SKILLED NURSING
SNF analytics for referrals, PDPM and claims
SimpleCORE™ helps identify Medicare Part A opportunities and streamline claims and triple-check workflows.
SimpleCORE™ – Near real-time referral opportunities
Quickly optimize Medicare A referrals, claims revenue and triple-check processes.
Help identify revenue opportunities.
Quickly pinpoint billing inconsistencies and
PDPM opportunities using thousands of automated logic tests, to help you correct issues prior to claim submission.
Evaluate and reduce audit risk.
Enhance Medicare A referrals and census
Optimize triple-check processes.
Unlock revenue using current claims data
SimpleCORE™ provides unmatched claims analytics power through these modules.
SimpleCORE™: Compliance.
Quantify third-party audit risk with our proprietary SALT (Statistical Analysis of Likely Targets) Report. Compare PDPM focus areas against the national database to drive internal auditing strategy.
SimpleCORE™: Reimbursement
SimpleCORE™: Value-Based Post-Acute eXchange (VBPAX)
Measure clinical and financial outcomes to demonstrate referral partner value. Benchmark claims against regional averages to qualitative data measures.
SimpleCORE™: Medicare Advantage Post-Acute eXchange (MAPAX)
Unlock insights previously known only to insurance companies. MAPAX delivers the industry’s first claims-based intelligence on current SNF-MA reimbursement, outcomes and value proposition.
We’re creating the SNF industry’s first
Near real-time view of Referrals + Claims + Staffing insights
What clients love about SimpleCORE™
CORE is ingrained in every aspect of our Medicare and Managed Care process. From guiding triple-check to benchmarking performance to driving compliance auditing, we rely on CORE.
Before CORE, we had no idea how the rest of the industry was performing. Now, our Medicare reimbursement strategy is centered around CORE logic tests and PDPM benchmarking.
We operate across multiple post-acute care settings. CORE is imperative for us to quantify and demonstrate value as we enter into risk-based payment models.
![Featured image for “[On-demand] Transforming Triple-Check: How to turn denials into dollars”](https://simple.health/wp-content/uploads/2023/10/Simple-webinar-Transforming-Triple-Check-with-Wipfli-Nov-2023.png)
![Featured image for “[On-Demand] A Survivor’s Guide to Claim Reviews: Prepare NOW for Medicare Claim Audits”](https://simple.health/wp-content/uploads/2023/07/Simple-webinar-Claim-Review-Prep-recording.png)
![Featured image for “[On-Demand] CMS Claim Reviews: What SNFs need to know NOW”](https://simple.health/wp-content/uploads/2023/05/Simple-webinar-Claim-Reviews-with-Zimmet-2.png)
