
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!
CMS Releases Draft MDS 3.0 RAI User’s Manual v1.20.1
CMS has released the draft version of the MDS 3.0 RAI User’s Manual (v1.20.1), now available on the MDS 3.0 RAI Manual page. While the manual is still in draft form, the changes are significant and go into effect October 1, 2025. Facilities should begin planning now...
Ask Proactive – I am having difficulty keeping up with care plan updates. What are some tips and strategies to keep care plans up-to-date?
Q: I am having difficulty keeping up with care plan updates. What are some tips and strategies to keep care plans up-to-date? A: Maintaining timely and accurate updates to resident care plans is essential not only for delivering quality, person-centered care,...
Safeguarding Residents – F689 Managing Elopement in LTC
Safeguarding Residents – F689 Managing Elopement in LTC Elopement is one of the most urgent safety risks in long term care, often leading to devastating outcomes and serious regulatory citations. Ensuring the safety and well-being of residents is a top priority...