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 – Key Expectations, Common Survey Findings, Best Practices, and Steps to Consider to Ensure Survey Readiness
Intravenous therapy in skilled nursing facilities care heightens clinical and regulatory risk. Surveyors frequently review IV therapy practices to evaluate compliance related to federal quality of care regulations, nursing standards, infection prevention requirements,...
Path to Five Star Quality Measures in 2026
The MDS 3.0 Quality Measures User’s Manual v18.0, effective January 1, 2026, includes some notable changes to QM specifications and reporting expectations. In addition, MDS‑driven QMs are becoming increasingly impactful across Care Compare, Five‑Star Ratings, SNF QRP,...
Ask Proactive – It doesn’t appear that we’ve had any significant changes at our facility this past year. Do we still need to review or revise our Facility Assessment?
Q: It doesn’t appear that we’ve had any significant changes at our facility this past year. Do we still need to review or revise our Facility Assessment? A: Yes. Under F838, the Facility Assessment must be reviewed at least annually, even if no significant...