Employ advanced logic tests for immediate, quantifiable revenue enhancement
CORE identifies PDPM revenue opportunities with hundreds of statistically modeled “logic tests” developed by Zimmet Healthcare – guaranteed to improve reimbursement under the new Medicare payment system.
Capture lost reimbursement
Automatically compare the PDPM composite score billed on the claim with diagnoses reported to ensure capture of all reimbursement sensitive conditions and services.
Thrive under PDPM
PDPM will add exponential complexity to reimbursement management that will necessitate robust review functionality.
Document issue resolution
Use CORE to hold staff accountable for the correction of billing inconsistencies and abnormalities via the resolution feature.