For skilled nursing facilities
The first credible yes wins the bed
Beds are scarce again, and hospitals send every referral to as many as ten facilities at once. Clarity Admit reads the 40–80-page packet before your coordinator opens it and gives your team a cited accept-or-decline recommendation in minutes, so you can answer first. Clarity recommends; your team decides.
Sub-7-minute target window23+ decline reason codes
- For
- Admissions, VP Ops, CFO and DON
- Status
- Pipeline in production · decisions entering rollout
- Built for
- 5–50-building operators and single buildings alike
national SNF occupancy in Q1 2026, the highest since 2016 (NIC MAP)
sector-average referral response time (industry estimate)
target decision window, down from a 30–60-minute manual review
of SNF Medicare dollars paid improperly in the 2025 reporting period, three quarters of it insufficient documentation (CMS)
The decision window is a product target, not a guarantee.
The problem
What your admissions team is up against
Beds are scarce again, and 1,440 nursing homes closed between 2016 and 2025 (JAMA). With fewer empty beds to fill, what matters is winning the right skilled-mix admits quickly, with the evidence behind each yes.
Referrals go to several SNFs at once
Hospitals send each referral to 5–10 facilities at once, and the first credible yes usually gets the patient. By industry estimate, the sector takes about 10 hours to respond.
The answers are buried in the packet
The clinical picture is spread across a 40–80-page faxed packet of discharge summaries, MARs, face sheets, and consults. Manual triage takes 30–60 minutes per referral before anyone can even say maybe.
A bad accept costs more than a lost referral
An admit that turns out to be the wrong fit leads to readmissions, denials, and claims you can’t collect. About 1 in 8 SNF Medicare dollars is still paid improperly: 11.8% in the 2025 reporting period, down from 17.9% in 2024 (CMS). And 2% of your Medicare Part A revenue sits behind the VBP withhold.
The decision queue
Every referral, already worked up
Clarity parses, scores, and assigns each referral before anyone opens it, and the queue shows how long each one has waited.
The five-gate model
All five gates, checked at once
Clinical, financial, regulatory, operational, and choice checks run at the same time. Each one shows go, needs review, or block, and each belongs to the team that owns it. A referral is acceptable when every gate is green, or amber with documented mitigation.
Clinical
Skilled need, acuity, equipment, infection control, behavior, specialty meds.
Financial
Network and contract, prior auth, qualifying stay, expected rate.
Regulatory
PASRR, state level-of-care, required documentation.
Operational
Capacity across units and readiness for the arrival window.
Choice
Patient choice confirmed and a clean handoff from the sender.
Cited evidence
Every finding cited to the chart
Your DON will ask any AI that reads charts the same thing: “Show me where the chart says that.”
Every recommendation, deal-breaker result, and extracted contract term links to an exact quote and page, and clicking the citation opens the source PDF. When the evidence isn’t there, Clarity says insufficient evidence instead of guessing. Six months later, in a denial review or a survey, the record still shows why you decided.
Cited evidence · click through to the source
“Pain well controlled on Tylenol 650mg q6h … 3/10 at rest.”— Medication Administration Record, page 2
Contract-grounded reimbursement
Know what the yes is worth
Upload your payer contracts once. Clarity extracts the terms with citations and shows the expected reimbursement (contract rate × expected length of stay) before you decide.
- Prior-auth requirements and carve-outs flagged before you decide
- PDPM projection across the five case-mix components, including NTA drivers that pay 3× for days 1–3
- Declines that hold up later: 23+ structured reason codes grouped by gate, with the evidence attached
Illustrative value
Where the value comes from
Four levers for a reference 120-bed building, with the arithmetic for each. A pilot replaces every line with your own baseline.
Illustrative annual value
four levers, with the arithmetic below
Per referral · design target
replacing a 30–60-minute manual review of a 40–80-page packet
Per skilled stay · illustrative
PDPM taper math: ~$650/day × ~17 effective days on a ~25-day stay
Illustrative reference model, not audited customer results. Outcomes are targets, not guarantees.
Illustrative · reference 120-bed skilled nursing facility
More admissions won on speed
Two more skilled admissions a month, won on response time
2 × $11,250 × 12$270,000
Avoided readmissions
One a quarter, from better-fit admits and deal-breaker screening
4 × ~12 days × $650$31,200
Coordinator capacity
About 45 minutes returned per referral, on roughly 100 referrals a month
75 hrs/mo × $40 × 12$36,000
Denial and documentation defense
One avoided uncollectible admit a quarter
4 × ~$8,000$32,000
Total illustrative annual value
~$369,200
| Lever | Arithmetic | Annual |
|---|---|---|
More admissions won on speed Two more skilled admissions a month, won on response time | 2 × $11,250 × 12 | $270,000 |
Avoided readmissions One a quarter, from better-fit admits and deal-breaker screening | 4 × ~12 days × $650 | $31,200 |
Coordinator capacity About 45 minutes returned per referral, on roughly 100 referrals a month | 75 hrs/mo × $40 × 12 | $36,000 |
Denial and documentation defense One avoided uncollectible admit a quarter | 4 × ~$8,000 | $32,000 |
| Total illustrative annual value | ~$369,200 | |
Plus protection of the 2% VBP withhold, up to ~$76k at risk on ~$3.8M of Medicare Part A. Assumes 120 beds at 88% occupancy · ~25% skilled mix · $650/day Medicare PDPM · 25-day average skilled LOS · ~100 referrals a month · ~480 annual admissions. Illustrative. A pilot replaces every line with your own referral volume, per diems, and admit rates.
The add-on lever · launching soon
Clarity Beacon adds a lever after discharge
Clarity Beacon, care-transition alerts, will let you know when a former patient turns up in an emergency department, but only within a hard 31-day post-discharge window that unsubscribes on its own. A patient back in the ED may soon need a skilled bed again. Winning one of those re-referrals a month is another 12 × $11,250 = $135,000/yr, an illustrative projection. Beacon is in development and launching soon, and this figure is not part of the ~$370k above.
About BeaconFAQ
Questions SNF teams ask
You can check. Every claim cites a quote and a page in the source document, and when the evidence isn’t there, Clarity says insufficient evidence instead of guessing. Ambiguous findings come back as needs review, and your team makes the final call.
More on cited AI and the PointClickCare handoff is on the Clarity Admit page.
Be the first credible yes, with the evidence attached
A 20-minute walkthrough of the decision queue, the five gates, and the citations behind every recommendation.