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© 2019 by CRI Advanced Analytics

PDPM Audit Tool

Using predictive analytics, identify patients where the 5-Day MDS PDPM component results do not match the predicted results yielding potential opportunities for documentation optimization.

Monitor cognition, CMI, and Functional Scores to determine if the actual results as documented match those of the predicted models.

Identify MDS files that will result in "Return to Provider" from the CMS mapping, enabling the ability to correct those prior to submission.

Watch your documentation improvement progress over time by reviewing trend charts with indicators of accurate and optimal MDS documentation.

Identify MDS files that show other diagnoses (other than primary) which might result in higher reimbursements.

Drill down to details for MDS files that have opportunities: see where the opportunities are, which patients are relevant, and what options are available.