How does the platform improve MDS accuracy and PDPM reimbursement without upcoding?
Every MDS assessment directly affects reimbursement. An under-coded Section GG costs real dollars every day. Most MDS coordinators toggle between the clinical record and MDS software, hoping they captured every qualifying condition.
Detail
Required MDS assessments schedule automatically based on admission date, payer, and assessment type. When the coordinator opens an assessment, sections pre-populate from the clinical record — the coordinator validates rather than re-enters. Before submission, the system models PDPM reimbursement by PT, OT, SLP, nursing, and NTA component. If the documented clinical record supports a higher functional score than what is coded, the system flags it. This is accuracy, not upcoding.
Expected outcome: PDPM revenue rises 3\u20135% by accurately capturing care already being delivered, and MDS completion time drops by 40%.
https://seniorcre.com/clinical-platform/workflows/mds-and-pdpm-optimization