”

by Proactive Medical Review | Sep 8, 2021 | 5 Star, blog, Nursing, Quality Measure, Regulatory

The prevalence of pain in long-term care residents is estimated to range from 49% to 83%” (Fox, Raina, & Jadad, 1999). Chronic pain is the top cause of long-term disability in the US, and advanced age a key indicator of chronic pain risk (Ljubica Cvetkovska)....

Simplifying Interpretive Guidance for F656 Comprehensive Care Plans

by Proactive Medical Review | Aug 25, 2021 | blog, MDS, Quality, Regulatory, Survey

Care planning is an essential part of quality patient care as it offers an organized structure of identification of needs via the comprehensive assessment. This structure then drives the individualized type of services and care the resident receives by the development...

F761 Label/Store Drugs and Biologicals

by Proactive Medical Review | Aug 16, 2021 | 5 Star, blog, Nursing, Regulatory, Survey

F761 Label/Store Drugs and Biologicals is currently the 8th most frequently cited deficiency throughout the nation thus far in FY2021. Source: CASPER 08/08/2021   REGULATION The F761 regulation includes three requirements: Labeling – (1) Drugs and biologicals...

Unpacking the FY22 SNF PPS Medicare Final Rule

by Proactive Medical Review | Aug 11, 2021 | blog, Medicare, PDPM, Quality Measure, Regulatory, Reimbursement

July 29th, 2021, the Skilled Nursing Facility (SNF) prospective payment system (PPS) final rule was released. The rule, which goes into effect October 1, 2021, contained several updates, including factors affecting the usual payment rates, changes to diagnosis code...

CY2022 Medicare Part B Proposed Rule Impact to LTC Therapy Departments

by Proactive Medical Review | Aug 3, 2021 | blog, Regulatory, Reimbursement, Telehealth, Therapy

Last month, CMS released the “Medicare Part B” CY 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule outlining proposed changes which would take effect January 1, 2022. This proposed rule only applies to traditional Medicare and not Medicare Advantage plans. The...
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Proactive Medical Review Consulting, LLC

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Evansville, IN 47711

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