Minimum Data Set (MDS 3.0)

Working with you, we will focus on the key drivers of MDS-based reimbursement, from ADLs, RUGs and therapy minutes, to the esoteric matters of compliance and RAC. Even though everyone operates under the same rules and regulations, there are significant differences and opportunities in every facility.

Among the factors affecting your MDS process and payment levels:

MDS accuracy and compliance
Reimbursement maximization
RUG (resource utilization group) appropriateness
ADL Review
Therapy Minute Utilization
End Split Capture
Nursing Service Capture
Medicare Program Compliance
Appropriate LOS
Skilling Criteria via Medicare Guidelines
Cost Containment
Consolidated Billing Service and Cost Review
Expense Management
Denials Prevention Techniques
RAC Readiness
ADR Preparation
ICD-9 Coding Review

Pro Ed Continuum, LLC specializes in on-site educational seminars, PPS Audits for revenue capturing, Quality Audits for common coding errors, and Temporary MDS Coordinator placement which can include development, integration, and operation of MDS systems in Long Term Care. We offer complete solutions to assist your facility staff with the knowledge and system tools to ensure that your MDS Assessments are completed accurately and timely.

On-site Educational Seminars

MDS 3.0 Workshop
MDS 3.0 Unscheduled Assessments
MDS 3.0 Interviews -- Coding for BIMS, Moos & Behaviors
RUGS IV Reimbursement Strategies
MDS 3.0 & the CAA’s
PPS Audits for Revenue Capturing
MDS - Q/A Triple Check Process

To Review MDS Assessments to ensure accuracy and mitigate risks of penalties associated with "default or "provider liability" situations.

Quality Audits for Common Coding errors

Quality Audits done once or as requested by the facility to ensure that Federal Regulations are being followed related to timing of assessments and proper coding of assessments.

Quality Audits done to ensure that appropriate documentation on the MDS is consistent with care being given/documented.

Consulting

Onsite education given to all individuals as they complete assigned MDS assessments. This can be done with new hires to decrease the burden of onsite staff taking the time to sit with the employee to teach them the MDS process.

Temporary MDS Coordinator Placement

Fill the position of your MDS Coordinator during vacations, bouts of illness, or while waiting to fill a vacant position. We can train an inexperienced new hire to ensure that they get the proper training to succeed in their new position.