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.
INFECTION PREVENTION & CONTROL
Effective education, resources and support services you need to implement and sustain an effective Infection Prevention and Control program in the LTC setting
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.
Ask Proactive – How does oral care impact the risk of death in a nursing home?
Q: How does oral care impact the risk of death in a nursing home? A: Aspiration pneumonia is a leading cause of death in nursing homes. Aspiration pneumonia occurs when a non-air substance (e.g. food, liquid, saliva) and bacteria from the mouth is...
DON Success: Delegation of Duties
As the acuity and complexity of long-term care residents has increased, the responsibilities of the Director of Nursing (DON) have also escalated significantly. The duties of the DON are not just clinical in nature, they also involve regulatory, reimbursement, and...
Ask Proactive – How long does CMS’ Abuse Icon remain on Care Compare?
Q: How long does CMS’ Abuse Icon remain on Care Compare? A: Criteria that identify a facility of non-compliance related to abuse, and placement of the Abuse Icon on Care Compare includes: Harm-level abuse citation in the most recent survey cycle:...