Prevent claims revenue loss through follow-ups, corrections, and denials
QOP Skilled Nursing runs clearly scoped operational services where “done” is defined upfront. Delivery is measured on completed outcomes—not hours, seats, or general activity.
PeopleProcessPerformance
expertise in
Skilled Nursing
Building stronger, more connected teams
Two pillars of scalable growth
Growth gets constrained when hiring can’t keep up and your nursing home ops team is buried in daily admin. QOP Skilled Nursing helps on both fronts. Our recruiting support targets and engages proven talent for the exact facility roles you need. Our outcome-based operations support owns defined workflows and delivers consistent, auditable results, not vague hours. One partner for hiring and execution, built to scale across shifting priorities without adding management overhead.
Built to scale growth
Work measured by results
Hire better talent
Outcome based operations support
At QOP Skilled Nursing, we deliver defined, measurable operational outcomes—not headcount, shifts, or generic “support.” Facility operators use us to offload recurring work that pulls clinical leadership away from patient care without hiring, managing, or scaling additional staff. The focus is predictable execution with clear completion rules and documentation, so payment is tied to finished work (completed work items) rather than time, seats, or vague effort.
QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,
A model built around defined outcomes
QOP Skilled Nursing’s core model is outcome-based operations support, where billing is tied to completed work that’s verifiable under agreed rules. Everything starts with a discovery call to confirm which workflows matter most for your facility and what “done” needs to look like for your team. We then align on completion definitions and connect the workflow to your existing systems so work moves cleanly between teams. For work that can’t be standardized reliably, we also offer a traditional monthly option with a dedicated full-time specialist.
Our most requested services
Revenue Cycle Claims & Denials
We handle routine policy and billing tasks including claims submission, rejection correction, and denial follow-up. QOP Skilled Nursing ensures each claim’s status is documented, tracked, and escalated for policy or clinical decision points when needed. Our team does not post payments or access bank portals, keeping all work in an auditable administrative workflow with a clear evidence trail.
Eligibility & Prior Authorization
Reduce admissions delays by verifying, submitting, and tracking authorizations
QOP Skilled Nursing manages insurance verification, prior authorization submissions, and continued-stay packet coordination, tracking every step to a documented payer status. We escalate tasks requiring clinical judgment or leadership approval. This reduces stalled intake, ensures clean documentation, and prevents downstream billing friction while staying within admin workflow boundaries.
Admissions & Referral Intake
We streamline admissions by processing referrals, checking documents, and monitoring statuses, creating an auditable admissions workflow. QOP Skilled Nursing logs all referrals, verifies required paperwork, and produces clear handoff notes so nothing is lost or delayed. Clinical acceptance decisions are escalated, ensuring operational stability without guessing on approvals.
MDS Coordination & Submission Support
Prevent late or incomplete MDS workflows, enabling staff focus
We provide operational support for MDS schedule tracking, missing-input chasing, and submission-readiness coordination so licensed staff can focus on clinical tasks. QOP Skilled Nursing ensures every step is logged and tracked as discrete work items, providing a structured oversight that prevents items from falling through the cracks. Our team maintains the rigorous organization required for consistent submission readiness.
Survey Readiness & Documentation QA
Enhance survey readiness, keeping your team prepared and organized
We manage survey and deficiency documentation workflows, tracking gaps, assembling evidence packets, and preparing plan-of-correction drafts. QOP Skilled Nursing maintains auditable trackers and organizes documentation for review, escalating only when approvals, legal review, or clinical judgment are required. This service consolidates repeatable compliance and readiness work without handling policy decisions directly.
PBJ Reporting Support
Reduce PBJ risk by validating, submitting, and error-correcting inputs
QOP Skilled Nursing handles PBJ compilation, validation, submission, and error-resolution tracking to maintain a reliable reporting cycle. We document every step with a clear audit trail, ensuring errors are corrected and escalated when needed. The work focuses on reporting and compliance, without running payroll or moving funds, delivering traceable outcomes across staffing data.
Tailored Services
Custom work items built around your workflow
You tell us the workflow you want off your plate. We map it into clear work items, define inputs and “done,” set exception rules, then connect it to the right systems so delivery is consistent and auditable with QOP Skilled Nursing.
Dedicated Full-Time Specialist
Flexible tasks that do not fit our fixed outcome model
If a traditional model fits better, you can work with a dedicated full-time specialist through us. They focus on your workflows day-to-day, integrate into your tools where needed, and handle a wider mix of tasks that are hard to standardize into work items.
Frequently Asked Questions
Everything you need to know
How do we decide what services to start with?
We start with a discovery call, then prioritize the workflows creating the most operational load or the most business risk for your facility team, as long as they can be defined with clear completion rules. QOP Skilled Nursing only takes on services that can be scoped tightly enough to execute consistently.
How does work enter the workflow?
It depends on the service. Work can enter through integrations, system triggers, scheduled batches, shared queues, or an agreed handoff process with your team. The intake method is defined per service so there is a consistent flow.
Do you work in our systems or your systems?
Either, depending on what makes delivery clean and trackable. Sometimes QOP Skilled Nursing operates directly in your tools, sometimes we use ours, and sometimes we connect both so the workflow stays aligned.
How do you define what counts as “complete”?
Each service is broken into outcome types with written completion rules. If evidence is required—like a confirmation, status change, record update, or log note—that requirement is defined upfront.
How does pricing work?
Pricing is outcome-based. Each outcome type has a unit price tied to the completion rules. Most clients use a recurring service credit or minimum commitment, with usage applied based on completed outcomes. If volume exceeds the included amount, overage is billed using the same unit pricing. Items that are out of scope or blocked are not treated as completed outcomes.
What does onboarding look like?
We align on scope and outcomes, confirm the intake method, set up the tooling or integrations required, then run a short ramp to validate that completion rules match real day-to-day work. After that, delivery runs in steady state using the same definitions and pricing.
“We brought QOP Skilled Nursing in to take two things off our plate: handling a defined work queue end-to-end, and running follow-ups so nothing stalls after the first touch. Within the first few weeks, we had clear work item definitions, clean intake, and a steady completion rhythm that our internal team could actually rely on.
The difference is that it’s not ‘support hours’ or vague coverage. We see exactly what was completed, what is in progress, and what is blocked. They plugged into our systems and workflows, and we only pay for outcomes we can verify. Our backlog significantly decreased, turnaround became predictable, and we cut a lot of internal time spent chasing updates.”
Ethan Caldwell
Chief Operating Officer
Real stories of growth