Proactive provides the nurse consulting services you need to achieve your clinical quality and compliance goals. Our team of clinical experts support clients through short term consulting projects or long term work plans with an established schedule of regular onsite visits combined with remote assistance. From policy and procedure development to 5 Star Improvement and Directed Plans of Correction, trust Proactive’s nurse consulting team as a partner in clinical program excellence.
Director of Nursing (DON) Training
Provide the tools, resources and comprehensive education your DON needs to succeed. Proactive provides customized new DON training and support in critical areas such as daily & monthly responsibilities, appropriate delegation, and successful management in areas such as abuse prevention & reporting, infection control, MDS, QAPI and survey readiness.
Remote Administrative Nursing Support
Proactive’s qualified nurse consultants include former DONs, corporate nurse leaders and nurse administrators with credentials in areas such as but not limited to Infection Preventionist, QAPI certified practitioner, DNS-CT, Gerontological Nursing, PCC Super User, RAC-CTA and AAPACN Master Trainer, Compliance and Legal Nurse Consulting. Contact us to learn how we may support your clinical operations and assist in meeting nurse administrative needs.
Clinical Program Assessment & Support
Proactive specializes in assisting facilities with:
- Falls Program
- Skin/Pressure Ulcer Prevention
- Dementia Care
- Behavioral Health
- Physical Function
- Infection Control
- Weight Loss
- Medication Management
- Nurse Competencies
- Standards of Care Webinar Training
- Skilled Documentation and Coding
Proactive understands the challenges of achieving and maintaining 5-Star Quality Measures. Our clinical consultants work alongside your team to drive coding accuracy, systems improvements, and staff engagement. We provide the boots on the ground assistance, real-time support, and practical resources to propel QM outcomes. Our AAPACN certified MDS experts offer the support your team needs to achieve clinical assessment and coding accuracy. Find solutions and partnerships to drive SNF Quality Measures, Survey Outcomes, and appropriate staffing levels. Achieve 5-Star results through a facility-specific work plan and on-site performance improvement help from a dedicated expert.
Skilled Documentation Training & Audits
Proactive provides documentation training and support including remote medical record reviews with emphasis on key areas of overpayment risk and current industry audit activities. Our team of clinical auditors focuses on potential areas of opportunity, considering both financial and compliance implications. Each claim reviewed offers individual clinician commentary highlighting examples of compliance in supporting care, coding validation findings and detailed notes on improvement opportunities as relevant. with examples.
Proactive specializes in PDPM coding audits, PDPM documentation and coding support services, CMI accuracy, and Medical Review (ADR/Appeals) assistance.
PDPM Support Services
Proactive’s MDS coding and documentation experts provide the coaching and validation services you need to succeed under PDPM. Let us assist you in coding accurately to capture the patient-centered care you’re providing to ensure proper Medicare reimbursement. PDPM Support Services include remote MDS validation audits, supportive documentation and coding training, and PDPM operational process improvement consulting. Facility specific projects and annual partner work plans are available. Proactive consultants are knowledgeable in the critical elements of MDS coding, SNF ICD.10-CM, systems of IDT clinical collaboration and reimbursement/billing compliance to assist your facility in developing PDPM expertise.
RAI Systems & Training
- ADL Coding Training
- Orientation of New MDS Staff
- Medicare and MDS Supportive Documentation Training
- Person-Centered Care Planning
- ICD-10 Coding
- Restorative Nursing Programs
MDS Systems Audits
- PDPM Coding and Documentation Audits
- MDS Data Integrity Audits
- MDS Training and Education
- MDS Systems Development and Management
- Medicare Program Compliance Audits
- Medicare Eligibility Reviews
- MCR and MDS Supportive Documentation Reviews
- Case Mix Reviews
- Mock Surveys
- ADL Coding Training and Auditing
- Medical Review Response
- Orientation of New MDS Staff
- Short-term Interim MDS Staffing
Remote Interim MDS Staffing
Proactive is a proven partner in assisting providers to achieve MDS coding/reimbursement accuracy and regulatory compliance objectives. MDS support work plans offer interim MDS completion assistance during times of temporary staffing gaps. Projects are managed by a designated project consultant.
Our partnership with Proactive Medical Review has truly been a win win relationship for Wells Health Systems. Onsite clinical services provided by Proactive affords our facilities the benefit of experienced and knowledgeable consultants who are familiar with the long-term care environment we serve. The resources from the Proactive library of policies and procedures are an added benefit as well. It truly has been the best and most efficient route for us to take in providing clinical support and assistance.
Is your facility survey ready? According to CASPER (9/17/23), nearly 12% of the nation’s LTC facilities have not had a recertification survey in over 24 months. The states with the highest percentages include: Kentucky – 76.3% Maryland – 73.3% Idaho – 67.9% Alabama –...
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MACs have begun rolling out the mandated 5-Claim Probe and Educate audit and will eventually review claims for every eligible SNF in their jurisdiction. SNF certifications and recertifications are important elements of SNF Medicare stay compliance and will be...