
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!
Ask Proactive – Our facility has been issued a Denial of Payment for new admissions due to survey deficiencies. Should we continue to submit the MDS for current and newly admitted residents?
Q: Our facility has been issued a Denial of Payment for new admissions due to survey deficiencies. Should we continue to submit the MDS for current and newly admitted residents? A: A Denial of Payment for new admissions (DPNA) is a CMS enforcement remedy that...
F695—Respiratory & Tracheostomy Care in LTC
F695—Respiratory & Tracheostomy Care in LTC In today's skilled nursing environment, respiratory and tracheostomy care isn't just a specialized service—it's an essential competency. With increasing acuity among residents and heightened regulatory scrutiny,...
Ask Proactive – Is there any federal regulation regarding how many references and job verifications must be done for a job applicant i.e. CNA or nurse?
Q: Is there any federal regulation regarding how many references and job verifications must be done for a job applicant i.e. CNA or nurse? A: There is no specific federal regulation that mandates an exact number of employment references or job verifications...