

Home Health Consulting
Proactive provides Home Health Consulting to advance compliance, care quality and reimbursement accuracy.
Home Health Consulting Services:
- Mock Survey & Survey Management
- Mergers and Acquisition Support and Due Diligence
- Start-up and Expansion
- QAPI/Star Ratings/VBP/HHCAHPs
- Interim Management
- Strategic Planning and KPI
- Reimbursement/Finance
- Revenue Cycle Management
- Recruitment and Retention
- P&P Development
- Compliance
- Coaching and Leadership Development
- CCRC service integration

Ask Proactive – Why is monitoring enteral feedings important in LTC?
Q: Why is monitoring enteral feedings important in LTC? A: Monitoring ensures the resident is receiving the correct nutrition safely and effectively. It helps identify complications early, such as: Tube blockage or displacement Aspiration risk Intolerance...
Capturing Required Transfer/Discharge Documentation
Capturing Required Transfer/Discharge Documentation Significant emphasis is placed on the need for comprehensive documentation to support that resident transfers/discharges are justified and in compliance with the regulations outlined in the April 28, 2025 update to...
Ask Proactive – Coding a Pressure Injury That Worsened During Hospitalization
Q: I have a resident with an in-house acquired Stage 2 pressure injury. He went out to the hospital for three days and upon return, it was documented as Stage 4. How should this be coded on the MDS? A: The RAI User’s Manual (v1.18.11, effective Oct. 1, 2025)...
Nichole is extremely knowledgeable regarding home care and guided us to making a huge change that will help our company significantly. Not only was she a huge help, we thoroughly enjoyed being around her!
Nicole’s expertise, attention to detail, and dedication to compliance were evident throughout the entire time we worked together. She was exceptionally thorough in reviewing our policies and operations, offering clear, actionable recommendations that have already made a positive impact.
What stood out most was her kindness and professionalism. She took the time to explain complex requirements in a way that was easy to understand, and treated our team with respect and encouragement. It’s rare to find someone who combines deep regulatory knowledge with such a compassionate and approachable demeanor. We’re grateful for her support and would highly recommend her services to any agency striving for excellence.