Patient Driven Payment Model "PDPM" & MDS
- PDPM Optimization: Streamline your facility's PDPM processes, ensuring accurate assessment and coding practices to maximize reimbursement potential. Our experts will guide you through the complex PDPM framework, helping you capture all NTA (Non-Therapy Ancillary) points and accurately calculate your facility's Case Mix Index (CMI).
- Complete Revenue Cycle Management: From assessment coding to claims submission, we offer end-to-end revenue cycle management services tailored to PDPM and MDS requirements. Our team will ensure timely and accurate submission of claims, optimizing revenue capture and minimizing reimbursement delays.
- CMI Adjustments: Our experts will evaluate your facility's Case Mix Index (CMI) and provide guidance on potential adjustments to optimize reimbursement rates. We'll assist you in identifying opportunities to accurately reflect the acuity of your residents, ultimately increasing your facility's revenue.
- Documentation Improvement: Enhance documentation practices to align with PDPM guidelines, ensuring complete and accurate capture of resident information. We will provide guidance on documentation best practices, ensuring compliance and maximizing reimbursement potential.
- Compliance and Audit Support: Stay ahead of regulatory requirements and audit expectations with our comprehensive compliance support. We will assist in maintaining accurate and compliant documentation, reducing the risk of financial penalties and audit-related complications.
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