PDPM
and CMI Audits
We offer
Navigating the complexities of the Patient-Driven Payment Model (PDPM) requires a detailed understanding of its structure and how it applies to Medicare A residents in skilled nursing facilities. Ensuring that your facility receives accurate compensation under PDPM is essential for maintaining financial stability while continuing to deliver high-quality resident care. At JT MDS Consulting Services, we offer specialized PDPM services designed to optimize your reimbursement processes, ensuring that you are fully compensated for the care you provide.
Comprehensive PDPM Review
We provide a meticulous audit of your facility’s PDPM implementation to ensure that each resident is correctly classified within the appropriate payment categories based on their unique conditions and care needs. Our in-depth review identifies potential errors and opportunities for improvement, ensuring accurate reimbursement that reflects the true complexity of care being provided.
Case Mix Index (CMI) Analysis
Our team conducts a thorough analysis of your facility’s Case Mix Index (CMI) to ensure that the complexity and severity of resident conditions are accurately represented. By verifying the accuracy of your CMI data, we help ensure that your facility receives the appropriate reimbursement rates. This critical analysis protects your facility’s financial health and supports continuous compliance with PDPM regulations.
Education and Guidance
Understanding PDPM and maintaining compliance can be challenging for staff. We provide targeted education and hands-on guidance to ensure your team has the tools and knowledge needed to navigate PDPM effectively. Our training covers essential topics such as accurate documentation, coding practices, and strategies to optimize reimbursement. With our expert instruction, your staff will be better equipped to handle the intricacies of PDPM and maximize the financial benefits.
Ongoing Support and Compliance
PDPM regulations and requirements are constantly evolving, and staying compliant is critical for long-term success. We offer continuous support to help your facility maintain compliance and improve the accuracy of your CMI data over time. By working with our team, you’ll ensure that your facility consistently meets PDPM standards, protecting your reimbursement and keeping your operations running smoothly.
Why Us
Our team is dedicated to helping your facility thrive under the PDPM, ensuring that you are fairly compensated for the high-quality care you provide. Let us handle the complexities of PDPM so you can focus on what matters most—caring for your residents.
By choosing our expert PDPM services, your skilled nursing facility will benefit from:
- Accurate reimbursement for the care you provide under the PDPM model
- Improved CMI reporting that reflects the true complexity and severity of resident conditions
- Staff training and empowerment to ensure ongoing compliance and financial optimization
- Continuous support to stay ahead of regulatory changes and maintain operational efficiency
We deliver precise Remote MDS Completion and PDPM/CMI Audits, ensuring full compensation and compliance for your facility.
years of combined experience
HAPPY CLIENTS
With decades of experience, we’ve optimized revenue and streamlined operations, helping healthcare organizations thrive in complex reimbursement.
Maximize Reimbursement,
Minimize Risk
Ensure accuracy and compliance with our expert Remote MDS Completion and PDPM/CMI Audits.
Let’s boost your facility’s revenue—reach out now!