Operational services for skilled-nursing facilities, scoped tightly enough that “done” has a real definition. MDS coordination and submission support. PBJ reporting. Prior auth and eligibility. Claims and denials follow-up. Survey readiness. Admissions intake. You pay for completed outcomes, not seats or hours.
SchedulingCare plansCompliance
expertise in
Skilled Nursing
Building stronger, more connected teams
Skilled-nursing operations that actually get finished
Skilled-nursing facilities lose hours every week to MDS corrections that bounce back, PBJ submissions that miss the window, prior-auths that stall admissions, and survey packets no one has time to keep current. QOP Skilled Nursing runs those exact workflows to a defined done. We pair it with recruiting when you also need floor staff. One partner, billed by outcome.
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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.
Scheduling. Care plans. Compliance.
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.
How we help
Revenue Cycle Claims & Denials
Prevent claims revenue loss through follow-ups, corrections, and 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
Common questions
How do we decide what services to start with?
Discovery call first. We look at where your facility team is bleeding time or carrying survey or compliance risk, then pick the services where we can write a clean completion rule. If a service can’t be scoped that tightly, we won’t take it on. Better to do four things well than ten things vaguely.
How does work enter the workflow?
Depends on the service. MDS corrections pull from your EHR on a schedule. Prior auths enter through your admissions queue. Claims follow-up runs off a billing-system batch. Survey packets assemble from a shared tracker. The intake path is set per service so nothing falls through assumptions.
Do you work in our systems or your systems?
Whichever keeps the work cleanest. Often we work directly in your EHR, billing system, or compliance tracker. Sometimes we run from our own tools and push results back. We connect both sides so the workflow doesn’t fork into two truths.
How do you define what counts as “complete”?
Each service breaks into outcome types. Each outcome type has a written completion rule. If the outcome needs evidence (a confirmation, a status change, a record update, a log note), that evidence is named in the rule before the work starts, not after.
How does pricing work?
Outcome-based. Each outcome type has a unit price. Most facilities run on a recurring service credit or a minimum commitment, drawn down by what actually completes. Overage above the commitment uses the same unit price. Out-of-scope or blocked items don’t count as completed. You don’t pay for effort that didn’t move.
What does onboarding look like?
Scope and outcomes first. Then intake method. Then tooling and integrations. Then a short ramp where we run the completion rules against your real work to make sure they match reality. Once that’s true, delivery runs steady-state. The rules and pricing from day one of the ramp are the rules and pricing in month nine.
“We brought QOP Skilled Nursing in to take two workflows off our plate: the work queue that ran end-to-end, and the follow-up loop that kept stalling after first touch. Inside a month, each item had a real shape. Clean intake. A completion rhythm the floor could actually rely on.
The thing I appreciate is that “support hours” is not the unit. We see what closed, what’s in progress, what’s blocked. QOP Skilled Nursing plugged into our systems and we only pay for outcomes we can verify. The backlog stopped growing. Turnaround got predictable. My leadership team went back to the parts of the job only they can do.”
Ethan Caldwell
Chief Operating Officer
What clients say