Achieve Accurate PDPM Reimbursement with Real Time
Data suggests that missed coding opportunities, lack of Interim Payment Assessment (IPA) submissions, and declining lengths of stay (LOS) are just a few areas that facilities continue to face challenges with PDPM. Real Time’s PDPM Complete utilizes live data extracted directly from the EHR, including critical information found in nursing notes, to identify missed coding opportunities, and deliver live IPA Alerts. Real Time customers that regularly utilize live IPA alerts realize an average of $32.25PPD improvement. Using PDPM Complete ensures your post-acute providers are getting reimbursed for all of the care provided.
Not Your Average PDPM Solution
What makes us different than other PDPM support tools? Unlike MDS scrubbers, our solutions are based on live clinical data within your EHR. Our PDPM Complete solution can integrate into your current EHR workflow, with no additional work – it’s that simple!
Avoid Missed Coding Opportunities
Coding oversight during the Initial Assessment is bound to occur. Real Time’s PDPM Complete solution ensures you are capturing accurate $PPD rates at the beginning of admission to reflect the care you are providing to each patient:
- Extract live data from your EHR
- Identify overlooked coding opportunities including depression, NTA, multi-drug resistant, etc.
- Capture documentation from nursing notes, MD orders, valid diagnosis, and more
Identify Additional Reimbursements with Live IPA Alerting
For many facilities IPAs are hard to identify and where a facility has rigorous IPA processes in place, they come at a heavy expense of staff time. Real Time’s IPA Alerts tool immediately informs you when patients meet IPA criteria which may differ from the initial MDS, including attributed $PPD rates – allowing you to get reimbursement for the care you are providing.
- Receive live alerts when an IPA is needed
- Identify estimated $PPD rate for IPA
- Improve IPA revenues by $32.29PPD (avg.)
- No data entry or extra work needed
Ensure Accurate Medicaid MDS and Reimbursement
With nearly 72% of nursing residents on Medicaid, improving the accuracy of Medicaid reimbursements across SNFs is crucial for reducing costs and improving care outcomes. Real Time’s PDPM Medicaid MDS Alerts Card identifies residents with new or worsening conditions that may affect clinical outcomes or reimbursement, highlighting financial and clinical opportunities to adjust the plan of care.
- Identify significant clinical changes in resident condition before adverse events occur
- Detect timely interventional opportunities, including potential care plan requirements updates
- Ensure resident resources and conditions are correctly captured
- Coordinate the right care, at the right time, for the right resident
Improve Hospital Referrals
As quality of care improves under PDPM, many facilities are seeing a decline in LOS. Successful post-acute providers that use Real Time for PDPM are expanding their referral base to offset any LOS declines.
- Proactively identify patient’s potential risk for readmission to the hospital and intervene early, before rehospitalization is needed
- Improve quality measures and patient satisfaction ratings
- Provide data-driven communications to referring hospitals and health systems