Case Study
Skilled Nursing Facilities Improve PDPM Accuracy by Identifying Additional $PPD In Missed Coding Opportunities
In July 2019, Real Time Medical Systems launched PDPM Complete, a suite of Interventional Analytics tools designed to help skilled nursing facilities (SNFs) navigate the transition to the Patient-Driven Payment Model (PDPM). By capturing live clinical documentation and providing real-time analysis, the solution enabled SNFs to improve coding accuracy and reimbursement. As PDPM matured, a performance assessment of more than 1,000 facilities utilizing PDPM Complete revealed significant gains in identifying missed coding opportunities and boosting per patient day ($PPD) revenue–averaging an increase of $30.65PPD from improved initial assessments and $35.59PPD from timely IPA submissions.
What you will learn:
- Improve coding accuracy by leveraging live analytics to identify missed coding opportunities in key PDPM areas like Nursing, SLP comorbidities, NTA, and depression, leading to more accurate initial assessments.
- Access live IPA Alerts when residents meet Interim Payment Assessment criteria, enabling timely updates and improved reimbursement accuracy.
- Leverage live analytics to reduce administrative burden by streamlining MDS assessment processes and providing actionable insights directly from clinical documentation.
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