PointClickCare PDPM Coach is a specialized software module integrated into the PointClickCare Electronic Health Record (EHR) platform for Skilled Nursing Facilities (SNFs). It is specifically designed to help SNFs navigate the complexities of the Patient-Driven Payment Model (PDPM) to ensure optimal reimbursement, reduce audit risk, and improve documentation accuracy. The solution provides real-time, accurate guidance during the critical 5-day Admission Minimum Data Set (MDS) completion process. This helps staff align diagnoses and coding, minimizing rework and staff burnout while maximizing revenue capture. Customers have reported a significant average increase in Medicare revenue per patient day (PPD) and improved financial outcomes.
Key Capabilities:
- Real-time MDS Guidance: Provides secure and accurate guidance for submissions, enabling timely and consistent MDS completion.
- Reimbursement Optimization: Accurately forecasts and tracks PDPM reimbursement by resident, offering clear visibility into revenue capture and case mix index.
- Automated Certification: Streamlines the collection and signing of Medicare A certifications and recertifications (Cert/Recert) using automated SMS messaging, replacing traditionally paper-driven processes.
- Compliance & Training: Reinforces PDPM best practices and acts as a training tool for new and existing staff, helping to consistently document in alignment with PDPM requirements.
- Integrated Workflow: Operates inside the PointClickCare EHR for SNF platform, providing a seamless, one-sign-on experience for MDS coordinators and the interdisciplinary team (IDT).