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

What our clients say about us…
We have developed a great relationship with Proactive over the last few years. The resources that they provide to us have helped us determine where we are in line with trends in the LTC industry and help us determine where we want to be moving forward.
Elaine Wilson, MBA, HFA, CAN

Chief Operating Officer, Saint Anne Communities

Learn more in our blogs

Ask Proactive – Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from?

Q: Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from?   A: The SNF QRP measure for falls with...

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