The regulator counts minutes. So should the schedule.
In skilled nursing, therapy minutes are simultaneously clinical care, a reimbursement input and an audit exposure. A minute delivered but recorded imprecisely is worse than a minute not delivered.
Minutes are recorded after the fact, from memory.
Individual, concurrent and group minutes carry different rules and different rates. Therapists record them at the end of a shift, rounding to the nearest five, and the MDS coordinator reconciles a week later against what the schedule claimed.
Meanwhile the case-mix assessment window is a hard deadline. Miss the assessment reference period and the consequence is not a scheduling inconvenience, it is a payment category.
- —Individual, concurrent and group minutes conflated
- —Assessment reference windows tracked in spreadsheets
- —Therapy delivered but under-evidenced at audit
- —Contract therapy hours invoiced without a defensible ledger
Three areas of the platform carry this.
The rest of the product is present and dormant. These three are the reason you would move.
Minute-accurate delivery capture
Start and stop captured at the bedside, split by individual, concurrent and group mode, with the resident count that makes a concurrent minute concurrent. The ledger is the record, not a retrospective estimate.
Assessment window management
Reference periods, look-back windows and due dates tracked per resident with escalation before the window closes, and the delivered-minute position visible while it can still be changed.
Contract therapy reconciliation
Agency and contract hours matched line-by-line against delivered sessions before invoice approval, with variance flagged by therapist, day and resident.
What your tenant hierarchy looks like.
The resident-day is the operational unit; everything rolls up from a defensible minute.
Numbers, with the assumptions attached.
Modelled on a twelve-facility post-acute group with 1,640 beds and 38% of therapy hours delivered by contract staff.
- Start/stop captured bedside
- Windows escalated in advance
- Line-by-line reconciliation
- Evidence exportable on demand
These are modelled figures, not a named customer result. Every input is stated so you can substitute your own; where a range is meaningful we publish the sensitivity rather than a single confident number.
Bring one week of real demand to a demo and we will rerun the model live on your data.
See what it costs →The questions this room always asks.
No. We produce the defensible operational record — mode-split minutes, resident counts, timestamps, signatures — and export it to the system that does. Rate logic changes; the ledger should not.
You may be more than one of these.
Reconcile one week of contract hours with us.
Bring an invoice and the matching schedule. The variance is usually the whole argument.