MatrixCare Earns 2019 Best in KLAS Award…again!Best in KLAS for Long-Term Care Software

The “Best in KLAS” award is a highly valued acknowledgment of outstanding efforts by software and services organizations to help healthcare professionals deliver better care. It is reserved for technology solutions that provide the broadest operational and clinical impact on healthcare organizations, as determined by users of the technology.

MatrixCare was awarded its third straight Best in KLAS Award for Long-Term Care Software and the highest-ever score for that category. MatrixCare is the only company to earn this category’s “Best in KLAS” award three years in a row.

Read the News Release for complete details.

MatrixCare Signs National Agreement with PharMerica for NCPDP Bidirectional and Pharmacy-Centric Order Integration

MatrixCare recently announced it has entered into a National Pharmacy Integration and Electronic Medication Administration Record (eMAR) agreement with PharMerica, a long-term care pharmacy service for senior living communities, public health organizations and post-acute care facilities.

The agreement covers NCPDP Bidirectional ePrescribing with all MatrixCare customer facilities as well as pharmacy-centric order entry (PCOE) integration with MatrixCare’s CareAssist platform, which combines eMAR and point-of-care functionality to help streamline workflows and documentation for frontline caregivers in skilled nursing, assisted living and senior living communities.

Read the News Release for complete details.

MatrixCare Seeking Senior Living Customers to Pilot NIC Reporting for Skilled Nursing

MatrixCare recently announced it is a certified Actual Rates Software Partner of the National Investment Center for Seniors Housing & Care (NIC). This certification supports NIC’s Actual Rates Data Initiative and applies to the MatrixCare solution for Senior Living. The Actual Rates Initiative helps senior housing agencies make better investment decisions by updating industry benchmarks for suggested versus actual pricing rates, occupancy, move-in/move-out data, and more thorough gathering of top-quality data.

MatrixCare is also interested in expanding this certification to Senior Living operators who are using MatrixCare for Skilled Nursing and would be interested in piloting this reporting functionality in the Skilled Nursing platform.

For more information, contact Rob Price, Sr. Product Manager, Analytics at

Sessions You Don’t Want to Miss at Directions 2019!

2019 Directions

In addition to our review of release highlights over the last year and a supercharged roadmap to the future, you will experience many additional value-add sessions at Directions this year.

We have a record number of clients participating in presentations, and we couldn’t be more excited to participate in the expert knowledge sharing sessions and networking that will take place near the Grand Ole Opry.

We’ve outlined some great sessions you don’t want to miss:

PDPM and Care Planning: It’s all about Outcomes!
Hear from a MatrixCare client about PDPM and Care Planning! This session will be focused on: Section GG and associating Goals with Discharge Planning – accurate coding, establishing discharge plans for a successful patient outcome.

Optimize your Clinical Data Surveillance 
Are you auditing and monitoring your organization’s effective and efficient use of MatrixCare? We can help with checklists and best practices for the most efficient yet thorough daily/weekly/monthly review of available documentation in MatrixCare related to critical clinical practices. Stay compliant and make sure you are identifying changes in condition and addressing those appropriately.

Optimize Your Processes with Advanced Revenue Cycle Management Reporting
Hear from various clients and MatrixCare subject matter experts as they share their optimized processes and how they incorporate their favorite MatrixCare reports including Credit Management, Resident Bed Days Analysis, Faster Triple Check Meetings, Reasons and Notes on Reports.

How Interoperability Helps You Succeed with PDPM
Find out about interoperability that will help you succeed with the new Patient-Driven Payment Model! During this session, we’ll discuss therapy integration, document import, progress notes, and MDS imports/exports.

Don’t Let Managed Care Manage You!
Learn how a client is using the Managed Care setups and Reporting functions in MatrixCare to bring their team together. This session will emphasize determining the proper level of care and carve-outs, knowing limitations on contracts so you can negotiate better rates, and ensuring therapy utilization is well managed within contract terms and resident needs.

Preventing the Readmission “Ring of Fire”
Use MatrixCare technology to improve readmission management. Discuss who owns the upfront data entry, the key fields to fill out, and how to use Analytics to look at your data and identify opportunities and process improvement. The session will also incorporate your expert thoughts on how MatrixCare can further enhance this area.

Save Time During the Intake Process and Increase Occupancy
Learn how one client remotely manages intake with advanced MatrixCare tools, Marketing, financial verification, and clinical acceptance ALL in 30 minutes or less! Find out how this process incorporates resident costing and how it has increased occupancy too.

Transformational Insights in preparing for PDPM
PDPM requires transformational changes to our thinking, assessments, and business processes.  MatrixCare clients will share what they are doing to align people, processes, and MatrixCare technology, as they prepare for PDPM. This session will be a round table discussion that encourages dialogue around PDPM planning and preparation to make the October shift in Medicare reimbursement.

Access the Full Conference Agenda to view all sessions scheduled for Directions 2019.

Learn more about Directions 2019 or reserve your spot and register now!

Product News

Have You Completed All Required Setup for the 2019 R1 Release?Gears

There are many value-added features that were deployed as part of the 2019 R1 release. Some of the new features require action on your part in order to use. To ensure your organization is optimizing the value of your MatrixCare solution and fully adopting all features, we’ve highlighted the setup steps you will need to complete and which features have new security tokens.

Regulatory and Global items

  • Investment Center for Seniors Housing & Care (NIC) Reports (see above article regarding NIC pilot)
    NIC requires certain reports that focus on facility demographics/rooms/etc. Two reports for NIC are added in this release.

    • Required Setup: Ensure that the new security tokens for each report are checked for all templates/users who will run these reports.
    • New Security Tokens: Yes

Clinical Items

  • Ancillary Orders
    We have improved the ancillary orders functionality so the order will now show on the Active Orders page.

    • Required Setup: None
    • New Security Tokens: Yes

Financial Items

  • A/R Reason for Refunds, Reversals, and Beginning Balances
    When adding or editing a refund or reversal, or when editing a resident’s beginning balance, you can select a reason for the change and enter any resident-specific notes.

    • Required Setup: Determine which reasons your organization will track for refunds, reversals, and/or beginning balance transactions. You can make the Reason field either optional or required for all changes.
    • New Security Tokens: No
  • Printing/Reprinting Statements at the Corporate Level
    Reprinting resident A/R Statements will be available at the corporate level, enabling you to reprint them for all or selected residents across multiple facilities. You can reprint multiple statements within or across facilities for a single resident with a combined total balance for all statements.

    • Required Setup: Ensure that the new token is selected for all templates/users who will run the report. Review current statement printing/ reprinting procedures to incorporate the new corporate option to expedite statement creation and distribution.
    • New Security Tokens: No
  • Primary Payer Default for Discharges/Expirations
    If your facility has Payer Restricted users, you can now specify what you want to appear in the Primary Payer field for a discharge or expiration.

    • Required Setup: Determine which default to use for discharge/ expirations entered by Payer Restricted users.
    • New Security Tokens: No
  • Collections – Generating Tasks Based on Claim Release Date
    You can set up a payer’s collection threshold to trigger residents into Collections for institutional payers based on the date the claims were released (or transmitted to the payer).

    • Required Setup: Update existing Payer Thresholds with the new option.
    • New Security Tokens: No
  • Real-Time Updates in Collections
    A new Refresh button enables you to update Collections data in real time, any time.

    • Required Setup: Ensure that the new security token is checked for all templates/users who will use the new Refresh feature.
    • New Security Tokens: Yes


  • Barcode Scanning
    We continue to work on this function so more of you can use it with your pharmacy.

    • Setup Required: No new setup is required. Barcode scanner setup needs to be completed it not already done.
    • New Security Tokens: No

Take advantage of all the new enhancements and functions made available in the 2019 R1 release. Access the 2019 R1 release tools from the Client Portal (WEB ID required).

Get a head start on preparing for 2019 R2 coming soon, sign up for the 2019 R2 first look webinar to get a sneak peek at what will be included in the release.

Exciting Changes Coming to MyAnalytics and MyData!

The Analytics team continues to enhance existing products and build new ones that bring value for each care setting. Stay on top of important details for your organization by taking the following actions:

  1. Update your subscription preferences to ensure you and your team are receiving Analytics communications. We will send periodic emails to keep you in the loop on all the latest release notifications for all Analytics products – Skilled Nursing, Senior Living, LPC, Home Care and more.
  2. Read our monthly newsletter which will contain all of the latest release notifications for Analytics.
  3. Visit the client portal for product documentation such as User Guides and Release Notes.

We’re excited about the growth of MatrixCare MyAnalytics and MyData and helping customers get maximum value from their investment. If you are not familiar with MyAnalytics or MyData or the value each provides, please contact your MatrixCare representative to learn more.

Point of Care and eMAR in a Single Easy-to-Use Application

MatrixCare Senior LivingMatrixCare’s CareAssist solution captures care provided, scheduled tasks, activity participation, behavior tracking, medication administration and more. It ensures consistent documentation of individualized and resident-centered care and improves the performance of caregivers and the satisfaction of residents.

CareAssist combines Point of Care and eMAR functionality into one, easy to use application. The eMAR portion of CareAssist is available for both e-prescribing or pharmacy centric orders clients.

Benefits of MatrixCare CareAssist:

Mobile Access Icon
Controlled Substance Tracking Icon
Activity Tracking Icon
Dashboard Notifications Icon

Mobile Access
Promote charting in real time at “Point of Care.” CareAssist can be used from mobile devices, tablets, phones, kiosks, etc. Real-time documentation paints a much more specific picture of care provided and resident needs which allows our clients to customize care needs in a resident-centric way.

Barcode Scanning
Increase safety and staff efficiency as barcode scanning checks against the “5 Rights” of medication administration. Barcode scanning is available to clients who are ePrescribing or using our Pharmacy Centric Order Entry interface and can be used for both single and multi-dose packaging.

Controlled Substance Tracking
Ensure compliance with counts, via our “Blind Count,” which requires users to enter the inventory remaining and requires a supervisory override should counts be off. Electronic Controlled Substance Tracking reduces paper tracking processes and ensures more accurate counts.

Activity Tracking
Engage Activity staff by enabling documentation capture of activity attendance, participation and time spent in activities.

Dashboard Notifications
Enable Nursing Assistants to track their compliance via the Dashboard. Users are alerted to missed and late tasks, birthdays, and other alerting based on user security.

MatrixCare’s simplistic interface as well as a seamless conversion plan makes implementation and training quick and painless. Contact your MatrixCare Representative today to learn more!

Services News

Critical Coding Clues – The Key to Maximizing Revenue Under PDPM

Complimentary Webinar

You know that the Patient-Driven Payment Model (PDPM) has been finalized and will replace the Resource Utilization Groups, Version IV (RUG-IV) model on October 1, 2019. But do you understand how this change will impact reimbursement?

Join us for a webinar led by MatrixCare Senior Implementation Consultant, Tracey Beattie, RHIT, CCS-P, and AHIMA Approved ICD-10-CM Training Ambassador, to learn about the critical role documentation will play in accurate ICD-10-CM code assignment to meet the requirements of PDPM and maximize revenue under this value-based care model.

During this session we will discuss:

  • The impact of ICD-10-CM codes on reimbursement
  • The importance of clinical documentation supporting ICD-10-CM codes
  • The importance of section I8000 of the MDS

Don’t miss this valuable session on Thursday, March 14, 2019, at 1:00 PM ET. By watching this program live in its entirety, you can earn (1) CE credit!

Register for this webinar

Developing a Successful Facility Action Plan for PDPM & ICD-10-CM

On-Demand WebinarPlan, Prepare, Perform

The Patient-Driven Payment Model (PDPM) has been finalized and will replace the Resource Utilization Groups, Version IV (RUG-IV) model on October 1, 2019.

PDPM is designed to promote value-based care by shifting incentives from the volume of services to a value-based payment that focuses on the patient’s condition and care needs.

On February 12th & 19th, MatrixCare Senior Implementation Consultant, Tracey Beattie, led sessions to discuss how documentation will play a critical role in accurate ICD-10-CM code assignment to meet the requirements of PDPM.

During the session, she discussed the following:

  • An overview of the requirements of PDPM
  • The impact of ICD-10-CM codes on reimbursement
  • The importance of clinical documentation supporting ICD-10-CM codes
  • Strategies for developing a successful facility action plan for PDPM & ICD-10-CM

Access a recording of the session by visiting the PDPM page on our Client Portal.

To support your preparation and compliance for implementation of the Patient-Driven Payment Model (PDPM), we have also compiled some additional resources suggested by CMS that you may find helpful. As more information and resources become available, we will update this page.

Creating a Winning Team Buzz

Complimentary Webinar

MatrixCare recently hosted an executive forum and will share information from more than 30 CEOs of organizations leveraging our technology. The webinar will focus on operational excellence, managing risks and critical success factors for tomorrow’s long-term care leaders. During the session, we will share insights on empowering cross-trained staff with powerful and easy-to-use tools to build a culture of excellence and performance. Finally, we will discuss key factors leaders can control and how MatrixCare can help providers perform most efficiently.

Join Kevin Whitehurst, Senior Vice President of Skilled Nursing Solutions on Thursday, March 14, 2019, from 1:00 – 2:00 PM EST for this informative event.

Register for this webinar

Collections Redefined

Complimentary Adoption Webinar

Revenue Cycle ManagementIn this Instructor-led session, we will cover the dynamic improvements made to the Collections module so that you can improve your collection efforts. We will also walk you through using the new features of this module and provide a better understanding of how you can use this module more effectively to increase your productivity. This session is most well suited for those who are currently utilizing the Collections module in MatrixCare and would like to see how their workflow can be improved with our latest features.


Join us on Thursday, February 28, 2019, at 1:00 PM CST to learn more.

Register Now

Partner News

Elevate Your MatrixCare Investment with Partner Product Integrations

On-Demand Webinar

Our Partner Webinar held on February 21, 2019, was led by a panel of our certified partners who presented on products and solutions that help you monitor your organization and residents, simplify your accounts receivables operations, maximize reimbursement for therapy services, and facilitate care collaboration with other healthcare providers.

Interested in learning more about a partner? View the webinar recording!

Team TSI
Collective Medical

Team TSI is long-term care’s leading source of data-driven intelligence. We offer online, data-focused tools that long-term care providers need for improved reimbursement, survey preparedness, event tracking and more.

Financial Transmission Network, Inc. (FTNI) helps businesses streamline accounts receivables (A/R) operations by accepting, processing, posting and managing any payment method, from any payment channel—seamlessly and securely on a single, SaaS platform.

Casamba is a leading provider of EMR software and solutions for contract therapy providers and outpatient rehab clinics. Our healthcare technology solutions are designed to maximize both business and clinical success for providers across the entire continuum of post-acute care.

Collective is a healthcare IT network used by thousands of healthcare providers across the country—delivering real-time patient notifications and facilitating quality care collaboration between providers for time, cost, and life-saving information.

Regulatory News

MDSMDS 3.0 QM User’s Manual Version 12.0 Now Available

The MDS 3.0 QM User’s Manual Version 12.0 has been posted. The MDS 3.0 QM User’s Manual V12.0 contains detailed specifications for the MDS 3.0 quality measures. The MDS 3.0 QM User’s Manual V12.0 can be found in the Downloads section of this page and the MDS 3.0 QM User’s Manual V11.0 has been moved to the Quality Measures Archive page.

Two files related to the MDS 3.0 QM User’s Manual have been posted:

  1. MDS 3.0 QM User’s Manual V12.0 contains a detailed specification for the MDS 3.0 quality measures. MDS 3.0 QM User’s Manual V12.0 is available under the Downloads section of this page.
  2. Quality Measure Identification Number by CMS Reporting Module Table V1.7 documents CMS quality measures calculated using MDS 3.0 data and reported in a CMS reporting module. A unique CMS identification number is specified for each QM. The table is available under the Downloads section of this page.

Visit the CMS Quality Measures Page

Download MDS 3.0 Quality Measures User’s Manual

MDSDraft version of 2019 MDS Item Sets Now Available

CMS has posted a new DRAFT version of the 2019 MDS item sets (v1.17.0). This version is scheduled to become effective on October 1, 2019. There are a large number of changes that are outlined for what is coming.

Changes include:

  • First look at the Interim Payment (IPA) and Optional State Assessment (OSA) forms.
  • The only response values for A0310B are:
    • 5-day
    • IPA
    • Not PPS Assessment (None of the above)
  • The OSA form has added a new question: A0300B- Assessment type. Responses include:
    • Start of therapy assessment.
    • End of therapy assessment
    • Both Start and End of therapy assessment
    • Change of therapy assessment
    • Other payment assessment
  • Question I0020, answer value 14, Other Medical Condition has been deleted, and the associated diagnosis code I0020A has also been deleted, replaced by I0020B.

Visit the CMS website to download MDS 3.0 Item Sets v1.17.0 (DRAFT) for October 1, 2019 Release.

MDSNew Version of MDS 3.0 CAT Specifications Now Available

A new version (V1.04.0) of the MDS 3.0 Care Area Triggers (CAT) Specifications was posted. This version is also scheduled to become effective on October 1, 2019. The specification for CAT 12 (Nutritional Status) has been updated in accordance with the changes in V3.00.0 of the MDS 3.0 Data Specifications.

Visit the CMS MDS 3.0 Technical Information Page

Download Care Area Trigger Specifications Change Document (v1.04.0)

magnifyNursing Facility/Skilled Nursing Facility Taxonomy Code Requirements

Important Notification from Amerigroup for NJ Providers

Summary of change: Effective April 1, 2019, Amerigroup Community Care will strictly enforce the following policy requirement: all claims filed using Revenue Code 0100 (skilled or custodial care) will require appropriate taxonomy codes to determine correct payment. Amerigroup will apply strict requirements for all nursing facility (NF) and skilled nursing facility (SNF) claims.

What does this mean to me?

For all claims received after April 1, 2019, you must submit all NF and SNF (Revenue Code 0100) claims with the taxonomy code that corresponds to the service authorized. The correct codes are:

  • NF — taxonomy code 313M00000X
  • SNF — taxonomy code 314M00000X

What is the impact of this change?

If you fail to submit the appropriate authorized code listed above, our system may reject the claim or cause it to be paid at a lower reimbursement rate.

NFs and SNFs are also strongly encouraged to verify the eligibility of patients on a monthly basis to ensure continued enrollment of the member with Amerigroup and eligibility to receive covered services. This includes ensuring Amerigroup members have not only Medicaid eligibility but also MLTSS eligibility if they are receiving MLTSS services.  Amerigroup will not pay for the care of non-eligible individuals.

What if I need assistance?

If you have questions about this communication or need assistance with any other item, contact your local Provider Relations representative or call Provider Services at 1-800-454-3730.

Download the Amerigroup notification

Industry Events

Upcoming Tradeshows & Meetings

We look forward to seeing you at the upcoming events. Be sure to stop by our booth and learn more about all the MatrixCare solutions available to you.