Built for skilled nursingfacilities running24/7 complex operations
From single-facility SNFs to large multi-site post-acute networks — we build custom AI systems that understand MDS 3.0 accuracy, PDPM billing optimization, multi-shift handoff documentation, and the survey readiness demands of long-term care.
THE PAIN WE HEAR MOST OFTEN
WHAT METRICOID SOLVES
Operational challenges uniqueto skilled nursing organizations
Generic healthcare software wasn't built for your world. Every challenge below requires a solution that understands your specific workflows, compliance requirements, and payer rules.
MDS accuracy and RAI submission
The Minimum Data Set drives Medicare payment under PDPM. Errors in MDS coding — even small ones — can shift a patient into a lower payment group or trigger costly audits. Manual completion under time pressure generates errors that accumulate across the resident census.
PDPM billing optimization
The Patient-Driven Payment Model calculates Medicare reimbursement from clinical characteristics. Most SNFs under-capture PDPM revenue because clinical documentation doesn't reflect the full complexity of care being delivered.
Multi-shift handoff documentation
Nursing shifts change 2–3 times daily. Critical patient information — medication changes, behavioral observations, wound status — must transfer accurately between teams. Verbal handoffs fail; paper ones get lost.
Survey readiness and QAPI
Annual CMS surveys and Quality Assurance and Performance Improvement programs require evidence that quality measures are being monitored and addressed. Manual reporting systems leave SNFs reacting to deficiencies instead of preventing them.
Therapy documentation and scheduling
PT, OT, and SLP must document treatment minutes accurately for PDPM therapy components. Scheduling optimization across disciplines directly impacts both care quality and revenue.
Physician order and POC management
Physician orders, plan of care reviews, and certifications require coordinated documentation and signature workflows. Manual tracking leads to billing holds and compliance gaps.
Custom systems builtspecifically for skilled nursing
AI Clinical Documentation
Daily care notes, nursing assessments, and therapy documentation auto-assembled into MDS components. Accuracy checks run before RAI submission. PDPM grouping calculated from clinical data — no separate coding step.
Revenue Cycle Automation
PDPM billing optimization from clinical documentation. Medicare claim scrubbing against SNF-specific coverage rules. Medicare Advantage plan requirements validated per payer. AR aging dashboard by payer and location.
Workflow Integration
Shift handoff documentation standardized across all disciplines. Physician order tracking automated. Therapy scheduling optimized for PDPM component capture. Unified leadership dashboard across all facilities.
EHR Integration
Deep integration with PointClickCare, MatrixCare, and other SNF EHRs. MDS data flows between clinical and billing systems automatically. FHIR connectivity for hospital discharge coordination and payer data exchange.
MDS accuracy from 78% to 96%. PDPMrevenue capture increased 11% in 90 days.
THE CHALLENGE
A 6-facility SNF network was experiencing 78% MDS first-pass accuracy — generating repeated RAI corrections and delayed Medicare payment. PDPM revenue was underperforming because nursing documentation didn't capture the clinical complexity that PDPM components reward. Manual shift handoffs were creating care continuity gaps. Leadership had no unified quality metrics dashboard across facilities.
WHAT METRICOID BUILT
“Our MDS coordinator used to spend her entire week on corrections. Now the system catches errors before we submit. Our PDPM scores went up in the first month because we were finally documenting what we were actually doing.”
MDS first-pass accuracy — corrections eliminated
PDPM revenue increase from better documentation capture
Structured shift handoff documentation across all disciplines
Real-time quality measure dashboard for proactive management
Other Organizations We Serve
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Get Started
Ready to fix your MDS accuracy andcapture the PDPM revenue you're owed?
15 minutes. We'll review your current MDS acceptance rates, PDPM performance, and shift documentation workflow — and show you exactly where revenue is being left on the table.
- MDS accuracy validation built in
- PDPM optimization from day one
- Works with PointClickCare & MatrixCare
- BAA signed before any data exchange
