Our Services
Medical Review
Proven compliance audit programs, as well as ADR and Appeal solutions to reduce error rates. Experienced clinical support for UPIC/ZPIC, RAC, TPE, Commercial Insurance and other medical review types.
INFECTION PREVENTION & CONTROL
Effective education, resources and support services you need to implement and sustain an effective Infection Prevention and Control program in the LTC setting
Rehab Support & Oversight
Our team assists contract therapy companies, in-house SNF therapy programs, and outpatient clinics manage compliance and medical review preparedness.
MDS Support
MDS experts to drive coding and reimbursement accuracy.
Reimbursement
Medicare, Medicaid, and commercial insurance reimbursement experts. CMI and PDPM consulting partnerships.
LEGAL NURSE CONSULTING
Quality Assurance Performance Improvement tools, training and partnerships.
QAPI
Quality Assurance Performance Improvement tools, training and partnerships.
Compliance
Compliance & Ethics program implementation services including policies/tools, training, investigations, and HCCA certified Compliance Officer partnerships available as short and long term projects.
5 - Star
Solutions and partnerships to drive SNF Quality Measures, Survey results and appropriate staffing. Achieve 5-Star results through facility specific work plan and on-site performance improvement help from a dedicated expert.
Regulatory
Mock Surveys, Phase 1-3 Requirements of Participation help, and regulatory guidance to manage the many industry changes facing providers.
CLINICAL NURSE CONSULTING
Mock Surveys, Phase 1-3 Requirements of Participation help, and regulatory guidance to manage the many industry changes facing providers.
Survey Alert! Revised LTC Surveyor Guidance: What You Need to Know
Survey Alert! Revised LTC Surveyor Guidance: What You Need to Know Long-term care facilities are about to undergo significant changes as CMS releases revised surveyor guidance aimed at elevating care quality and resident safety. On November 18, 2024, the Centers for...
Understanding Hospital QMs, Episodic Care & the Impact on Post-Acute Providers
Understanding Hospital QMs, Episodic Care & the Impact on Post-Acute Providers In post-acute care, providers are accustomed to monitoring Minimum Data Set (MDS) accuracy and focusing on clinical programs in quality measure target areas in order to drive...
Ask Proactive – What are the top priorities for an effective Infection Prevention Program in long-term care?
Q: What are the top priorities for an effective Infection Prevention Program in long-term care? A: An effective program should focus on: Conducting a facility-wide infection control risk assessment to identify vulnerabilities. Implementing robust surveillance...