Reimbursement

Achieve Accurate Reimbursement

Real-Time Web-Based Services

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Data Integrity Audit (DIA) RADAR Medicare PPS CMI New Jersey Q-Metrics Dashboard
Analyzes every MDS assessment in real-time before and after submission for MDS coding and logical/clinical consistency; Audit Assist closes the loop on documentation; management-level and enterprise view Green Light Reports Resident-level descriptive and predictive analytic tool with falls, pressure ulcer, hospitalization, and end-of-life risk scales; identifies areas of risk for adverse clinical outcomes before they occur; proactive care planning tool Current activity and trends in Medicare processes and payment rates; drilldown to assessment type, including COTs; predicts monthly revenue; resident list for individual review and analysis Determines Case Mix Index (CMI) and if you have the tools required to proactively monitor and manage CMI, then sets and implements a real-time strategy for managing Medicaid Case Mix and associated reimbursement High-visualization presentation of key analytics performance measures with facility, group, and enterprise-wide views Enables you to use analytics from PointRight in your own dashboard or business intelligence application; secure and automated data transfer using standard formats

Real-Time Web-Based Services

CMI New Jersey Q-Metrics Dashboard
Determines Case Mix Index (CMI) and if you have the tools required to proactively monitor and manage CMI, then sets and implements a real-time strategy for managing Medicaid Case Mix and associated reimbursement High-visualization presentation of key analytics performance measures with facility, group, and enterprise-wide views
Powered by PointRight Web API
Enables you to use analytics from PointRight in your own dashboard or business intelligence application; secure and automated data transfer using standard formats