Remote Assessment Data Analytics Reimbursement
The SNF revenue-cycle grows more complex each year. The Minimum Data Set drives PDPM/CMI rate setting and Medicare Advantage Case Management, but reimbursement managers must understand how fee-for-service payment resonates through a value-based, quality-focused environment.
Experienced MDS Coordinators are in high demand. There is no margin for error; even short-term vacancies can threaten a SNF’s financial stability.
Z-RADAR is a fully scalable remote MDS & Reimbursement Management solution for the challenges of a highly fragmented payment system. The remote MDS platform is available for emergency support, interim coverage, intermittent compliance monitoring, and permanent MDS department outsourcing.
Z-RADAR ensures appropriate payment and regulatory compliance. Our centralized approach to reimbursement-management creates efficiencies that often make Z-RADAR more cost-effective than an in-house staffing approach.
- Designated Virtual MDS Coordinator
- Multi-State enterprise solutions for regional operators
- Reimbursement-Arbitrage Dashboard: PDPM, CMI, MA, ISNP, Part B, Copays
- “MDS Connect” to Claims & Cost Reports
- Vendor $ Proxy: track Medicare revenue received by SNF suppliers
- Compliance by Zimmet-Healthcare!
Z-RADAR was designed to relieve burdensome administrative challenges so clinicians can focus on enhancing care delivery and the patient experience.
Z-RADAR clients are assigned a dedicated MDS team that works directly with facility staff to
gather resident information, implement & execute triple-check processes and monitor
key reimbursement & quality metrics. Your MDS liaison virtually attends utilization
review meetings and integrates our partner technology applications.
- Temporary coverage (illness, family leave, staffing shortages)
- Transitional support / Change of ownership
- Audit defense / ADR response management
- CMS Five-Star support
- Litigation support for data-driven staffing claims
- No long-term contract commitment
- Survey preparation/guidance
- Full-time regulatory support
The natural evolution of reimbursement-consulting from Zimmet Healthcare.