Revolutionize Your PDPM- Required Triple Check Process ... · Revolutionize Your PDPM- Required...
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Revolutionize Your PDPM- Required Triple Check Process with CORE! Introducing CORE: The Market’s First PDPM Claims Analytics Tool! As a skilled-nursing owner, operator or clinical reimbursement specialist, how do you ensure that the medical record and the MDS come together appropriately on your claim? Whatever system you have in place, PDPM poses both tremendous challenges and opportunities to the required “Triple Check Process.” Additionally how do you know if you are competitive or an outlier compared to your peers? The stakes have never been higher. Welcome to CORE! CORE solves these challenge by enabling you to have – within seconds – analysis of 100% of your Medicare claims and a data-driven analysis of lost PDPM revenue. CORE fits perfectly into your enhanced Triple Check process, and benchmarks and trends overall PDPM reimbursement and component score. UNLIKE ANY OTHER OPTION, CORE OFFERS: • 1,000 proprietary logic tests that run against the claim, along with benchmarking key financial drivers relevant to PDPM • Real-time data analytics that becomes a crucial part of your Triple Check process • Easy-to-understand, up-to-the-minute feedback that fits into your existing workflow (no extra steps needed!) CORE AT-A-GLANCE Created by Zimmet Healthcare, leading reimbursement experts, CORE is a powerful, Universal Billing-04 business intelligence process for reimbursement optimization, comparative analysis and risk management targeted to SNF business and financial managers. ADVANTAGES: • REVENUE ENHANCEMENT! Gain deep visibility about critical claims data for revenue-enhancement opportunities in PDPM • IMMEDIATE INSIGHTS! CORE’s data is current – derived from last month’s billing • BENCHMARKING! Take advantage of PDPM rate component benchmarking PDPM IS THE BIGGEST PAYMENT SHIFT IN OUR INDUSTRY IN MORE THAN 20 YEARS. CORE IS PUTTING OUR TRIPLE CHECK PROCESS ON STEROIDS! “ “ Melissa Powell, President & Chief Operating Officer The Allure Group
Transcript of Revolutionize Your PDPM- Required Triple Check Process ... · Revolutionize Your PDPM- Required...
Revolutionize Your PDPM- Required Triple Check Process with CORE!Introducing CORE: The Market’s First PDPM Claims Analytics Tool!
As a skilled-nursing owner, operator or clinical reimbursement specialist, how do you ensure that the medical record and the MDS come together appropriately on your claim? Whatever system you have in place, PDPM poses both tremendous challenges and opportunities to the required “Triple Check Process.” Additionally how do you know if you are competitive or an outlier compared to your peers? The stakes have never been higher.
Welcome to CORE! CORE solves these challenge by enabling you to have – within seconds – analysis of 100% of your Medicare claims and a data-driven analysis of lost PDPM revenue. CORE fits perfectly into your enhanced Triple Check process, and benchmarks and trends overall PDPM reimbursement and component score. UNLIKE ANY OTHER OPTION, CORE OFFERS:
• 1,000 proprietary logic tests that run against the claim, along with benchmarking key financial drivers relevant to PDPM
• Real-time data analytics that becomes a crucial part of your Triple Check process
• Easy-to-understand, up-to-the-minute feedback that fits into your existing workflow (no extra steps needed!)
CORE AT-A-GLANCE
Created by Zimmet Healthcare, leading reimbursement experts, CORE is a powerful, Universal Billing-04 business intelligence process for reimbursement optimization, comparative analysis and risk management targeted to SNF business and financial managers.
ADVANTAGES:• REVENUE ENHANCEMENT!
Gain deep visibility about critical claims data for revenue-enhancement opportunities in PDPM
• IMMEDIATE INSIGHTS! CORE’s data is current – derived from last month’s billing
• BENCHMARKING! Take advantage of PDPM rate component benchmarking
PDPM IS THE BIGGEST PAYMENT SHIFT IN OUR INDUSTRY IN MORE THAN 20 YEARS. CORE IS PUTTING OUR TRIPLE CHECK PROCESS ON STEROIDS!
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Melissa Powell, President & Chief Operating OfficerThe Allure Group
How CORE WorksCORE is simple to use because there is no onboarding, and does not require integration with your EMR or billing systems.
YOU’RE JUST MINUTES AWAY FROM STRENGTHENING YOUR CORE!
There’s no better way to understand how CORE can increase your revenue-enhancement opportunities than by experiencing it for yourself. We’re offering a one-month CORE trial at no cost and no risk for your organization! To get started, email us at [email protected].
CORE automatically scans the UB-04 for PDPM revenue enhancement opportunities for each of the four variable rate components. SNF reimbursement team then reviews the findings and makes changes to the MDS or initiates an IPA as appropriate
JUST FOLLOW THESE FIVE QUICK STEPS:
1. Upload Part A claims to CORE before submission to your MAC
2. Review PDPM logic test report during your Triple Check process
3. Make MDS modifications and update claims
4. Submit claims to MAC for payment
5. Benchmark PDPM capture against proprietary CORE database
You’ll be up-and- running
with CORE within 15 minutes,
and ready to super-
charge your Triple Check
process!
