Consulting Services for Skilled Nursing Facilities (SNF)
& Long-Term Care (LTC)
Proactive provides proven solutions to advance regulatory compliance, reimbursement accuracy and measurable care excellence. Our nurse consulting partnerships, tools and training allow your team to focus on your care mission.
Proactive LTC Consulting Services
5 - Star Quality
Partnerships to drive Quality Measures, Health Inspection results and appropriate Staffing through remote and onsite support plans and clinical consultation for key programs of care by LTC expert nurse consultants.
Survey Management
Survey preparedness consulting through Mock Surveys, as well as survey support for Plans of Correction, Directed Inservice Training and Monitoring, and the IDR/IIDR process.
MDS Support
AAPACN RAC-certified MDS nurse consultants offer MDS training, audits, consulting, and interim staffing. Remote MDS coding analysis for optimal PDPM, CMI and QM accuracy and annual support work plans are available, as well as ICD.10-CM training.
Reimbursement
Medicare, Medicaid, and insurance reimbursement support including PDPM and CMI validation audits and operational process improvement consulting for payment accuracy, supportive documentation quality and compliance.
Compliance
Compliance & Ethics Program implementation and support services including policies, training, investigations and HCCA certified interim Compliance Officer partnerships
CLINICAL NURSE CONSULTING
LTC experts assist the achievement of clinical quality goals through short-term projects and long-term work plans with regular onsite visits combined with remote assistance and monitoring activities.
QAPI
Quality Assurance Performance Improvement programming, tools, training and partnerships including remote and onsite nurse consulting to promote consistent quality of care and services.
Medical Review
Complete ADR and Appeals management services, FCA investigation support, voluntary disclosures, as well as consulting to drive successful outcomes with reduced overpayment liability for providers involved in RAC, UPIC/ZPIC, TPE, SMRC and commercial payer reviews.
Regulatory
Mock Surveys, Phase 1-3 Requirements of Participation help, and regulatory guidance to manage the many industry changes facing providers.
LEGAL NURSE CONSULTING
Certified Legal Nurse Consultants provide case evaluation, deposition and trial support and expert witness testimony services for medically related litigation and legal matters
Home Health Consulting
Proactive provides Home Health Consulting to advance compliance, care quality and reimbursement accuracy.
Education
Live workshops, live and on-demand webinars and collaborative training partnerships with provider organizations and associations, as well as Staff Competency training toolkits
Training and Education
Proactive provides education through live workshops, webinars, and in partnership with provider organizations and associations throughout the US. Our on-demand trainings are a convenient way to gain the knowledge that allows you to bring value to your senior care team, while meeting individual CE requirements. Staff Competency toolkits meet requirements of participation standards and are customizable to meet your staff development needs.
Your success is our success. Proactive’s proven results in achieving 5-star survey outcomes, recovering denied reimbursement under medical review, and driving systems for care quality and compliance speak for themselves. Click here to read more testimonials.