Legal Nurse Consulting

Experts in legal nurse consulting, clinical quality, reimbursement and healthcare compliance.

Partnering with Legal Counsel

Proactive offers legal nurse consulting services to in-house and outside counsel, defense and plaintiff attorneys. We also specialize in providing medical review assistance to post-acute care providers, including, but not limited to, long term care facilities, home health agencies, and outpatient therapy clinics.

Proactive collaborates with legal counsel to provide support in medically related litigation and other medical legal matters. We provide services related to:

 

  • Medical Malpractice
  • Personal Injury
  • Long Term Care Litigation/Elder Law
  • Product Liability
  • Toxic Tort
  • Workers’ Compensation
  • Risk Management
  • Regulatory Compliance
  • Forensic/Criminal
  • Civil Rights
  • Employment Discrimination
  • Reimbursement

Legal Nurse Consulting

Our legal nurse consultants have extensive clinical experience, including a thorough understanding of anatomy, physiology, medical treatment, and disease processes. We provide the expertise you need
to interpret medical records, provide professional resources and communicate relevant analysis effectively. We provide:

 

  • Medical Record Review
  • Case Evaluation & Support
  • Nurse Expert Witness
  • Medical Review
  • Deposition & Trial Support
PROACTIVE REGULATORY COMPLIANCE CONSULTING:
Proactive is very thorough and offers practical solutions…they are on my short list of consultants I go to when I need consultation on compliance and billing issues for my clients. Click here to read more testimonials.
Todd Selby

Attorney, Hall, Render, Killian, Heath & Lyman, P.C.

Solutions for Senior Care Industry Attorneys

  • Post-acute care risk assessment and auditing services
  • Compliance Program Consultation & Interim CO services
  • SNF Requirements of Participation
  • Confidential consulting for active medical review, FCA investigations & overpayment reporting
  • Expert witness testimony
  • Appeals management & recoupment guidance
  • SNF PEPPER & PUF data analysis
  • Clinical program consultation in critical areas—infection prevention and control, abuse, falls, pressure ulcers, psychotropic drug use, dementia care, activities, and rehabilitation
  • CE approved education & implementation of staff development programs
PROACTIVE REGULATORY COMPLIANCE CONSULTING:
“Proactive is wonderful to work with and is very willing to assist in reaching a strong product… very knowledgeable in their field.” Click here to read more testimonials.
Chris Melton

Partner, Wyatt, Tarrant & Combs, LLP

Our Consulting Team

Proactive’s team of legal nurse and clinical consultants includes expert Physical, Occupational and Speech Therapists, as well as advanced degree nurses, reimbursement specialists, and health facility administrators with experience serving in multi-site healthcare operations, as corporate directors of reimbursement, clinical program specialists, and Compliance Officers. Proactive Consultants hold certifications in relevant areas such as compliance, auditing, QAPI, ICD.10-CM training and Infection
Preventionist, and frequently present on topics related to compliance, regulatory matters, standards of care and coding and billing for reimbursement accuracy. Proactive Legal Nurse Consultants are members of the National Alliance of Certified Legal Nurse Consultants.

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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.

Latest News/Blogs

Searching for more blogs, news, resources and more? Click here to read more.

Ask Proactive – I know the PHE is set to expire in July. As we continue to admit new patients using the SNF waivers, what will happen if the PHE ends during the patient’s benefit period?

Q: I know the PHE is set to expire in July. As we continue to admit new patients using the SNF waivers, what will happen if the PHE ends during the patient’s benefit period?   A: Effective April 21, 2021, HHS Secretary extended the PHE, the new expiration date...

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