MDS Authoring

Hospital Management Systems

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This system automates the conversion of resident clinical data into CMS-compliant MDS 3.0 assessments and generates accurate UB-04/837I claims aligned with HIPPS, ARD, and CCN, ensuring seamless reimbursement processing for long-term care facilities. Its main features include automatic data population from source records, real-time cross-checking against CMS grouper standards, automatic calculation of HIPPS codes, and flagging of out-of-window observations, which collectively solve data entry errors, claim rejections, and compliance issues, making it ideal for skilled nursing facilities, billing professionals, clinical staff, and healthcare administrators seeking efficient, accurate, and compliant reimbursement workflows.

MDS Authoring can be found in Hospital Management Systems categories.

The most similar products to MDS Authoring are:

Parse2ERP Verified profile Promoted → AAA Medical Billing → myEZcare → MedaSync →

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Details

MDS Authoring Main Features

• Diff Checking
  The system compares current and previous MDS items, flagging changes as OK, DIFF, or NEW.
• Easy Overrides
  You can accept automatic data or override with nurse-entered values easily.
• Claim Generation
  The software creates UB-04 or 837I claims that match the assessment details and stay blocked until accepted by iQIES.
• HIPPS Calculation
  It calculates HIPPS codes using CMS tools, ensuring they match what the MAC will see.
• Re-Run Flexibility
  Changing responses automatically updates the full assessment breakdown and billing codes.
• Component Breakdown
  It explains each PDPM component including PT/OT, SLP, Nursing, and NTA, with detailed details.
• Section GG Analysis
  It automatically reviews ADL and therapy data, applying rules to select the most dependent responses.
• Live Demo and Testing
  Users can try a live demo to see how the system works before using it in real cases.
• Rate Adjustment by CBSA
  Wage-index adjustments are built into the per-diem rate based on location data.
• Real Rate and Wage Data
  Rates and wages are updated from the latest CMS final rules, providing accurate billing rates.
• Pre-Submission Scrubbing
  It checks for errors or issues that could cause rejection before submitting to iQIES.
• Automatic Data Population
  The system fills in items automatically from the source data, saving time and reducing errors.
• CMS-Compliance Conversion
  It turns clinical data into forms that meet CMS rules for billing and reporting.
• Out-of-Window Notification
  It flags observations outside accepted timeframes before they cost your facility.
• End-to-End HIPPS Generation
  The HIPPS codes are generated from a full CMS-approved process, matching what your MAC will see.

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MDS Authoring Alternatives

Parse2ERP

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