For skilled nursing facilities
The first credible yes wins the bed
Beds are scarce again, and hospitals broadcast every referral to as many as ten facilities at once. Clarity Admit reads the 40–80-page packet before your coordinator opens it. Your team gets a cited accept-or-decline recommendation in minutes, so the first credible yes is yours. Clarity recommends; your team decides.
Sub-7-minute target window23+ decline reason codesCited to the source chart
- 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)
Occupancy and improper-payment figures are cited (NIC MAP, CMS). The response-time average is an industry estimate. Decision-window figures are product targets, not guarantees.
The problem
What your admissions team is up against
The market has tightened on both sides. Beds are scarce again, and 1,440 nursing homes closed between 2016 and 2025 (JAMA). The game is no longer filling empty beds. It is winning the right skilled-mix admit, fast, with the evidence behind the yes.
The first yes wins the bed
Hospitals broadcast each referral to 5–10 facilities at once, and the first credible yes usually gets the patient. The sector-average response time is roughly 10 hours, by industry estimate.
The truth is buried in the packet
The clinical picture lives in a 40–80-page faxed packet: discharge summaries, MARs, face sheets, consults. Manual triage takes 30–60 minutes per referral before anyone can even say maybe.
A bad accept costs more than a lost referral
A wrong-fit admit drives readmissions, denials, and uncollectible claims. About 1 in 8 SNF Medicare dollars is still paid improperly, down from 17.9% in 2024 to 11.8% in the 2025 reporting period (CMS), and 2% of your Medicare Part A revenue sits behind the VBP withhold.
The decision queue
Every referral, already worked up
Every referral arrives parsed, scored, and assigned before anyone opens it. The queue shows exactly how long each one has waited.
The five-gate model
Five gates, screened in parallel
Clinical, financial, regulatory, operational, and choice checks run at once, each showing go, needs review, or block, and each owned by the right team. 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 and arrival window readiness across units.
Choice
Patient choice confirmed and a clean handoff from the sender.
Cited evidence
Every finding cited to the chart
Your DON will ask one question of any AI that reads a chart: show me where the chart says that.
Each recommendation, deal-breaker result, and extracted contract term links to an exact quote and page. Click the citation and you’re looking at the source PDF. When the evidence isn’t there, Clarity says insufficient evidence instead of guessing. That is what holds up in a denial review or a survey six months later.
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 expected reimbursement, contract rate × expected length of stay, before you decide. You know what the yes is worth before you say it.
- Prior-auth requirements and carve-outs flagged before the decision, not discovered at billing
- 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
Four levers, shown with their arithmetic
A reference 120-bed building. Four levers, each with its arithmetic shown, add up to the headline. A pilot replaces each line with your own baseline.
Illustrative annual value
four levers with the arithmetic shown below. A pilot swaps in your baseline.
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
Speed wins beds
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 |
|---|---|---|
Speed wins beds 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 will extend the motion past discharge
Clarity Beacon, care-transition alerts, will send the heads-up when a former patient turns up in an emergency department, and only inside a hard 31-day post-discharge window that unsubscribes on its own. Readmits are referrals about to happen. Capturing one re-referral a month back to your bed is another 12 × $11,250 = $135,000/yr, an illustrative projection. Beacon is in development and launching soon. This lever stays separate from the ~$370k above and is never double-counted.
About BeaconCommon questions
Asked first, answered first
Every claim is cited to 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, not auto-decided, and the fuller answer is on the Clarity Admit page.
The fuller answers on cited AI and the PointClickCare handoff live 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.