Financial (MDS and RUGs)

From transition and implementation to beyond, Pathway Health Services is the solution to all your clinical nursing home reimbursement needs. Now that MDS 3.0 has been implemented, how accurate are your submissions?  Are you confident you are getting reimbursed for the healthcare services that you are providing?

We offer the following solutions to identify and resolve the most common inefficiencies, oversights and errors associated with the Medicare and Medicaid reimbursement process.

 

Audit and Analysis

Your staff is trained on MDS 3.0, now what? Are your processes working? Are you billing appropriately? Find out by having the MDS experts audit and analyze your processes.  Choose between our Basic or Advanced options.

 

Basic

Day One -- A clinical reimbursement professional will be on-site to perform an audit of your current MDS 3.0 processes.  During this analysis, the consultant will determine what processes may need improvement by auditing charts, analyzing process flow, and reviewing billing, financial and assessment documentation. The consultant will also complete organizational rounds, making staff observations and collecting data.

 

Day Two -- During the second day, the consultant will pull in key individuals to discuss findings from the first day and do a thorough analysis of the MDS 3.0 process with the interdisciplinary team. Action plans and recommendations will be delivered along with on-site team training.

 

Advanced

 

Looking for more in-depth analysis? This four-day solution will provide in-depth systems analysis of MDS 3.0. Our clinical reimbursement professional will focus on three key areas that are likely to impact your financial future; interviews, scheduling and QI/QM.

 

Additional Assistance

  • Interim MDS Management

  • Care Area Assessment &
    Care Planning Education

  • Case Mix Training Per State

  • MDS Submissions Scheduling

  • RUGs Training

 

 

For more information on our Financial services, write to consult@pathwayhealth.com.