SNF ADMISSIONS INTELLIGENCE

Know Before You Admit

Screen Medicare referrals for SNF qualification, profile patient risk, and predict denial reasons — in under 60 seconds.

CHEN, MARGARET L.
MRN: BHMC-220847
Screening #44Mar 1, 2026
Verdict
DOES NOT QUALIFY

Patient has only 2 qualifying inpatient day(s), which does NOT meet the Medicare 3-day minimum requirement.

2of 3
CRITICAL BEHAVIORAL RISK5 findings detected including aggression, 1:1 supervision
Confidence:
90%·Processed in 48.2sAutomated Analysis
Day-by-Day Timeline
Thu, Feb 5
OBS
Fri, Feb 6
OBS
Sat, Feb 7
IP Day 1
15h 15m
Admitted
Sun, Feb 8
IP Day 2
24h
Mon, Feb 9
DISCH
13h
Qualifying IP Day Observation (does not count)
Risk Flags (1)
HIGHObservation-to-Inpatient Conversion

Patient was initially placed under observation before being converted to inpatient.

Patient Safety Alerts (2)
Aggression History

Documented history of aggressive behavior

1:1 Supervision Required

Patient requires one-to-one supervision

Discrepancy Alerts

Patient spent ~47 hours under observation before conversion to inpatient status.

< 60 sec
Average screening time
6 doc types
Analyzed per screening
9 denial risks
Predicted before admission
HOW IT WORKS

Three Steps to a Complete Assessment

1

Upload Documents

Drag-and-drop physician orders, face sheets, ED notes, progress notes, H&P, and discharge summaries. Scanned PDFs work too.

1
Upload Documents
2
Analysis
3
View Results
New Patient Referral

Upload the patient's clinical documents to screen for Medicare SNF qualification.

Upload Clinical Documents
Drag & drop clinical PDFs here, or click to browse
Face sheets, physician orders, ED notes, progress notes, H&P, discharge summaries
Supported format: PDF (max 10 files)
Begin Qualification Analysis →
2

Automated Analysis

Documents are classified, cross-referenced, and analyzed for 3-Day Rule qualification, behavioral risk, and benefit eligibility.

Evidence Trail
Feb 5, 9:42 AM
initial_admission: observation

Patient placed under OBSERVATION for monitoring.

ed_notes
Feb 5, 11:20 AM
initial_admission: observation

ADMISSION ORDERS - OBSERVATION STATUS: Place patient under OBSERVATION.

physician_orders
Feb 6, 8:00 AM
status_continuation: observation

Hospital day 2. Observation status.

progress_notes
Feb 7, 8:45 AM
status_change: inpatient

CONVERT TO INPATIENT STATUS. Patient clinically deteriorating.

physician_orders
Feb 8, 10:00 AM
status_continuation: inpatient

Hospital day 4 (IP Day 2). Continued IV antibiotics.

progress_notes
Feb 9, 1:00 PM
discharge

Discharge to SNF for continued skilled nursing care.

discharge_summary
3

Complete Assessment

Get a qualification verdict, day-by-day timeline, risk flags, denial predictions, and patient risk profile.

Patient Risk Profile
Behavioral & safety analysis from referral documents
Critical Risk
Placement Concerns
  • Documented episode of severe nocturnal delirium requiring physical restraints and a 1:1 sitter.
  • High risk for sundowning and dangerous nocturnal behaviors, including pulling out her PICC line.
  • Hospital demonstrated lack of transparency by burying critical safety information in non-standard notes.
Recommended Questions for Hospital
  1. 1. Can you confirm the exact date and time of the inpatient conversion order?
  2. 2. Why was the restraint event omitted from the main discharge summary?
  3. 3. What is the ongoing plan to manage potential sundowning behavior?
Copy for Hospital
PATIENT RISK PROFILING

See What Hospitals Won't Tell You

Referral documents bury behavioral concerns in clinical euphemisms. MedScreen decodes them — surfacing aggression, elopement risk, psychiatric history, substance use, and supervision needs before you make an admission decision.

Decodes clinical euphemisms into plain language
Flags patients requiring 1:1 supervision
Tracks prior facility denials from the chart
Generates questions to ask the hospital before admitting
Psychiatric HxSubstance HxAggressionElopement Risk1:1 Required
Findings (4)
AGGRESSIONCRITICAL
NURSING NOTES — BEHAVIORAL / SAFETY EVENTS

"Patient became confused and agitated overnight. Attempting to remove O2 cannula repeatedly. Pulled out peripheral IV at 02:30, requiring IV restart."

SUPERVISIONCRITICAL
NURSING NOTES — BEHAVIORAL / SAFETY EVENTS

"Soft wrist restraints applied per physician order after de-escalation attempts failed (patient kept removing O2, desatting to 86%)."

SUPERVISIONHIGH
NURSING NOTES — BEHAVIORAL / SAFETY EVENTS

"1:1 sitter called."

COGNITIVEMODERATEEuphemism
NURSING ASSESSMENT / SHIFT NOTE

"Alert, oriented x2 (person, place). Intermittently confused overnight. Reoriented with cues."

DENIAL PREVENTION

Predict Denial Risks Before Admission

9 specific Medicare denial reasons — ranked by likelihood with prevention actions and CMS regulatory citations.

Insufficient Inpatient Days

HIGH

Fewer than 3 qualifying inpatient days

Observation Misclassification

HIGH

Face sheet and clinical docs disagree on status

Late-Night Admission

MEDIUM

Admitted after 10 PM — auditor red flag

Missing Physician Order

HIGH

No explicit inpatient admission order found

Benefit Exhausted

HIGH

All 100 SNF benefit days used in this period

MA Prior Auth Required

MEDIUM

Medicare Advantage plan requires prior auth

Documentation Discrepancy

MEDIUM

Inconsistencies between documents

Borderline + Risk Factors

MEDIUM

Exactly 3 days with multiple risk flags

Secondary Payer Error

HIGH

Another payer should be billed first

Each denial reason includes specific prevention actions and CMS regulatory citations (e.g., 42 CFR § 409.30).

Everything Else You Need

Benefit Eligibility

Automatically detects plan type (Original Medicare vs. MA), checks remaining SNF benefit days, and catches Medicare Secondary Payer situations that cause automatic denials.

Hospital Clarifications

Auto-generates professional messages for referring hospitals, pre-populated with case-specific questions about observation timing, status discrepancies, and behavioral concerns.

HIPAA Compliant

Field-level encryption on all patient data, immutable audit trail, role-based access control, and auto session timeout. Hosted on Google Cloud with a signed BAA.

See MedScreen in Action

Request a demo and screen your first referral in under 60 seconds.