Services for Skilled Nursing Facilities
Proactive offers confidential Medical Review solutions, working directly with post acute care service providers.
Proactive Offers Solutions that Allow Providers to Focus on Care
Post-acute care providers are facing many challenges–an ever changing regulatory environment, expanded government auditing, and a growing list of publicly reported quality measures. But your mission is centered on care excellence and consistently satisfying resident, referral source and community expectations. For smaller providers without extensive corporate support, the administrative and financial implications of balancing evolving regulatory compliance obligations and care quality can be difficult. Proactive is the budget-friendly answer to results oriented clinical, regulatory, and reimbursement compliance. Proactive Medical Review’s talented team is equipped to offer post-acute care providers support solutions to the many challenges faced so your teams can focus on your mission.
Solutions for providers…
Proactive has the solutions you need to meet regulatory compliance standards.
- Tools, templates and resources to fast track regulatory compliance and staff development.
- Training that drives quality.
- Consulting partnerships are available for short and long term projects.
- Survey/Regulatory Support
- Requirements of Participation Phase 1-3
- Emergency Preparedness Plans
- Medical Review
- Quality Measure Improvement
- SNF Competencies
- MDS Support
- 5 Star Work Plans
- SNF Compliance and Ethics Programs
- Reimbursement & PDPM Transition
Our Consulting Team
Proactive’s therapist consultant team includes licensed PT, OT, and SLP experts with backgrounds as Therapy Operations Directors, Clinical Trainers and Compliance Officers. We assist clients achieve goals in the areas of compliance, clinical quality, payer audit readiness, and appropriate reimbursement.
“The Proactive team has expertise with audits, new startups, ongoing reviews, setting up systems related to triple check and internal audits, as well as working with us on 5 STAR plans, and reviewing our preparation for ongoing regulatory and compliance changes. We can rely on Proactive to help us with questions, training and audits. We consider them an extra set of eyes that has our backs.” Click here to read more testimonials.
Have a question? Don’t hesitate to contact us!
Your client may contact you after learning an audit has been initiated, or to discuss deficiencies following a survey.
Searching for more blogs, news, resources and more? Click here to read more.
Ask Proactive – We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery Categories”. How do we determine if it is eligible for one of the Orthopedic Surgery categories?
Q: We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery...
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...
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The Proactive Shop
Proactive’s user-friendly tools and practical training solutions allow you to spend more time focusing on care. See all of our products in our shop!