StarPRO™ releases their latest PDPMForecaster Tool


StarPRO, a Start-Up NY software solutions and data analytics company, released PDPMForecaster, a web-based tool that quickly guides health care professionals as to what conditions are reimbursement-sensitive under the new patient-driven payment model, PDPM. The tool goes live just in time to prepare for the implementation of the new PDPM model on Oct. 1.

PDPM is the most significant reimbursement overhaul to the skilled nursing facility industry in 20 years. Payment for services will now be based on the patient’s medical condition as opposed to the number of therapy minutes spent with that patient. At the beginning of the stay, reimbursement is at the highest level to account for increased services and then payment levels reduce over time depending on number of days. Health care professionals now have significantly less time to gather crucial information, so it’s critical to quickly identify and fully understand the extent of the patient’s medical conditions in order to ensure the highest allowable reimbursement.

The PDPMForecaster tool expertly computes clinical categories based on an individual patient’s medical conditions and forecasts an expected daily rate. The tool saves time and money by educating staff on what information to collect based on a customized workflow that adapts to each patient. The automated survey-style form prioritizes questions that are related to the most appropriate complex medical conditions first, thereby eliminating any confusion caused by unrelated categories. The result is an instant snapshot of the relevant clinical information required for conducting a thorough assessment that gauges each patient’s medical needs and allowable daily rate upon admission.

“Unlike other PDPM calculators, you don’t have to be a PDPM expert or MDS expert to start using our tool,” stated Colleen Muncy, managing director at StarPRO. “PDPMForecaster’s step-by-step questions educate users case-by-case on what documentation is critical upfront for payment requirements so the facility can begin capturing the full allowable reimbursement rate from day one.” PDPMForecaster’s reporting includes case mix groups and indexes and rates for each PDPM category as well as ICD-10 to MDS 3.0 crosswalking to ensure proper coding on MDS assessments.

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The winner of the title Mr. Pune 2009, Mr. Shreyas Tanna is currently the young, dashing, and dynamic CEO of a market research company called ResearchNReports in Pune. Fondly known as RNR, the company specializes in market research as well as industry analysis, and is closely associated with its parent company Absolute Market Insights (AMI). Mr. Shreyas Tanna began his corporate journey as the Head of Corporate sales & PR at RED Entertainment while pursuing his degree for MMS (Marketing) from the MGM College of Management, Mumbai. After accomplishing the tedious task of balancing his work and education, he further polished his skills in Corporate Sales, Public Relations, Channel Development, Global Client Engagement, Strategic Consulting, and Brand Development by working with HDFC Life and Researchmoz Global Pvt. Ltd. His dedication towards his work has even won him accolades such as the National Level Performer 2013 – HDFC Life and Mr. Research Moz 2015. A disciplined individual with a loving heart, he is often seen taking crisp walks with an engrossed look and a gentle smile within the premises of his company to interact with the various departments. And he will be usually followed by an adorable trail of his beloved trio of Shih Tzu babies proudly known as Gucci, Drake, and Paris. The most enticing thing that you will notice about this content and proud pet parent is his infectious positivity and the firm belief in his eyes, a reflection of his favorite quote, “LIFE IS BEAUTIFUL!”