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

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

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.

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.