magicare-ai
OrganizationOpen-source Claude Code skill packs for skilled nursing facilities — PDPM, NTA capture, MDS compliance, payer contracts, prior auth, survey readiness, census analytics. By Magicare (magicare.ai).
Categories
Indexed Skills (8)
census-analysis
Turns raw SNF census data (daily/midnight census exports or hand-typed numbers) into an operational census brief: occupancy, ADC and payer mix, skilled mix, admission/discharge flow, length of stay, trends, red flags, and recommended actions. Use whenever the user mentions census, occupancy, payer mix, average daily census (ADC), skilled mix, bed management, midnight census, admissions/discharges pipeline, backfill, bed holds, or pastes or uploads a census spreadsheet. Also use for "how full are we," "are we losing Medicare days," or any request to analyze building occupancy trends.
mds-compliance-calendar
Builds and audits a skilled nursing facility's MDS assessment and regulatory reporting calendar: PPS 5-day and IPA windows, the OBRA schedule (admission, quarterly, annual, significant change), discharge assessments, PBJ quarterly submission deadlines, and how staffing data feeds Five-Star. Use whenever a user mentions MDS scheduling, ARDs, assessment windows, late or missed assessments, default rate risk, PBJ deadlines, or asks "what assessments are due" for a resident, a census list, or a date range. Also use proactively when a user shares a resident census with admission dates or a list of completed assessments and wants to know whether the facility is compliant.
survey-readiness
Prepares skilled nursing facilities for state surveys and helps respond to them: annual recertification and complaint survey basics, the F-tag system mapped by care area, the scope & severity grid (A–L) and immediate jeopardy, a mock-survey walkthrough checklist, and Plan of Correction drafting with all CMS-required elements. Use whenever a user mentions a survey, surveyors in the building, the survey window, a CMS-2567, F-tags, deficiencies, scope and severity, immediate jeopardy, a Plan of Correction/POC, or mock survey prep. Also use proactively when a user describes a citation they received or says their facility is "due for survey."
medicare-snf-eligibility
Reason through skilled nursing facility (SNF) coverage before or at admission: Medicare Part A benefit-period math, the 3-day qualifying stay, Medicare Advantage authorization, Medicaid and Medicaid-pending risk, and payer coordination. Use whenever the user mentions eligibility, benefit days, qualifying stay, 3-day stay, observation vs inpatient, 30-day transfer rule, benefit period, coinsurance days, 100 days, Medicaid pending, share of cost, patient liability, prior authorization for a SNF admission, or coverage verification for a referral or admission. Produces a structured eligibility worksheet with a coverage determination, benefit-days math, risks, and open items to verify.
nta-score-capture
Maximizes legitimate PDPM NTA (Non-Therapy Ancillary) comorbidity capture by parsing hospital referral/discharge documentation for the ~50 CMS-published NTA conditions and services, producing an evidence-backed capture worksheet with point totals, tier, and a documentation-request list. Also audits a completed MDS against the packet to find missed points. Use whenever the user mentions NTA, non-therapy ancillary, comorbidity capture, missed NTA points, PDPM component scoring, or MDS Section I/O/K/M coding for reimbursement — or asks to review a hospital packet, H&P, med list, or discharge summary for conditions that affect SNF payment.
pdpm-estimate
Estimate the Medicare Fee-for-Service PDPM per-diem rate and total stay revenue for a SNF admission from referral documentation (hospital packet, discharge summary, therapy notes, med list). Classifies all six PDPM components (PT, OT, SLP, Nursing, NTA, non-case-mix), applies the variable per-diem schedule, and produces a worksheet plus a length-of-stay revenue curve. Use whenever the user mentions PDPM, per-diem, case-mix groups (CMGs), HIPPS codes, Section GG function scores, NTA points, or asks anything like "what will Medicare pay for this admission," "estimate reimbursement for this referral," "is this referral worth taking financially," or "what PDPM rate would this patient generate."
prior-auth-packets
Assembles Medicare Advantage / managed-care authorization work products for skilled nursing facility (SNF) stays: initial prior-auth packets with medical-necessity narratives, concurrent/continued-stay review updates, denial triage with peer-to-peer prep and appeal letter drafts, and an authorization tracking log. Use whenever the user mentions prior auth, authorization, auth request, concurrent review, continued stay, ongoing certification, denial, peer-to-peer (P2P), appeal letter, NOMNC, medical-necessity letter, InterQual/MCG criteria, auth tracker, or getting more days approved from a Medicare Advantage or managed-care plan. Also use when the user pastes a denial notice or asks what documents a plan needs to approve a SNF admission.
referral-packet-review
Screen an inbound hospital referral packet for a skilled nursing facility (SNF) and produce a structured accept/decline decision memo covering clinical fit, financial fit, red flags, and missing documents. Use whenever the user mentions a referral, hospital packet, discharge packet, admission decision, "should we take this patient", clinical or financial screening of a prospective admission, or asks to review documents sent by a hospital discharge planner or case manager. Also use when the user pastes clinical text (H&P, discharge summary, med list) and wants an admission recommendation or a list of what to request back from the hospital.
Bio shown is the top-scored skill's repo description as a fallback — real GitHub bios land in a future update.