PDPM Optimizer
Get the assessment right the first time. Guided MDS 3.0 workflows with a real PDPM/RUG grouper, an optimizer that surfaces under-captured comorbidities, and gap-flagging that cross-checks the assessment against the chart before you finalize.
Product screenshot
MedFlo PDPM Optimizer — assessment & reimbursement in the platform
Capabilities
PDPM Optimizer ships as part of the MedFlo platform — one record, one security model, one open API.
- Guided MDS 3.0 item-set workflows with item-level validation.
- A PDPM + RUG grouper that computes HIPPS from the assessment.
- An optimizer that surfaces under-captured NTA comorbidities and component drivers.
- AI cross-checks the assessment against the chart for likely gaps — you review each.
- Assessment-schedule and ARD tracking so windows never slip.
- CMS batch lifecycle and CIC handling.
Why PDPM Optimizer beats the legacy approach
A real grouper, not a guess
PDPM and RUG components are computed from the assessment to produce the HIPPS you'll actually bill.
Gaps surface before submission
The optimizer flags under-captured comorbidities and likely coding gaps while you can still act.
Windows never slip
ARD and assessment scheduling keep required windows on track so deadlines don't become scrambles.
Better together
MedFlo EHR
The clinical system of record — census/ADT, orders, eMAR/eTAR, notes, vitals, and care plans in one coherent chart.
Learn moreChart AI
AI charting and assist woven through the record — drafts notes from real chart context, summarizes a resident in seconds, flags likely gaps.
Learn moreRevenue / Billing AI
Claims, remittance, and receivables with denial visibility early enough to act — revenue leaks show up before month-end, not after.
Learn moreInsights & Analytics
Census, quality, clinical, and financial reporting drawn from the live record — decisions on current data, not last week's export.
Learn moreSee PDPM Optimizer on your own scenarios
Bring your real workflows. We'll tailor the walkthrough and answer honestly about what's shipping today versus on the roadmap.