Skilled Nursing Facility Medicare PDPM Support

 

Proactive’s MDS coding and documentation experts provide the coaching and validation services you need to succeed under PDPM. Let us assist your team in coding accurately to capture the patient-centered care you’re providing to ensure proper Medicare reimbursement. PDPM Support Services include remote MDS validation audits, supportive documentation and coding training, and clinical reimbursement process improvement consulting. Facility specific projects and annual partner work plans are available. Proactive consultants are experts in the critical elements of MDS coding, SNF ICD.10-CM, systems of IDT clinical collaboration and reimbursement/billing compliance for SNF/long term care settings.

Download our “Understanding the Patient Driven Payment Model (PDPM)” here.

Download a printable PDPM Coding Support Solutions Information Sheet here.

MDS 3.0/RAI Systems Audit

     

    • PDPM Coding and Documentation Audits
    • Medicaid CMI Reviews
    • Quality Measures
    • MDS Validation Audits
    • MDS Systems Development and Management
    • Medicare Program Compliance Audits
    • Contract or in-house therapy medical necessity audit services by qualified therapist consultants
    • Mock Surveys
    • Medical Review Risk Management

    Interim MDS Staffing

     

    Proactive provides remote interim MDS completion services for post-acute care settings including SNF/LTC facilities and Swing Bed/Transitional Care Units

    RAI Training & Education

     

    • Orientation of new MDS Staff
    • RAC-CT and RAC-CTA Workshops as a Training Partner with AAPACN. Find upcoming workshops 
    • Advanced MDS training topics such as: Improving CMI, Quality Measures, CAA Processes, and Clinical Meetings
    • Functional Measures (GG) and ADL (G) Coding Training
    • Nursing Skilled Documentation Training
    • Therapy Skilled Documentation Training
    • Person-Centered Care Planning
    • ICD-10 Coding Training with AHIMA-approved Trainers
    • Restorative Nursing Program Education
    • Quality Measures
    What our clients say about us…

    Proactive Medical Review and Consulting has been a great resource to our team. Their passion and professionalism show in everything they do. From reimbursement processes to regulatory compliance, PMR keeps us on the leading edge of our industry. We are happy to have them in our corner.

    Brody O’Niones

    Administrator

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