By Lisa Chubb, MSN, RN—EZ5Star Clinical Consulting
In skilled nursing, clinical reimbursement is more than just billing—it’s a reflection of how well your documentation, assessments, and care delivery align with regulatory and payment expectations.
Unfortunately, many facilities leave significant money on the table because they either under-document care or fail to capture the clinical complexity of their residents.
That’s where EZ5Star comes in. We don’t just help you bill more—we help you bill right.
Why Reimbursement Optimization Matters
Strengthens financial sustainability without sacrificing care Ensures compliance with CMS and PDPM rules Supports accurate care planning through better assessments Reduces denials, audits, and repayments
Common Ways SNFs Lose Revenue
Incomplete or vague documentation that doesn’t support acuity or interventions Inaccurate MDS coding, especially in Section GG, SLP, or NTA categories Lack of interdisciplinary communication between nursing, therapy, and MDS Missing documentation for skilled services like wound care, IVs, or rehab Failure to leverage EHR tools to validate data and streamline coding
Even the most clinically excellent teams can fall short when systems, training, and accountability are lacking.
EZ5Star’s Reimbursement Optimization Services
We take a clinical-first approach to revenue by aligning care delivery, documentation, and coding with your residents’ true complexity. Our services include:
MDS & IDT coaching to ensure collaboration and accuracy Section-by-section audits of the MDS for common errors Case mix and PDPM analysis to identify lost revenue opportunities EHR documentation training tied to skilled service requirements Real-time support during new admissions and high-acuity changes
Results That Matter
Facilities we’ve partnered with have reported:
Revenue increases of $200K–$500K+ annually More confident, accurate MDS coordinators and IDT teams Stronger compliance with surveyors and auditors Improved interdisciplinary communication
Get Paid for the Care You Provide
You’re doing the work—don’t let outdated systems or under-trained teams cost you the reimbursement you deserve.
At EZ5Star, we equip your team with the skills, insights, and strategies to maximize reimbursement ethically and efficiently.
Contact us today for a complimentary revenue risk assessment—we’ll help you stop leaving money on the table.
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