Comprehensive assessment
Every resident receives a comprehensive MDS 3.0 assessment within 14 days of admission, with quarterly and annual updates — all present, or the pack does not release.
The most rigorous MDS 3.0 assessment pack a skilled nursing facility can produce.
The SNF MDS & PDPM Accuracy Engine assembles a documentation-complete MDS assessment — every item drafted with a source citation, every missing documentation flagged before the Assessment Reference Date, the deterministic PDPM classification and transmission-deadline logic run, and an audit-defensible assessment ready for RN signature.
Every item of the MDS 3.0 item setFive statutory notice elements, gate-checkedDHSMV · USCG · UCC · judgment lien searchesSpecialist release on every pack5-business-day SLA
Why assessments fail
A single missing item can void the entire payment.
A skilled nursing facility's MDS assessment is only as strong as the documentation behind it. Miss one of the required items, skip a necessary source citation, mis-time the Assessment Reference Date, or fail to capture a diagnosis from the chart — and the assessment can be challenged, payment clawed back, or the facility exposed to False Claims Act liability.
Most facilities run this by hand, from memory, with one overworked RN MDS coordinator. The RAI Manual has not been read end-to-end since the last time it mattered. That is exactly where completeness gaps hide.
The SNF MDS & PDPM Accuracy Engine exists to close that gap with a single, exhaustive standard applied identically to every file.
~38%
of PDPM assessments carried SLP coding errors (Zimmet analysis)
The benchmark
Measured against the letter of the regulation — item by item.
We do not summarize the law and hope. Every pack is scored against a versioned rule pack tied to the exact text of 42 CFR §483.20 and the RAI Manual. These are the provisions each pack is held to.
Accuracy and completeness
Each MDS item is supported by a source citation from the resident's chart (nursing notes, therapy logs, physician orders, MARs, diagnoses, hospital transfer records).
Functional status coding
Section GG (self-care and mobility) is coded based on the resident's performance during the look-back period, with each item linked to a specific observation or note.
Transmission deadlines
The assessment is transmitted to CMS within 14 days of completion, and the transmission-deadline logic is verified deterministically.
Diagnosis coding
Active diagnoses are captured from the physician's orders and hospital H&P, with each diagnosis mapped to the correct ICD-10 code and Section I item.
Assessment Reference Date
The ARD is set no later than the 14th day after admission, and all documentation gaps are flagged before the ARD so the facility can capture supportable care.
How a pack is built
Intake to specialist release, with deterministic gates the AI cannot overrule.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
01
Documentation Gap Scan
Upload the resident's chart (EHR export, nursing notes, therapy logs, physician orders, MARs, diagnoses, hospital transfer records). We return a free completeness read: which MDS items and source citations you already have, and which are missing.
02
Evidence gathering & source citation
As your authorized clerical agent, we extract every relevant data point from the chart and build a source-citation matrix, corroborated across documents.
03
Grounded drafting
Every MDS item is drafted from your validated data and the RAI Manual rule pack into field-locked templates — no legal opinions, no invented facts.
04
Deterministic completeness gates
Each item is reconciled to the chart; the ARD is verified; the transmission deadline is computed; the PDPM classification is run deterministically. Any failure blocks release.
05
Specialist release
A RAC-CT–certified RN reviews the exception queue and signs the assessment. High-value or complex cases route to attorney review first.
06
Delivery
You receive the pack: completed MDS assessment, source-citation log, documentation-gap report, PDPM classification summary, and transmission-ready file — ready for the facility to submit under its own name.
The bar we hold
Rigor you can measure.
100%
Specialist-released
No pack ships without a human signature.
5 days
Standard SLA
From complete intake to released pack.
<1%
Critical-defect target
Tracked against a gold-standard pack library.
4
Lien-search sources
DHSMV · USCG · UCC · judgment, every applicable file.
Why SNF MDS & PDPM Accuracy Engine
Built to be the most thorough option a facility has.
Documentation-complete, by design
The deliverable is completeness itself — every MDS item and source citation accounted for or explicitly exception-coded. Nothing is left implicit.
Deterministic, not vibes
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a regulatory requirement.
In its lane, on purpose
We prepare documentation and run searches as your clerical agent. We never contact the resident, give legal advice, or conduct the assessment.
Engagement
Flat fee, per released pack. No contingency, ever.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
- A free Documentation Gap Scan before you commit — see exactly what is missing.
- One flat fee per released MDS Assessment Completeness Pack; disclosed pass-through search fees.
- Optional fixed-fee attorney review for high-value or complex cases.
- Optional PDPM Audit Defense Add-on for the full documentation trail and expert review.
FAQ
Questions, answered precisely.
Is SNF MDS & PDPM Accuracy Engine a law firm?
No. SNF MDS & PDPM Accuracy Engine, a service of Your Deputy, Obuke LLC, provides documentation-completeness services. It is not a law firm, does not provide legal advice, and does not represent you in any legal matter. Attorney review is available and recommended for high-value or complex cases.
Do you contact the resident or collect the debt?
Never. SNF MDS & PDPM Accuracy Engine is not a debt collector and does not contact residents or their families. The facility remains the provider and the party responsible for all clinical care and assessment submission.
What makes a pack 'complete'?
Completeness is defined by the regulation: every MDS item drafted with a source citation, the ARD verified, the transmission deadline computed, the PDPM classification run deterministically, and all documentation gaps flagged. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to a specialist-released pack. The free Gap Scan is returned much sooner and tells you exactly what is still needed.
How are you priced?
A flat fee per released pack, plus disclosed pass-through search costs. No contingency and no percentage of any recovered amount or sale proceeds.
See what's missing before it costs you a payment.
Start with a free Documentation Gap Scan. Send your resident's chart and we'll return a completeness read against every item of the MDS 3.0.
Documentation-completeness service · not legal advice · the facility submits every assessment.