The Schizophrenia Diagnosis in a Skilled Nursing Facility

There is so much going on in the Long Term Care (LTC) market in 2024 related to Centers for Medicare and Medicaid (CMS) initiatives it is easy to overlook one or think that it is complete.  This might be the case with the CMS roll out of audits to monitor accurate coding and documentation of the diagnosis of schizophrenia. CMS initiated these audits, announced on January 18, 2023, in QSO-23-05-NH, in an attempt to identify…

Does Your Documentation Support a MAC Request?

The Centers for Medicare and Medicaid (CMS) has rolled out many initiatives since the Public Health Emergency ended in May of 2023.  One initiative in specific is the Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review. If you still have not seen or heard about it, and you operate a SNF, you will! The Transmittal 12037 outlines the specific probe audit.  The purpose of the audit is to lower the SNF improper payment rate.…

Why Should I Use an “Interim” to Fill a “Permanent” Need?

Interim staff play a crucial part in ensuring the smooth operation of senior living communities. These temporary positions are often filled by experienced professionals who step in during periods of transition or when a permanent position is vacant. Interim roles provide stability and continuity in senior living communities. When key positions like executive directors or department heads are suddenly vacant, it can create uncertainty and disrupt the daily operations of the facility. By bringing in…