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CORE PDPM

Optimize billing associated with payment reform initiatives (PDPM)
Incorporates hundreds of reimbursement logic tests and billing inconsistencies
Realize immediate, quantifiable revenue enhancement

CORE Market Insights

Leverage insights from current claims data
Demonstrate facility value proposition to health systems, conveners and insurance companies
Compare performance to the facility’s “peer group” of providers

CORE Referrals

Understand market share and display outcomes on a granular level
Identify hospital “pain points” for pinpoint marketing and census development
Gain entry to preferred provider networks

CORE Predictive Analytics

Facility specific, accretive claims database
Mitigate financial risk associated with readmissions and high cost outliers
Utilize sophisticated statistical analysis to predict episodic costs by patient diagnosis, adjusted for multiple dependent variables

Insights

National Revenue and Quality Benchmarks (CY 2018 Update)

CORE recently scanned the CY 2018 claims file to identify national trends on SNF length of stay and discharge disposition by clinical category, with the results displayed above. These figures, although interesting, do not come close to telling the complete story. Healthcare is a local business, and outcomes vary significantly in different markets.

Understanding the SNF Data Profile

Author: Vincent Fedele

Since the onset of the national “healthcare reform” movement, industry pundits have used historical SNF data to explain variations in post-acute episodic spend and outcomes, often applying questionable “case-mix adjustment” factors to improve performance optics.

Zimmet Healthcare Launches Analytics Platform

“CORE” Redefines Skilled Nursing Facility Claims-Based Intelligence

Morganville, New Jersey – October 3, 2018 – SNF reimbursement is rapidly transitioning from a fee-for-service system to a value-based, managed model that presents significant financial risk to providers. This “race to the top” requires data-driven outcomes to quantify a provider’s value-proposition in the healthcare continuum.

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