AI Proves to be a Safety Net in Skilled Nursing Reimbursement
In skilled nursing, the line between accurate reimbursement and lost revenue often comes down to the smallest details. A missed ADL, a subtle change in oxygen use, or an overlooked function score fluctuation can translate into thousands of dollars in missed reimbursement opportunities over time.
For years, MDS coordinators and regional MDS leaders have carried the weight of this responsibility. They combed through charts line by line, often across five to seven buildings each, in hopes of catching every change. The process was grueling and imperfect.
As Chelsea Lowe, Lionstone Healthcare’s VP of Clinical Reimbursement, explained, “Each of the regionals have anywhere from five to seven buildings, and for them to comb through a building every single day was taking them hours. And, I still think we were missing subtle reimbursement-sensitive items, just because we’re human.”
The reality is simple: humans, no matter how skilled, cannot reliably review hundreds of charts across multiple facilities every day without missing something.
MedaSync as the Reimbursement Safety Net
That’s where MedaSync enters the picture. It’s AI engine continuously reviews records, identifies subtle changes, and surfaces opportunities that may otherwise be missed. Rather than replacing clinical expertise, it ensures that expertise is fully supported.
Lowe saw the shift immediately. “The regionals love it! It just takes them 15 minutes a day to go through all of their five to seven buildings, rather than multiple hours going through all that documentation before. They really love it.”
Instead of spending hours on manual audits, regional teams now spend minutes reviewing prioritized alerts. That reclaimed time can be invested back into resident care or higher-value strategic work.
Why It Matters
- Time savings: MedaSync automates chart audits, saving hours every day.
- Accuracy: The AI-driven system ensures subtle changes are consistently captured.
- Peace of Mind: Leaders know nothing slips through the cracks, creating confidence across the organization.
MedaSync has become more than a tool, it’s a safety net that strengthens financial outcomes while giving clinicians back the time and confidence they need.
Learn more about how Lionstone used MedaSync to improve reimbursement accuracy.
