It's critical to your PACE organization's reimbursement that all participant diagnoses are documented and submitted to CMS.


It's also critical to your care quality mission to be aware of and consider the complete participant profile as you are managing care. Incomplete recognition and factoring of concurrent, causal or underlying conditions can result in thousands of dollars in lost reimbursements per participant and can affect your care decisions.

Over the years, our proprietary algorithm has identified the top 10 most frequently missed diagnoses, responsible for the bulk of lost reimbursement dollars in the PACE organizations we serve.

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