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MatrixCare Transcends PDPM Expectations

Written by Amy Ostrem, Vice President Skilled Nursing Solution Strategy, MatrixCare

As we all work through the early days of October, which include the first full week of adding IPA assessments, the most intense days of month end close, and the 7th official LIVE day of PDPM–one of the biggest LTPAC changes since MDS 3.0–MatrixCare knows the criticality of the moment and all that our clients are juggling.

In the flurry of information about PDPM, you’ve heard a lot about the caregivers, MDS coordinators, therapists and nursing staff in general. But this week, MatrixCare would also like to call out the reimbursement specialists and business office staff. These folks are heads-down closing September billing as they keep an eagle eye on IPAs being completed and submitted to ensure reimbursement dollars are forecasted for October as expected. They are supporting staff members and feverishly trying to get details from the payers whose plans under PDPM vs RUGs are still not clear.

MatrixCare helps keep all the balls in the air with our billing calculator that does the heavy lifting for our clients. It seamlessly integrates to the MDS, incorporates room charge and copay specifics, allocates charges to various primary, secondary, and tertiary payers, and allocates ancillary charges while prorating patient liability and monthly rates as defined. It accomplishes this with automated triggers in the system to assist our users.

Here’s one of our most recent statistics: During these first days of October, one of our largest clients completed a total of more than 2,500 billing calculator runs – 2,475 of those runs took less than one minute. This is the kind of performance and scalability that allows MatrixCare clients to close their months faster, while optimizing reimbursement.

High five to all of the billers out there – you too are a big part of PDPM success and MatrixCare is here for you!

Amy Ostrem

Amy Ostrem, VP Skilled Nursing Solution Strategy, has been working with our products and service teams for more than 2 decades. She originally was a client before joining the company as a Client Education Consultant and has served in various departments and roles through her tenure. In her current role, she divides her time between client communications, client service teams, sales enablement, and product development teams. Ostrem oversees the Product Strategy, Value Proposition, Commercialization, Product Managers, and Business Analysts. She participates in industry events, client engagement sessions, focus groups, our annual Directions event, and presents regularly at provider advisory boards. Ostrem holds a bachelors degree from Concordia College in Healthcare Financial Management.