At VirtuMedex, we understand that preventing avoidable hospital readmissions is critical for Rehabilitation Facilities and Skilled Nursing Facilities (SNFs) to maintain high CMS Star Ratings, maximize reimbursements, and improve overall patient outcomes. Our Remote Patient Monitoring (RPM), Transitional Care Management (TCM), and Chronic Care Management (CCM) services ensure that patients receive continuous oversight, timely interventions, and expert care coordination to support their recovery and reduce unnecessary hospitalizations post discharge from your facility. At the same time we provide Comprehensive Chronic Care Management (CCM) to Close Care Gaps for the patients that are currently in your facility.
Key Benefits for Rehab & Skilled Nursing Facilities:
- CMS Star Ratings are directly impacted by rehospitalization rates. A high readmission rate can negatively affect reimbursements, payer contracts, and facility reputation.
- Our proactive care management, remote patient monitoring, and virtual physician access help keep patients stable, reducing readmissions and improving your facility’s star rating and quality metrics.
Prevent Avoidable Readmissions & Hospital Transfers
- Rehospitalization within 30 days of discharge is one of the most costly setbacks for SNFs and rehab facilities. VirtuMedex provides early intervention through real-time monitoring, post-discharge follow-ups, and virtual physician oversight, significantly reducing hospital transfers and improving patient stability.
- By addressing acute changes in condition before they escalate, our services help SNFs and rehab facilities retain patients longer and ensure uninterrupted rehabilitative care.
Maximize Reimbursements & Protect Against Penalties
- Facilities with high readmission rates face lower reimbursement rates and financial penalties from Medicare and other payers.
- By partnering with VirtuMedex, facilities can demonstrate superior patient management and proactive care strategies, leading to higher reimbursement rates and continued eligibility for value-based care incentives.
Comprehensive Chronic Care Management (CCM) to Close Care Gaps
- Our physicians review patient charts regularly, identifying and addressing gaps in care that may lead to deterioration, hospitalizations, or suboptimal patient outcomes.
- Through proactive chronic disease management, our team ensures that patients receive timely medication adjustments, preventive screenings, and appropriate interventions to avoid complications and improve long-term well-being.
- Better chronic care management leads to improved patient stability, reduced emergency interventions, and enhanced quality of life for residents.
Enhance Patient Well-Being & Facility Reputation
- A facility with lower readmission rates and better clinical outcomes attracts more referrals, higher payer contracts, and greater trust from patients and families.
- With VirtuMedex’s continuous support, rehab and SNF patients receive superior care, experience fewer disruptions, and recover more effectively—leading to increased satisfaction and a stronger reputation for your facility.
Why Choose VirtuMedex?
By integrating VirtuMedex’s remote care solutions, you can:
- Reduce readmission rates and protect reimbursement levels
- Improve star ratings and quality metrics for continued success
- Close gaps in care with proactive Chronic Care Management (CCM)
- Deliver exceptional patient outcomes and drive facility growth
Let’s work together to elevate patient care, strengthen your facility’s financial health, and improve long-term success!
About Skilled Nursing Facilities/Rehabs
VirtuMedex partners with Skilled Nursing Facilities (SNFs), rehabilitation facilities, and post-acute care providers to support patients through physician-led virtual care, chronic care management, remote monitoring, transitional care, and care coordination.
Services can support eligible patients during the care continuum and following discharge back into the community.
Yes. Establishing the referral before discharge can help create a smoother transition from the facility to home.
VirtuMedex can work with the facility's discharge team to coordinate appropriate post-discharge follow-up and determine whether the patient may qualify for services such as TCM, CCM, RPM, or ongoing telehealth care.
Following discharge, VirtuMedex can help patients understand their care plan, review medications, coordinate provider appointments, address outstanding medical needs, and connect patients with appropriate home-based resources.
The goal is to provide continuity of care after rehabilitation or skilled nursing discharge.
Yes. Patients who meet applicable eligibility requirements may participate in Chronic Care Management (CCM).
CCM provides structured ongoing support for patients managing multiple chronic health conditions and can include care planning, medication support, coordination among providers, and regular patient outreach.
Yes. Eligible patients may participate in Remote Patient Monitoring after SNF or rehabilitation discharge.
Depending on the patient's diagnosis and care plan, remote monitoring can help the clinical team follow relevant health information while the patient recovers at home.
Yes. When medically appropriate, VirtuMedex can help coordinate home health nursing, physical therapy, occupational therapy, DME, diagnostic testing, pharmacy needs, specialist care, transportation resources, and other services needed to support the patient's transition home.
No. VirtuMedex can function as an extension of the existing care team.
Our goal is to improve continuity, communication, monitoring, and follow-up while coordinating with the patient's established providers whenever appropriate.
Facilities can establish a customized referral workflow based on discharge volume, patient needs, and existing care-transition processes.
Looking for a post-discharge care partner for your SNF or rehabilitation facility?
VirtuMedex extends clinical support beyond the facility and into the patient's home.
Request a Meeting0%
Reduction in Hospital Readmissions
0%
Patients show measurable improvements in at least one monitored metric
0%
Patients Adhering to their prescribed medication regimen
$0
Average Cost savings Per Avoidable Hospitalization
Contact Us!
We’d love to hear from you! Please use the form to send us any questions you have about our solutions and services. Our dedicated representatives will be in touch shortly.
