MedaSync creates simple software solutions using data and AI to help Skilled Nursing Facilities streamline MDS management and proactively improve revenue integrity across PDPM, CMI, QIP programs and Level-based plans.
Insurance complexity is at an all-time high forcing each operator to navigate a multi-payer system unique to their region.
Given the complexity, required expertise and time-consuming nature of reimbursement, the process is too reliant upon people.
Our passionate teams are spread thin from burnout and turnover with the vast majority forced to wear many hats.
What We Do
Continuously working for you in the background, MedaSync’s Artificial Intelligence goes beyond “keywords” or post-MDS scrubbing logic to give your reimbursement teams precious time back while optimizing your community’s reimbursement potential.
AI-Driven Audits
Modern technology that integrates seamlessly into current systems to proactively compare live clinical data against PDPM, RUG or Managed Care criteria to pinpoint reimbursement sensitive discrepancies or changes.
MDS & Case Management Efficiency
Machine learning creates curated summaries and alerts when key changes occur, saving time, effort and energy on manual chart or utilization reviews.
Predictive QM Management
Through continuous patient chart monitoring, MedaSync can identify assessment or function-based quality risks before they appear on the MDS.
Flexibility
Customized and tailored to match the diverse needs of a multi-payer ecosystem encompassing managed care, traditional Medicare and Medicaid as well as state-based quality incentives.
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Beyond Keywords: AI for Reimbursement Accuracy in Long-Term Care
For years, many healthcare organizations have relied on keyword search tools to comb through clinical notes. On the surface, it
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From Manual Reimbursement Audits to Proactive, Continuous Intelligence
For decades, skilled nursing leaders operated in a reactive cycle. MDS teams submitted assessments, operators waited for the billing cycle
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AI Proves to be a Safety Net in Skilled Nursing Reimbursement
In skilled nursing, the line between accurate reimbursement and lost revenue often comes down to the smallest details. A missed