PDPM analytics for skilled nursing


Master PDPM with powerful, predictive analytics

The new Patient-Driven Payment Model (PDPM) represents the single largest change in the skilled nursing industry since the transition to MDS 3.0. Are you ready?

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

The key to success is preparing now.

That’s why we’ve created a powerful new array of predictive PDPM tools within SimpleAnalyzer™. Thousands of SNFs already trust SimpleAnalyzer as a critical component of their reimbursement and clinical strategy. With its robust new PDPM predictive analytics, you’ll be prepared for success under the new payment model.

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.

With SimpleAnalyzer for PDPM, you can:

  • Forecast PDPM reimbursement
  • Gauge PDPM impact by facility
  • Create a PDPM-centric workflow
  • Optimize ICD-10 coding practices
  • Proactively avoid audits
  • Track and optimize IPAs
  • Customize PDPM rules by facility

Forecast PDPM reimbursement

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.
PDPM revenue forecast in SimpleAnalyzer

Predict PDPM performance by resident/facility

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.
PDPM valid primary diagnosis in SimpleAnalyzer

Compare PDPM impact across facilities

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.
Revenue forecast by facility in SimpleAnalyzer

Get your free demo of SimpleAnalyzer™ for PDPM

The entire suite of PDPM tools is included in SimpleAnalyzer™ at no additional charge

Get your free demo
SimpleAnalyzer free demo

Optimize ICD-10 coding practices

Easily scan for valid primary diagnoses and associated clinical categories, NTA and SLP comorbidities, and surgical eligibility diagnoses. Analyze primary and active diagnoses to ensure clinical compliance and optimize PDPM reimbursement.
PDPM diagnosis explorer in SimpleAnalyzer

Identify active/billable diagnoses by resident

Monitor multiple clinical categories by resident and facility. Zero in on invalid primary diagnoses, then review active diagnoses by individual resident stay. Quickly identify invalid or inaccurate diagnoses that lead to missed billable opportunities.
Monitor active PDPM diagnoses by resident

Customize PDPM scrubber rules

Activate PDPM rules based on your organization’s specific needs. Support MDS and reimbursement personnel by automating PDPM alerts and workflow. Create a streamlined workflow that enables accurate and optimal PDPM reimbursement.
PDPM scrubber rules in SimpleAnalyzer

SimpleAnalyzer™ for PDPM

Maximize your PDPM results with SimpleAnalyzer™