CASE STUDY
NURSING HOME
OPERATOR
EXPANDS

FACES UNFORESEEN
CHALLENGES IN AR
AND REIMBURSEMENT

A small nursing home operator with 3 locations in NJ and PA was successfully
managing their staffing, reimbursement, AR and census using basic tools provided
by various software vendors and their EMR. The process for the operator to get daily
updates and to target certain aspects of the operation was simple and relatively
easy–host a daily meeting with each facility’s Administrator and Director of Nursing.
In addition to this, the operator was skilled at taking the data files from each facility’s EMR and
downloading it to one file to then create various reports. The operator has a Chief Operating Officer
that also runs the daily operation of this small chain. Even in this structure, the operator’s continual
challenge is AR and reimbursement, even though both fall within average nursing home ranges.

Recently, the operator purchased 4 additional homes and now they manage 7 homes. Initially, the transition was not easy. The model that worked for 3 homes was not viable now with 7 homes. The amount of time, data and oversight became overwhelming. The operator became aware of a growing number of untracked residents from a reimbursement perspective, and AR was expanding. Both were now tracking outside average ranges. Another concern was the unexpected rise in OT and staff agency utilization. New processes, procedures and workflows were needed in this expanding operation, and needed quickly.

At a recent skilled nursing facility conference on reimbursement, the operator met SNF Metrics. The operator’s reaction was, “…this is a game-changer…” Over the next few weeks, various departments visited SNF Metrics to learn how their proprietary applications and live, actionable reports that aggregates all data

from all systems and all homes can manage staffing, control AR, expedite reimbursement, improve clinical outcomes, drive census and more. Even the newly-hired risk manager said she was “doing cartwheels” when SNF Metrics shared their Risk Suite product with her.

6 weeks later, SNF Metrics is the backbone of this operator’s successful nursing home operation. While each department has their own positive outcomes with SNF Metrics, the operator is most pleased to be seeing a performance trend not seen before-better AR and reimbursement-even when they were just managing 3 homes. Leadership shares other SNF Metrics successes. One example the clinical team gets excited about is they can now quickly identify falls and wounds and with a click of a button, ensure the resident care plans have been updated-all within the same report.

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