PDPM

PDPM - How UB-04 Analytics Drive PDPM Strategy

Thursday, October 22, 2020

11:00 AM – 11:45 AM

Speaker(s)

Sheryl B. Rosenfield, RN, BC

Partner, Director of Clinical Operations
Zimmet Healthcare Services Group

Disclosure: Disclosure information not submitted.
Vincent Fedele, MBA

Chief Operating Officer
CORE Analytics

Disclosure: Disclosure information not submitted.

What if you could couple data-driven findings from hundreds-of-thousands of UB-04 (Claims) data with thousands of onsite SNF compliance reviews? The insights reveal significant opportunity that drives both reimbursement, compliance and clinical quality improvement. This session explores the common misalignments between the UB-04 and MDS and the benefits of bringing those into complementary disposition. Frequent MDS misunderstandings that drive under performance and create compliance concerns are also addressed along with the wealth of data available on the claim. Lastly, a superior reimbursement comparative metric that allows for fair comparison between SNFs is introduced along with its benefits.

Learning Objectives:

Describe the types of data represented in the UB-04 which often is misaligned with PDPM component scores.
List strategies for supercharging your triple check process by focusing on misalignments.
Translate shared outcomes from shared study into an action plan for your facility.
Discuss the significance of accurate MDS clinical information to provide positive care, reimbursement, and other metrics driving the post-acute care industry.