
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.
Transitioning from QIES to iQIES for MDS Submission
To comply with federal security mandates, the Centers for Medicare & Medicaid Services (CMS) has initiated new security requirements for access control to CMS Quality Systems through Remote Identity Proofing (RIDP) via the Healthcare Quality Information System...
Ask Proactive – We have a resident on Enhanced Barrier Precautions who will be staying at our facility long term. Are there criteria for discontinuing these precautions at some point?
Q: We have a resident on Enhanced Barrier Precautions who will be staying at our facility long-term. Are there criteria for discontinuing these precautions at some point? A: It depends on why the Enhanced Barrier Precautions (EBP) were implemented. For...
Assessing Resident Capacity to Consent to Sexual Activity
The updated abuse guidance issued on June 29, 2022, stresses that facilities must take steps to ensure residents are protected from abuse, including evaluating whether the resident has the capacity to consent to sexual activity. To understand how to appropriately...