Client Challenge
One of our clients faced significant financial setbacks due to discrepancies in coding accuracy, Section GG coding, and inaccurate classifications under the Patient-Driven Payment Model (PDPM). These discrepancies resulted in an uneven distribution within the OT/PT and ST case-mix groups, negatively affecting their daily reimbursement rates and overall revenue.
Our Solution to Assure Coding Accuracy
The MIR team devised a comprehensive strategy to address the client’s challenges, which included:
- Implementing updated PDPM systems to optimize therapy support.
- Delivering tailored education and training for the Director of Rehab (DOR) and the MDS coordinator.
- Introducing and onboarding the client to Inovalon Intelligence© MDS software, part of the MIR suite of services, to ensure coding accuracy and streamlined processes.
The collaboration extended beyond initial implementation. MIR provided continuous support, including monitoring, additional training opportunities, and ongoing system adjustments to help the client maximize results.
Results
This strategic partnership delivered measurable improvements:
- Daily reimbursement rates increased by $5.31 per patient day (PPD).
- Monthly revenue surged by $1,700.
- Achievements were made without incurring additional labor costs.
Testimonial
“Thanks to MIR, we identified severe Section GG discrepancies and inaccurate coding that were affecting our PDPM daily rates. Their expertise helped us correct an uneven OT/PT and ST case mix, significantly improving our financial performance and overall accuracy.”
Conclusion
Infinity Rehab’s MIR program empowered this client to resolve coding inaccuracies, increase revenue, and stabilize operations. With ongoing access to industry-leading tools like Inovalon Intelligence© MDS software, this client is now positioned for sustained growth and success.
Ready to Optimize Your Revenue?
The Management by Infinity Rehab (MIR) program offers seamless therapy management solutions, helping clients assess their readiness for change, evaluate cost-benefit scenarios, and implement strategies to optimize performance. With over 25 years of experience managing high-performing programs under capitated arrangements, Infinity Rehab provides expertise in improving program performance, ensuring cost-effectiveness, and meeting compliance standards.
Learn how Infinity Rehab can help you improve coding accuracy, boost financial performance, and safeguard your operations. Contact us today to explore our tailored solutions. Contact us today to learn more!
COMPLIMENTARY CASE STUDY DOWNLOAD >>> Maximizing Revenue Through Enhanced Coding Accuracy
