PDPM analytics for skilled nursing

Patient-Driven Payment Model (PDPM) represented the single largest change in the skilled nursing industry since the transition to MDS 3.0.

When the change took effect Oct. 1, SNFs saw a significant change in how they are reimbursed for delivering resident care. Leading up to the change, providers were scrambling to understand how to adjust their MDS workflow and optimize their clinical data.

That’s why we’ve created a powerful array of predictive PDPM tools within SimpleAnalyzer™. Thousands of SNFs already trusted SimpleAnalyzer as a critical component of their reimbursement and clinical strategy. With its robust PDPM predictive analytics, you can optimize your PDPM processes and worklow.

With SimpleAnalyzer for PDPM, you can forecast and track PDPM reimbursement levels over time, optimize primary diagnoses by resident or facility, predict and track CMI trends, proactively spot and eliminate negative trends and more.

Predict reimbursement levels for each of the five case-mix classification groups (nursing, NTA, etc.) by population. Analyze trends over time and optimize your workflow processes to increase PDPM revenue.

View primary diagnoses, default clinical category, and case-mix index rates for every resident. SimpleAnalyzer™ flags residents missing valid primary diagnoses so you can proactively identify and fix errors to maximize PDPM reimbursement potential.

Easily compare performance across your organization to identify facilities that need immediate attention. View residents with invalid primary diagnoses and average case-mix index rates for each facility. Explore your current MDS data to highlight areas of clinical complexity and exposure to risk.