Skilled Nursing Facilities

SNFs face several converging pressures: PDPM reimbursement optimization requiring accurate MDS assessments, Five-Star rating pressure affecting referrals and reputation, MDS coordinator burden with assessments taking 3-4 hours each, chronic staffing shortages, hospital readmission reduction, and the transition to value-based care models like SNF VBP.

Digital Scientists identified $24M+ in forecast PDPM revenue and $2M in quality incentives for CommuniCare Health Services, one of the nation's largest post-acute care providers. Solutions include AI-powered MDS optimization that identifies missed diagnoses, maximizes PDPM scoring, and achieves 40-60% time savings per assessment.

Key solutions include MDS/PDPM optimization for revenue capture, virtual care and treatment-in-place with a 96% treat-in-place rate, voice-enabled documentation automation for CNAs and nurses, value-based care support with quality measure tracking, and intelligent scheduling for therapy and staff optimization.

AI tracks quality measure performance in real-time, identifies residents affecting scores, and recommends documentation or care interventions to improve outcomes. Accurate MDS coding directly influences quality measures that feed into Five-Star ratings. CommuniCare achieved a Five-Star QM Score of 60/100 using this approach.

Yes. Digital Scientists has production-proven integration with PointClickCare, the EHR most SNFs use. Solutions integrate natively with no separate login required. The team also has integration experience with Epic, Gehrimed, and custom systems, with bidirectional data flows for clinical documentation and MDS workflows.

Digital Scientists uses a co-design approach, spending 40+ hours shadowing MDS coordinators and clinical staff before writing code. The team also operates NeverAlone, serving 26,000+ SNF residents in production, so they understand the daily reality of skilled nursing operations firsthand rather than building solutions in isolation.