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 – We are in our survey window and some staff are nervous about surveyors observing care and asking them questions during survey. Do you have any tips to share for interacting with surveyors?
Q: We are in our survey window and some staff are nervous about surveyors observing care and asking them questions during survey. Do you have any tips to share for interacting with surveyors? A: Communicating with state surveyors can feel stressful and at times...
Top 5 Nursing Documentation Misses Impacting QMs and How to Avoid Them
Top 5 Nursing Documentation Misses Impacting QMs and How to Avoid Them Nursing documentation is the backbone of the care provided to long term care residents and supports many of the critical components used to measure facility performance, including: Survey outcomes...
Why AI Should Support the MDS Coordinator — Not Replace Them
Why AI Should Support the MDS Coordinator — Not Replace Them Artificial intelligence is rapidly reshaping healthcare and long-term care operations. Facilities are already using it to review documentation, identify trends, streamline workflows, summarize records, and...