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
What our clients say about us…
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.
Learn more in our blogs
Proactive makes keeping you informed a priority. Click here to find additional resources, blogs, testimonials, webinars and much more.
Ask Proactive – Ad Hoc QAPI Meetings – Why, When, and How?
Ad Hoc QAPI Meetings – Why, When, and How? Q: Why Would a Facility Hold an Ad Hoc QAPI Meeting? A: An Ad Hoc QAPI Meeting is a valuable tool within a facility’s comprehensive Quality Assurance and Performance Improvement (QAPI) program. It provides a…
FY 2027 SNF Final Rule: What Facilities Need to Know Now
FY 2027 SNF Final Rule: What Facilities Need to Know Now CMS has issued the FY 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule. The rule includes a payment update, Quality Reporting Program (QRP) changes, future all-payer MDS reporting…
Risk Based Survey (RBS) Process Starts Sept. 8th—What you Need to Know
Risk Based Survey (RBS) Process Starts Sept. 8th— What you Need to Know The long-awaited Risk Based Survey (RBS) process will be launched nationwide beginning September 8, 2026. CMS began testing this process in 2023 in 22 states with over 100 facilities and found…