Polaris-Strategic Solutions for Health Care

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Strategic Solutions
Prospective Payment System(PPS) Preparation & Management

A Comprehensive PPS preparation and management program

Many of the over 13,000 Medicare Skilled Nursing Providers are seeking assistance from outside firms as they look towards the implementation of PPS on or after July 1, 1998. Polaris Group has a unique combination of experience, range of services, and commitment to excellence that can help facilities prosper under the radically new payment structure.

The following outlines the services that Polaris Group can provide to assist facilities or SNF chains in the successful transition from the current Cost Based reimbursement system into the Prospective Payment System as outlined in the Balanced Budget Act of 1997. We provide a full range of financial, clinical, operational and training services to set up the systems and structures necessary to achieve high quality clinical outcomes and optimal reimbursement payments.

OBJECTIVES

With these dramatic changes in reimbursement(Cost Based to PPS), facilities will have to redesign their care delivery processes, clinical approaches and accounting methods in order to successfully transition their Medicare operations.

There are seven main objectives in Polaris Group's preparation and management program:

  1. Identify and define success measurements
  2. Assess Client's readiness for the upcoming Prospective Payment System.
  3. Assess the financial, clinical and operational impact of Prospective Payment on the Client's business.
  4. Develop a nursing Case Management structure and systems to support timely and accurate MDS.
  5. Prepare Client for Prospective Payment and other emerging reimbursement systems.
  6. Develop an ancillary management structure and program that best suits Client's needs under the new reimbursement systems.
  7. Promote increasing levels of ancillary services operating effectiveness, efficiency and improved clinical outcomes.