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.
HOME HEALTH CONSULTING
Proactive provides Home Health Consulting to advance compliance, care quality and reimbursement accuracy
Proactive is better than having a corporate office!
Ask Proactive – Coding a Pressure Injury That Worsened During Hospitalization
Q: I have a resident with an in-house acquired Stage 2 pressure injury. He went out to the hospital for three days and upon return, it was documented as Stage 4. How should this be coded on the MDS? A: The RAI User’s Manual (v1.18.11, effective Oct. 1, 2025)...
Unreported Falls in Nursing Homes: OIG Study Findings
Unreported Falls in Nursing Homes: OIG Study Findings In September 2025, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released a concerning report related to a study with findings indicating that falls with major injury were...
Ask Proactive – What are best practices for developing a facility cannabis policy, and can staff administer medical marijuana to residents?
Q: What are best practices for developing a facility cannabis policy, and can staff administer medical marijuana to residents? A: As more states legalize medical and recreational cannabis, long-term care facilities are increasingly faced with questions about...