Project · Overview
About PostAcuteTools
A free, browser-based Medicare reimbursement toolkit for post-acute care — built for revenue-cycle staff, MDS/OASIS coordinators, and billers who need to model Medicare payment quickly and accurately.
FY2025–2026 reflect published CMS Final Rules; FY2027 figures are from proposed rules and are labeled as proposed in the tools.
What it is
A free, browser-based toolkit for Medicare post-acute reimbursement. The audience is revenue-cycle staff, MDS / OASIS coordinators, and billers who need to model payment quickly and accurately — no login, no install, nothing to buy.
Scope
30+ tools across nine care & revenue settings: skilled nursing (PDPM), home health (PDGM), hospice, Part B therapy, IRF, LTCH, claims, remittance, and finance — plus diagnosis lookups, plain-English guides, and operational workflows. Headliners include the PDPM / PDGM calculators, full CBSA wage-index localization, HIPPS decoders, and the 835 / ERA + CARC / RARC remittance tools.
Architecture
A static site on Netlify with client-side calculation engines — including a variable-per-diem PDPM engine and 468-area wage-index localization that run entirely in the browser. The design is deliberately database-free: there is no backend and no server-side state, so nothing a user enters is stored or transmitted — there is no PHI risk by design. (The only data collected anywhere is an email address on the opt-in subscribe form.)
Data & accuracy
Rate and case-mix data come from published CMS Final Rules (FY2025–2026 final; FY2027 proposed), with wage-index tables covering 468 CBSAs. Every figure carries its source and version on-page, and outputs are verified against the official CMS values with the same data-validation discipline used in enterprise UAT.
AI-assisted development
The toolkit was built with AI-assisted development: the healthcare domain knowledge, payment logic, and validation are human-supplied, with AI tooling handling much of the implementation from concept to deployment. Every output is checked against the published CMS figures before it ships.
About this project
An independent resource
PostAcuteTools is built and maintained independently. It is not affiliated with, endorsed by, or representing CMS or any company, product, or employer, and it does not speak for any organization.
Every figure is an educational estimate drawn from published CMS Final Rules, with the source and version shown on each tool — not official guidance or a payment determination. Always verify against the official CMS source and your MAC before billing. Questions or corrections: contact@postacutetools.com.
