Better Documentation. Better Reimbursement.
Under PDPM, your reimbursement is determined by the accuracy of your clinical documentation — not by the volume of therapy minutes. AssistedCare helps your clinical and MDS teams capture the true complexity of every resident so your facility is paid for the care it actually provides.
Challenges in Revenue Cycle
Documentation Does Not Reflect True Resident Acuity
Nurses and therapists document care provided but often miss the clinical detail that drives PDPM classification. Conditions, comorbidities, and functional limitations that affect reimbursement go undocumented.
MDS Coordinators Struggle With PDPM Complexity
PDPM's five case-mix components — PT, OT, SLP, nursing, and NTA — each have different classification rules. Understanding how documentation changes affect each component requires specialized knowledge that many coordinators are still developing.
Revenue Leakage From Inaccurate Coding
Facilities consistently leave money on the table by under-documenting conditions that affect case-mix classification. The gap between actual care acuity and documented acuity translates directly to lost revenue.
How AssistedCare Solves It
Real-Time PDPM Classification Modeling
As clinical documentation is entered, the system calculates projected PDPM classification across all five components. Clinicians and MDS coordinators see exactly how their documentation affects reimbursement before the assessment is finalized.
Documentation Gap Alerts
The system identifies clinical conditions that are present in the resident's history but missing from current documentation. Targeted prompts guide clinicians to capture the specific detail that drives accurate classification.
See Clinical Charting→Component-Level Drill-Down Analysis
For each PDPM component, the system shows which clinical factors are driving the current classification and which documentation could change it. MDS coordinators can focus their review on the areas with the highest reimbursement impact.
Facility-Wide PDPM Performance Dashboards
Track average case-mix index, reimbursement per resident day, and classification distribution across your facility. Identify trends, compare performance across units, and measure the revenue impact of documentation improvement initiatives.
See Billing Platform→Explore Related Solutions
Frequently Asked Questions
No. AssistedCare helps your team document accurately — capturing conditions and acuity levels that are clinically present but poorly documented. The goal is accurate classification, not inflated classification. All documentation must reflect the resident's actual clinical status.
PDPM classification modeling is integrated directly into the MDS assessment workflow. As MDS items are completed, the projected classification updates in real time. Coordinators can review the impact of their coding decisions before finalizing the assessment.
Yes. The system calculates the estimated per diem reimbursement for each PDPM component based on current documentation. You can model how capturing an additional diagnosis or changing a functional score would affect total reimbursement.
Yes. The Non-Therapy Ancillary component is particularly sensitive to comorbidity documentation. The system identifies conditions from the resident's clinical history that qualify as NTA comorbidities and prompts clinicians to document them when they are present but not yet captured.
Most facilities are fully operational within two to four weeks. Our implementation team handles data migration, staff training, and workflow configuration. We work around your schedule so there is zero disruption to resident care.
Ready to See It in Action?
Try AssistedCare free and see how it transforms your facility operations.