>90% of facilities have missed PDPM coding opportunities—are you one of them?
Schedule a Proactive Audit to Ensure Accurate Reimbursement
Proactive provides PDPM coding audits to identify potential MDS errors, missed coding opportunities and to assess the quality of SNF supportive documentation. Contact us to schedule a budget friendly pre-submission audit sample today. How can we help? Learn more here.
Searching for Tools & Templates?
Your time is valuable. So, why reinvent the wheel? Proactive’s clinical team has created budget friendly facility assessment and policy templates, staff competency tools, and on demand training.
Regulatory
Mock Surveys, Phase 1-3 Requirements of Participation help, and regulatory guidance to manage the many industry changes facing providers.
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.
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.
Medical Review
Reimbursement
MDS Accuracy
Other Services
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Join us for one of our trainings, webinars or special sessions! Register for upcoming webinars or purchase on demand webinars in our shop.
Training and Education
Proactive provides education through live workshops, webinars, and in partnership with provider organizations and associations throughout the US. Our on-demand trainings are a convenient way to gain the knowledge that allows you to bring value to your care team, while meeting individual CE requirements. Staff Competency toolkits meet requirements of participation standards and are customizable to meet your staff development needs.
Amie Martin
OTR/L, CHC, RAC-CT
President
Shelly Maffia
MSN, MBA, RN, LNHA, QCP
Director of Regulatory Services
Stacy Baker
OTR/L, RAC-CT
Director of Audit Services
Ask Proactive – How is the patient classified under PDPM if neither the BIMS nor the CPS staff assessment is completed to determine cognitive level?
Q: How is the patient classified under PDPM if neither the BIMS nor the CPS staff assessment is completed to determine cognitive level? A: If neither the BIMS nor the staff assessment is completed, a patient will be classified under PDPM as if the patient were...
Telehealth’s Impact on Short Stay Emergency Department Visit QMs
Nationally, telehealth appears to have had a positive impact on the CMS Quality Measures regarding Emergency Department (ED) Visits—has your facility shown improvement in this area? In March 2020, following the declaration of the COVID-19 public health emergency, CMS...
Ask Proactive – We have a resident using Hospice Services for End Stage Renal Disease that fell and broke her hip. She had a 3-day hospital stay for ORIF. Prior to the fall, she was ambulatory. She is returning from the hospital with skilled therapy orders. Can we bill Medicare Part A for this while she remains on Hospice?
Q: We have a resident using Hospice Services for End Stage Renal Disease that fell and broke her hip. She had a 3-day hospital stay for ORIF. Prior to the fall, she was ambulatory. She is returning from the hospital with skilled therapy orders. Can we bill Medicare...