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.

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.

What our clients say about us…
We have developed a great relationship with Proactive over the last few years. The resources that they provide to us have helped us determine where we are in line with trends in the LTC industry and help us determine where we want to be moving forward.
Elaine Wilson, MBA, HFA, CAN

Chief Operating Officer, Saint Anne Communities

Learn more in our blogs

Ask Proactive – Let’s say I have a resident fall with injury on January 1st. How many days have to pass before it will drop off and not count against us as far as our 5-star rating?

Q: Let's say I have a resident fall with injury on January 1st. How many days have to pass before it will drop off and not count against us as far as our 5-star rating? A: The fall with major injury will be included in the QM % for the quarter if it was coded on a MDS...

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Contact us for more ways Proactive's services can help you.