Compliance
Compliance Program support for rehabilitation settings including program development, policies and procedures, auditing and monitoring and compliance investigation assistance. Learn more
Medical Review
ADR and Appeals management services for Medicare, Managed Care and Insurance claims. Proactive’s medical review team has a proven history of success of achieving successful outcomes for RAC, UPIC/ZPIC, TPE and Insurance reviews and in overturning denials. Learn more
Audit Services
Therapy QA review support services specializing in Medicare A, B and Insurance reviews for SNF Providers, TCU/Swing Bed Units, and Outpatient Therapy Clinics. Proactive offers medical record documentation reviews with emphasis on overpayment risk and current industry audit activities. An objective 14-point scale audit is available with individual clinician feedback highlighting examples of compliance in supporting care and coding, opportunities for improvement, and feedback on clinical treatment course progression.
Contract Therapy Vendor Sub-Contractor
Contact us to learn more about subcontracting PDPM QA audit services for your SNF clients
In-House SNF Therapy Program Management Support
Rehabilitation department support & oversight services for in-house therapy programs including:
- Department operations support
- Clinical program development in areas such as falls management, dementia care and weight loss
- Part B programming
- Quality assurance/compliance auditing of skilled therapy documentation
- On site treatment observations
- Training and education
Having Proactive as a routinely scheduled resource has allowed our facility to make positive change to an in-house program. Proactive doc audits, staff training, and regulatory reviews have all been an important part of our transition.
Ask Proactive – I’m a charge nurse, and a resident just passed away. The family is asking to take the medications home since they paid for them. What should I do?
Q: I'm a charge nurse, and a resident just passed away. The family is asking to take the medications home since they paid for them. What should I do? A: This can be a difficult situation to navigate with grieving families. Even though the family may have paid...
Year-Round Survey Readiness
Year-Round Survey Readiness Regulatory changes have been plentiful for the long-term care profession over the past five years—with operators persevering through the COVID pandemic, changes to government funding policies, and significant revisions to Appendix PP...
FAQs on Systems for LTC Policies and Procedures
FAQs on Systems for LTC Policies and Procedures Policies and procedures are far more than written guidelines – they provide a backbone of safety and consistency. Skilled nursing policies and procedures outline expectations and play a crucial role in regulatory...