The admissions system for skilled nursing

Say yes faster.
Get paid for every yes.

Every referral in one queue, read by clinical AI, with full benefits verification, network status from your own contracts and a live bedboard — before you accept. Then MedFlo carries the patient through authorization, reviews, MDS and coverage changes.

The patient journey

Admissions is where it starts. Everything else connects to it.

From admissions, three paths run to billing — authorizations and reviews, MDS, and admission agreements. Contracts and payer change detection run alongside, feeding every step. What happens at billing flows back into the next admission.

01Start here
AdmissionsOne queue · clinical AI read · full VOB · in or out of network · bed management with clinical flags
Three paths to billing
Pre-authorization→Case management→Billing
MDS→Billing
Admission agreements→Billing
Feeding every step
Contracts→ pre-auth · case management · payer changes · MDS · billing
Payer change detection→ case management · billing
BillingComing soonEvery path lands here.
What gets paid, denied or changed flows back into the next admission.
Three paths from admissionsAuthorizations and reviews, MDS, and agreements each start from what admissions captured.
Contracts everywhereOne library shapes authorizations, reviews, coverage checks, MDS and billing.
Coverage never goes stalePlan changes after admission reach case management and billing automatically.
A closed loopBilling outcomes teach admissions which referrals and payers pay off. Billing is coming soon.
Admissions

A complete admissions system. Not a referral inbox.

Intake, clinical review, verification of benefits, network status and bed placement all live on the referral — so the answer you give the hospital is a real yes.

01

Every referral, one queue

Hospital EHRs, referral platforms, eFax and messages land in the same list — with clinical fit and coverage already attached, so you know which to answer first.

PatientHospital · sourceClinical fitCoverage
R. Morales, 78Riverside · Hospital EHRSupportedIn network
D. Walsh, 84St. Anne · Referral platformDialysisOut of network
L. Brooks, 69Lakeview · eFaxSupportedAuth required
H. Tran, 91County · Hospital EHRSupportedMedicare A
P. Okafor, 73Northgate · Referral platformReadingChecking
02

Clinical AI that shows its work

The whole packet is read, and every flagged need links to the page it came from. Nurses verify in seconds instead of searching for minutes.

Discharge summary · page 37 of 214

78-year-old admitted with sepsis secondary to osteomyelitis of the left foot, now stable for discharge. Plan: vancomycin 1.25 g IV every 12 hours for 14 days via right upper-arm PICC. Sacral pressure injury, stage 3, managed with negative-pressure wound therapy.

Needs IV-capable unitp. 37
Wound VAC on admissionp. 112
03

Full verification of benefits

Medicare, Medicare Advantage, Medicaid and commercial — days used, authorization requirements and secondary coverage you didn't know about.

Verification of benefits2:16 PM
PrimaryMedicare Advantage HMOActive
Skilled days0 of 100 usedAvailable
Prior authBefore admissionRequired
SecondaryMedicaid · discoveredActive
04

In network or out, from your contracts

Network status and the terms that matter come straight from your contract library — not an email to the business office.

2026 Medicare Advantage agreementContract library
In network
AuthorizationRequired before admissionp. 9
Carve-outsWound VAC billed outside per diemp. 14
ReviewsConcurrent, every 7 daysp. 11
05

Bed management with clinical flags

A live bedboard for every building, with isolation, infection and equipment flags on each bed — MRSA, C. diff, COVID-19, flu, oxygen, wound VAC — so every patient is matched to a bed that is safe for them and for everyone around them.

East 2 · bedboard16 beds · 4 open · 4 blocked
IsolationEquipmentCapabilityOpen bed
201A · M.P.B · L.S.
202A · D.W.B · BlockedMRSA · contact
203A · J.K.B · OpenC. diff · contact
204A · OpenB · H.T.IV-capable
205A · OpenB · OpenFemale room
206A · C.B.B · BlockedFlu · droplet
207A · G.A.B · P.O.Wound VAC
208A · S.V.B · BlockedCOVID-19 · isolation
R. Morales · IV therapy, wound VAC, no isolationBest match: 204A
Before and after

Six portals, a fax line and a payer on hold. Or one place to work.

Without MedFloWith MedFlo
Logging into every portal and the eFax inboxEvery referral in one queue
Reading 200 pages to find the IV orderNeeds flagged with the source page
On hold with the payer to check benefitsFull VOB the moment it arrives
"Are we in network?" emails to financeNetwork status from your contracts
Walking the floor to find a safe bedA bedboard with isolation flags on every bed
Finding out about a plan change at billingPayer changes caught the day they happen
MedFlo AI

A sidekick when you want one. An agent when you don't.

The same AI works every step of the journey. Ask it anything about a patient — or let it submit, call and re-verify on its own, and review what it did.

SidekickSuggests · you decide
Can we take R. Morales on East 2?
Yes. IV vancomycin and the wound VAC are both supported, and bed 204A is clear of isolation. The plan needs authorization before admission, and your contract bills the wound VAC separately p. 14.
Draft the pre-auth →Reply to the hospital →
AgentDoes the work · you review
2:31 PMSubmitted pre-authorizationDone
Day 2Called payer · approved through Sep 28Done
Day 5Drafted concurrent reviewFor review
Day 6Pre-filled 14 MDS itemsFor review
NightlyRe-checked coverage · no changesDone
Contracts

Your contracts, open to everyone who needs them

Search every payer agreement by plan, level of care or carve-out. Admissions, case managers, MDS coordinators and finance see the same terms — and MedFlo applies them to authorizations, case management, MDS, coverage checks and, soon, billing.

Explore contracts →
wound vac
2026 Medicare Advantage agreementp. 14
"Negative-pressure wound VAC supplies are reimbursed outside the per-diem rate…"
Commercial PPO agreementp. 22
"Prior authorization required for wound VAC beyond 14 days…"
Applied to 3 open referrals
MDS · 5-day assessment14 items for review
GG0130AEating · partial/moderate assistanceOT note, day 2Pre-filled
GG0170BSit to lying · substantial assistancePT evaluation, day 1Pre-filled
I8000Osteomyelitis, left footHistory & physical, p. 3Confirmed
MDS & clinical reimbursement

MDS that fills itself in

Straight from admissions, MedFlo reads the clinical record and pre-fills MDS items with the evidence attached. Coordinators review instead of hunting — and the care you deliver is the care you're paid for.

Explore MDS →
Payer change detection

Know the day coverage changes

Ongoing checks re-verify every resident's coverage and flag plan switches, lost eligibility and new managed-care enrollment — before the claim finds it for you.

Explore payer change detection →
Coverage changes this weekAll buildings
J. Keller · Original Medicare → Medicare AdvantageEffective Oct 1 · authorization now required
T. Nguyen · Medicaid eligibility endedEnded Sep 30 · renewal paperwork needed
H. Tran · secondary coverage foundMedicaid added as secondary
Also in MedFlo
Census reportingLive census, payer mix and daily changes across every building.
AI payer callsThe agent waits on hold and writes the answer back to the referral.
Referral analyticsResponse times, conversion by hospital and denial reasons.
Hospital CRMLiaison activity and relationships with every referral source.
Integrations

Works with the EHR and referral systems you already run.

Referrals flow in from hospital systems, admissions flow out to your EHR, and nobody types anything twice.

EHR systemsAdmissions, census and documents stay in sync with your EHR.
Referral platformsHospital referrals arrive in MedFlo automatically, with replies sent back.
eFaxFaxed packets become referrals, ready for review.
Payer portalsEligibility, authorizations and status checks, without logging in.

Start with admissions.
Grow into the whole journey.