News / Blog

Need to brush up on the latest industry news? Look no further! Proactive Medical Review consultants provide up-to-date blog postings to keep you in the know.

The latest news, events, blogs and more…

Ask Proactive – I have a resident who was discharged (unplanned) and remained in the hospital for 15 days before returning to my facility. A Quarterly MDS assessment fell due during the time they were out of the facility and my software is showing it as late or missed. What should I do?

Q: I have a resident who was discharged (unplanned) and remained in the hospital for 15 days before returning to my facility. A Quarterly MDS assessment fell due during the time they were out of the facility and my software is showing it as late or missed. What should...

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Risk Management Strategies for the DON

The word “Risk” is referenced in the CMS State Operations Manual - Appendix PP 524 times. Clearly Risk Management is a critical area of focus for the Director of Nursing and the nursing department.  According to the article Clinical Areas of Liability: Risk Management...

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Ask Proactive – What happens in the MDS department when a building is being purchased by a new company? A colleague mentioned that since it’s a new NPI number, we may need to complete a discharge and entry on every patient. Is this true?

Q: What happens in the MDS department when a building is being purchased by a new company? A colleague mentioned that since it’s a new NPI number, we may need to complete a discharge and entry on every patient. Is this true? A: There are two types of change in...

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Ask Proactive – We have had multiple outbreaks of COVID in recent weeks. There has been confusion when coding isolation. Can we code isolation if we have two positive residents sharing a room?

Q: We have had multiple outbreaks of COVID in recent weeks. There has been confusion when coding isolation. Can we code isolation if we have two positive residents sharing a room? A: Coding isolation requires specific criteria. One of these characteristics is if the...

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Antibiotic Stewardship

Improving the use of antibiotics in healthcare to protect patients and reduce the threat of antibiotic resistance is a national priority. Antibiotics are among the most frequently prescribed medications in nursing homes, with up to 70% of residents in a nursing home...

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Ask Proactive – We recently received a letter from our MAC informing us of findings on the Comparative Billing Report (CBR) of SNF Short-Stays for PT / PT and NTA services. Our facility triggered greater than the 90th percentile as compared to our state and jurisdiction related to claims with PT/OT Short-Stays (0-20 days LOS). Wondering if we need to complete a self-audit? Have you seen this? What should be our next steps?

Q: We recently received a letter from our MAC informing us of findings on the Comparative Billing Report (CBR) of SNF Short-Stays for PT / PT and NTA services. Our facility triggered greater than the 90th percentile as compared to our state and jurisdiction related to...

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