PDPM stands for patient-driven payment model. The PDPM medicare model was created to reduce administrative burdens for health providers by focusing on each patient's unique needs. It works by classifying patients into payment groups based on their data-driven characteristics, goals and needs rather than grouping them into a single, volume-driven group.

As a result, PDPM therapy realigns payment and quality incentives of services within skilled nursing facilities. Continue reading to learn more about the benefits of PDPM, the tools you'll need to thrive under the model, and and how it impacts your center.

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Why Pulmonology?

With more than 1 in 5 SNF patients having a diagnosis of COPD and 68% of readmissions being respiratory related conditions, it's important to take a proactive approach to pulmonary care in your facility. 

So what individual components does our pulmonology service line affect within your facility?  

  • Dedicated Pulmonologist: Medrina provides a local Pulmonologist to round 1 to 2x per week. The Pulmonologist will support the care team and attending physicians with their respiratory expertise.
  • Skill Enhancement: Respiratory focused clinical in-servicing and educational training. Medrina provides a library of pulmonary in-services along with customized educational programs by request.
  • PDPM: Enchance your PDPM reimbursement with Medrina’s tailored guidance and proprietary EHR. AIassisted MDS admissions technology scans referral packets within a few minutes to increase PPD.
  • Chronic Care Management (CCM): Medrina nurse acts as a staff multiplier by following up with each qualifying patient for 30/60/90 days to reduce preventable readmissions.

With more than 1 in 5 SNF patients having a diagnosis of COPD and 68% of readmissions being respiratory related conditions, it's important to take a proactive approach to pulmonary care in your facility.

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Deliver Quality Outcomes

When you work with Medrina, we can help you maximize your PDPM reimbursement and improve your patient outcomes at no cost to your center. Our services allow your facility to: 

  • Reduce preventable hospital readmissions by up to 33%
  • $80+ average increase per admission with our AI-MDS admissions technology
  • Accept higher acuity patients
  • Differentiate your facility in the market by becoming your local hospital's post-acute pulmonary destination
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Contact Our Team to Learn More

We aim to enhance your patient care and outcomes, maximize their functional potential and increase collaboration and communication among physicians. Contact us today to learn more about how we can help your facility. 

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