SNF // Driving Revenue Through Precision Care

The Challenge:

Under the Patient-Driven Payment Model (PDPM), reimbursement is tied to the complexity and necessity of care. Many SNFs leave money on the table because restorative nursing programs aren't documented accurately enough to meet the two-program/six-day threshold.

The eBrief Solution:

eBrief provides the "receipts" for reimbursement. The system's automated data helps ensure accurate coding on the MDS, capturing every restorative intervention with precision. This data directly impacts PDPM nursing component rates, often moving residents into higher-reimbursement categories with a potential of an extra $11/day/resident increase.

The Impact:

Occupancy: Better clinical outcomes (fewer UTIs/skin issues) lead to higher star ratings and increased referrals.

Compliance: Real-time data acts as a shield against survey fines by proving consistent, timely care was provided.

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"Nearly one-third of SNF resident stays are eligible for restorative nursing case-mix adjustments under PDPM." — Explore the Reimbursement Guides at eBriefCommunity.com. Source: AHCA Education - Restorative Nursing and PDPM