Does the documentation support the result?
Locate the relevant source and compare it with the proposed MDS response. A code without a clear supporting statement needs investigation.
LITERAL EVIDENCE / DETERMINISTIC RULE CONTEXT / HUMAN CONTROL
SNF pre-bill review.
Support before submission.
Bring the documentation behind MDS/PDPM coding into the review before a claim moves forward. ChartTrace keeps source evidence, rule context and human decisions connected.
WITHIN YOUR TRIPLE-CHECK PROCESS
A clearer evidence review.
Within a broader handoff.
SNF triple check brings clinical, MDS and billing teams together. A coding question can stall that handoff when the result is visible but its support is scattered across documentation.
ChartTrace’s role is the evidence-and-rule review layer. It helps a reviewer inspect support for a proposed determination; it does not replace every component of your facility’s triple-check process.
FACILITY PROCESS
Prepare the review
Bring together the assessment, source documentation and billing questions through your established systems.
CHARTTRACE REVIEW SCOPE
Source → evidence → rule
Inspect the supporting statement.
Review the applicable logic.
Surface missing or conflicting context.
FACILITY PROCESS
Complete triple check
Resolve open items, complete remaining clinical and billing checks, and release claims through your existing workflow.
Questions to resolve
before billing.
Use these as review prompts, not as a claim that every item is automatically checked by ChartTrace.
Is a HIPPS mismatch an input or a version problem?
When assessment and billing outputs differ, identify the assessment, inputs and applicable classification version used by each system. Do not change a result simply to make two fields match.
Who owns unresolved support?
Assign the question to the appropriate reviewer. Keep missing information and contradictory notes visible until the facility resolves them.
What remains with
your broader process.
Eligibility, benefit days, coverage, certifications, authorizations, payer requirements, claim submission and payment follow-up still require your established systems and responsible teams. ChartTrace is not a clearinghouse or a full billing replacement.
For SNF billing compliance and automated billing-audit evaluations, define the exact checks you need and verify which are supported. No review tool can guarantee claim acceptance or reimbursement.
CMS describes the relationship between assessment data and SNF payment in its SNF Billing Reference. Documentation and coverage requirements extend beyond a coding comparison; see CMS SNF services guidance.
PUT THE REVIEW IN CONTEXT
Make the handoff
easier to inspect.
Discuss where evidence-backed MDS/PDPM review fits into your current pre-bill process.