What makes her competent to serve you well?

Amie’s experience as a clinical trainer, quality assurance director, Compliance Officer and multi-facility operations manager culminated in the founding of Proactive Medical Review. She is certified in healthcare compliance with a Masters in Jurisprudence Health Law and certifications in Healthcare Compliance and as a Resident Assessment Coordinator, and has successfully partnered with post-acute care and rehabilitation service providers to improve clinical outcomes, compliance programs, medical record documentation, and to reduce error rates under medical review. She has partnered with legal counsel to defend providers under large volume ZPIC, UPIC and RAC reviews, and manages hundreds of appeals each year with a proven track record of recovering reimbursement on denied claims. Amie’s recent publications include articles for the American Occupational Therapy Association, American Association of Nurse Assessment Coordination (AANAC), American College of Health Care Administrators, and the American Health Lawyers Association. She presents extensively on clinical, compliance and reimbursement topics including, most recently, a monthly PDPM and Requirements of Participation webinar series offered through AHCA state affiliates in Georgia, Hawaii, Indiana, Illinois, Kansas, Kentucky, Maryland, Mississippi, Missouri, North Dakota, Nebraska, Ohio, Oklahoma, South Carolina, Tennessee, and Wisconsin, as well as LeadingAge state associations in Colorado, Connecticut, Florida, Indiana, Iowa, Michigan, Oregon, Rhode Island, Texas, Virginia, and Washington.

Specialty Areas

PDPM Transition, Medical Review/Medicare Appeals, Falls Prevention & Management, Dementia Care, QAPI, SNF Requirements of Participation, and Compliance

Personal Creed

“Whatever you do, work at it with all your heart, as though working for the Lord and not for people.” Colossians 3:23

5 words clients use to describe Amie

Insightful, Warm, Positive, Decisive and Innovative

Things she loves even more than winning a favorable decision on a Medicare appeal

Her husband and 4 kids, boating at Barkley Lake, Cardinals baseball, a good joke, and gardening

What makes her competent to serve you well?

Shelly is a Registered Nurse and Nursing Home Administrator with experience serving as Director of Nursing, Administrator, and as a multi-site Corporate Nurse Consultant. She holds AANAC’s QAPI Certified Professional (QCP) credential. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC) and earned a Certificate in Infection Prevention in Long-Term Care. She is a skilled coder and an AHIMA approved ICD-10 trainer. Shelly specializes in not only identifying SNF regulatory compliance risks, but in supporting SNF leadership in implementing the practical, real life solutions that drive performance improvement and quality outcomes. Shelly coordinates Proactive’s active Phase 1-3 Requirements of Participation facility partnership project teams and leads 5 Star improvement projects. She has presented extensively on survey preparedness, facility assessment, QAPI, Achieving 5-Star QMs, and implementing effective interdisciplinary systems.

Specialty Areas

PDPM Transition, 5 Star Improvement, Infection Prevention, Requirements of Participation, ICD.10-CM coding, Quality Assurance & Performance Improvement, Developing Clinical training programs & tools, Developing nursing facility policies/procedures, long term care best practices, survey management

Personal Creed

“Great things in business are never done by one person. They’re done by a team of people” – Steve Jobs

5 words clients use to describe Shelly

Wise, Pragmatic, Intelligent, Helpful, & Thoughtful

Things she loves even more than a deficiency free survey

Family, traveling, IU Basketball, and Golf

What makes her competent to serve you well?

Stacy is a skilled geriatric clinician, mentor and clinical instructor, specializing in post-acute quality care, reimbursement, and medical review management. An accomplished coder, auditor and coach, she oversees therapy claim audit services for clients from coast to coast. Stacy is known for her approachable style that makes her clients comfortable asking questions, and this –partnered with her background as a multi-site manager with a broad understanding of the integration between rehab, MDS and the business office make her a go-to resource for accurate answers. She has served the medical review and quality assurance needs of over 400 skilled nursing facilities since joining Proactive in 2013.

Specialty Areas

PDPM Transition, PPS Scheduling & Management, SNF Rehab Stay Justification, Medicare Compliance, Audit Management, Case Mix Index

Personal Creed

Each day we choose what we are filled with and what we pour out. In my daily walk, I choose love, joy, peace, patience, kindness, goodness, faithfulness, gentleness, and self-control (Galatians 5:22-23).

5 words clients use to describe Stacy

Kind, Organized, Approachable, Patient, Detail-oriented

Things she loves even more than strong, supportive medical records

Faith, husband and 2 children, Church Ministries & Outreach, Vacationing, Cooking, HGTV, Pinterest Failer (depressing, but entertaining)

What makes her competent to serve you well?

Emily King has served the geriatric community in multi-site therapy leadership positions and as a clinical educator. She is skilled in assisting nursing facilities and outpatient therapy clinics to improve clinical documentation for measurable error rate reduction under medical review through training and constructive chart review feedback. Her background includes extensive geriatric clinical program development. Awarded the 2016 IHCA Foundation Scholarship for Dementia Care, she is a Certified Alzheimer’s Disease Dementia Care Trainer. Her passion is educating caregivers on creative techniques to enhance the lives of those living with dementia, and she has presented extensively on person centered care, quality of life, and applications of current dementia research.

Specialty Areas

Dementia Care, Medicare Reimbursement, SNF Quality Measure clinical programs, Auditing, and healthcare leadership

Personal Creed

Live and love each day to the fullest and remember that happiness and peace in every aspect of life begins with demonstrating kindness toward each other.

5 words clients use to describe Emily

Creative, Skilled, Cheerful, Bright, and Optimistic

Things she loves even more than positive feedback on a workshop evaluation

Her 3 sons, and her family also enjoys camping, boating, gardening, and four-wheeling.

What makes her competent to serve you well?

Christa is a Physical Therapist with 18 years of experience in long term care and rehabilitation management. She has a passion for working with the geriatric population and has presented educational programs related to geriatric falls prevention, restorative nursing, evidence based practice, and maintaining functional mobility. She serves Proactive Medical Review as a clinical instructor, quality assurance leader, auditor and medical review response coordinator.

Specialty Areas

Falls, Wound Care, Orthopedic Protocols, Geriatric Therapy, Rehabilitation Coding

Personal Creed

“If you want to lift yourself up, lift up someone else.” –Booker T. Washington

5 words clients use to describe Christa

Thorough, Easy-going, Practical, Focused, Dependable

Things she loves even more than a well written progress report

Spending time with family, camping, traveling, attending my children’s sports events, church family

What makes her competent to serve you well?

Eleisha Wilkes is a Board Certified Gerontological Nurse and AANAC certified MDS consultant with over twenty years of experience in long-term care. She has significant experience as a Director of Nursing, Case Manager, and Resident Assessment Coordinator with extensive responsibility and success in driving QA in the areas of person-centered assessment and care planning through effective systems, staff development, and interdisciplinary team collaboration. She has presented educational programs related to PDPM transition success, MDS accuracy, effective care planning, Competency-Based Staff Development, and Restorative Nursing Programs. Eleisha serves as a clinical consultant providing auditing, clinical training, and project development services.

Specialty Areas

PDPM Transition, RAI interpretation and application, Infection Prevention, MDS accuracy, Emergency Preparedness, Developing clinical training programs and tools, Care Planning

Personal Creed

“Strive not to be a success, but rather to be of value.” – Albert Einstein

5 words clients use to describe Eleisha

Calm, Organized, Prepared, Practical, Open-minded

Things she loves even more than a validated MDS

Her husband and two sons, reading a good book, Netflix binges, good food, family vacations

What makes her competent to serve you well?

Kristen is a Registered Nurse with over nineteen years of long term care experience. She has experience as a Regional Clinical Reimbursement and Nurse Consultant, Director of Nursing and Resident Assessment Coordinator.

Specialty Areas

PDPM Transition, RAI accuracy, Case Mix, Care Planning, Infection Prevention, Restorative Implementation, Quality Measures, Quality Assurance Process Improvement and Regulatory Compliance

Personal Creed

“Each day is a new day. Make it matter.”

5 words clients use to describe Kristen

Committed, Compassionate, Diligent, Decisive, Knowledgeable

Things she loves even more than a validated MDS

Her husband, 2 children and 2 grandchildren, music, non-fiction novels and Pinterest.

What makes her competent to serve you well?

Jessica is a Registered Nurse with 17 years experience in long term care. Her background includes significant experience as a reimbursement specialist for a large long-term care organization, providing education and support to those facilities over multiple states. She has served as a subject matter expert in the areas of Medicare and clinical reimbursement, developing and authoring courses for a major healthcare learning management system/education provider. She has extensive experience with medical auditing and compliance, and has collaborated with leadership teams in the development and implementation of restorative programming, QAPI, and Quality Measure improvement. Jessica has presented extensively on Medicare regulations, RAI process, PPS reimbursement, and Case Management.

Specialty Areas

Medicaid and Medicare Regulations, SNF PPS, PDPM Transitions, QAPI, Clinical Reimbursement, Care Planning, Auditing, and MDS Accuracy

Personal Creed

“Tell me and I forget, teach me and I may remember, involve me and I learn.” Benjamin Franklin

5 words clients use to describe Jessica

Ambitious, Passionate, Loyal, Organized, Optimistic

Things she loves even more than a validated MDS

Her husband and three children, her 2 dogs, hockey, interior decorating, and sweet tea.

What makes her competent to serve you well?

Janine is a Registered Nurse with over 30 years’ experience in long term care, working in all nursing capacities from Nursing Assistant and Charge Nurse, to MDS Coordinator, Staff Development Coordinator, ADON and DON. She is MDS Certified through AANAC, and is a Certified Legal Nurse Consultant. Her background includes serving as a Corporate Nurse Consultant, and the Director of Clinical Services for a multi-facility, multi-level of care organization. Janine serves as a founding member of the Kentucky RUG Task Force Committee, and has served on the Case Mix Appeals Panel and IDR Panel as a provider representative, as well as serving on the Kentucky Medicaid Technical Advisory Committee. She has extensive experience in the RAI process, clinical documentation, legal nurse consulting, restorative nursing programs, fall management, QAPI, and infection control, and has provided training on these topics for State and National organizations.

Specialty Areas

RAI Process and Care Planning, SNF PPS, Medicaid Case Mix, Regulatory Compliance, Policy Development, Survey Preparedness, Legal Case Review and Trial Testimony, Infection Prevention, Restorative Nursing Programs, IDR and IIDR Case Preparation.

Personal Creed

“Success isn’t just about what you accomplish in your life; it’s about what you inspire others to do.” – Zig Ziglar

5 words clients use to describe Janine

Focused, Creative, Determined, Resourceful, Inventive

Things she loves even more than a successful IDR

Her husband, children, and grandchildren, music, Chinese food, ice cream, autumn.

What makes her competent to serve you well?

Angie is a Registered Nurse with 30 years of LTC experience including in Nursing Administration as DON and as Clinical Consultant for over 20 years for multi-facility organizations. Angie’s expertise includes development of policies and procedures, implementing effective staff development programs, QAPI, and Infection control. Angie serves clients as part of Proactive’s mock survey team, and has extensive survey management experience including writing Plans of Correction (CMS 2567) and Allegation of Compliance for IJ’s. Angie promotes clinical and regulatory compliance through services including interim DON, interim MDS coordinator, MDS coding validation and supportive documentation chart audits, and staff education.

Angie is an expert user of PointClickCare™ and assists clients with software implementation/training for clinical modules, CRM, Document Manager, Carequality, eMAR, POC, and IMM (Integrated Medication Management), as well as Relias Learning Software with projects such as creation and implementation of training plans and monitoring reports.

Angie has served on multiple clinical/regulatory committees for KAHCF and held KADONA offices at the district and state level.

Specialty Areas

PointClickCare®, Infection Prevention, Dementia Care, QAPI, Restorative Nursing Programs, Survey Preparedness and Management, Care Planning, Auditing.

Personal Creed

“Integrity is doing the right thing even when no one is watching.” – CS Lewis

5 words clients use to describe Angie

Calm, Organized, Practical, Dependable, Approachable

Things she loves 

Porch sitting weather, being a Nana, beach vacations, puzzle books, HGTV