Next Generation Analytics
A comprehensive solution to PDPM management includes a technology and analytics component. This does not suggest an overhaul of your entire IT department! However, PDPM requires specific functionality beyond the reach of most EMRs and outside the scope of the MDS.
CORE, developed by Zimmet Healthcare, identifies PDPM revenue opportunities with hundreds of statistically modeled “logic tests” that are guaranteed to improve reimbursement under the new Medicare payment system.
CORE, a web-based system that “sits on top of” your existing EMR will capture lost reimbursement by automatically comparing the PDPM composite score billed on the UB-04 with diagnoses and conditions.
CORE, in conjunction with ZHSG’s consulting services, set the standard for compliance and optimization under the Patient Driven Payment Model.