MDS consulting for skilled nursing facilities.
Trusted by 30+ facilities nationwide.
You're Losing Money You've Already Earned
Your care is exceptional. Your documentation?
That's costing you.
Here's what changes everything: The right MDS expertise generates ROI within the first month.
Who We Are
MDS specialists who build capability, not dependency.
Care Lumina Health started with one mission: provide MDS consulting for skilled nursing facilities that closes the education gap and builds sustainable success from within.
We don't create dependency: we make you better without us.
How We Help
Capture revenue you're missing.
Defend what you've earned.
Empower teams with the tools for continued success.
MDS Training & Development
Transform your team from box-checkers to confident revenue generators who understand what their documentation actually means.
Perfect for: New coordinators, staff transitions, capability building
MDS Audit Preparation & Defense
Build defensible documentation that withstands scrutiny. Prepare proactively, appeal confidently, and keep what you’ve rightfully earned.
Perfect for: Upcoming audits, ADR responses, risk mitigation
PDPM Revenue Optimization
Discover the tens of thousands you're leaving on the table each month through admission reviews, respiratory therapy capture, and case mix index optimization. Revenue you're already earning through care.
Perfect for: Facilities ready to maximize legitimate reimbursement
Licensed Master Social Worker (LMSW) Support
Expert LMSW support for cognitive and mood assessments (BIMS, PHQ-9), PASRR and Level II reviews, strategic care planning oversight, and complex resident and regulatory challenges. On-demand consultation when you need specialized guidance.
Perfect for: Facilities needing specialized social work expertise and defensible documentation
Assessment & Documentation Review
Post-acquisition assessments, 5-day audits, new admission reviews, and care plan assistance. Accuracy and optimization at every critical juncture.
Perfect for: New acquisitions, quality assurance, care plan support
Why Care Lumina Health?
Personal attention. Professional results.
Tailored to Your Reality
Your facility faces unique challenges based on resident population, PDPM, state Medicaid rules, evolving audit standards, and team experience. Cookie-cutter advice fails. We customize every recommendation to your actual charts and circumstances.
Consultants who collaborate, not just advise.
Education-First Philosophy
We teach the "why" behind every decision. Understanding builds confidence. Confidence builds capability.
Capability means you succeed—with or without us.
Your independence is our success metric.
Human Expertise Over Automation
AI supports efficiency—but expertise drives results. Our tailored services help your team navigate reimbursement, QMs, QRP, VBP, ADRs, and survey readiness. Our customized support accounts for ever-changing variables.
Stronger clinical records supported by stronger teams.
Getting Started With Care Lumina Health
From first call to sustained success, our collaborative process is tailored to your facility and needs.
1
Free Consultation Call
Share your facility's challenges, team structure, and goals. We listen first, talk second.
2
Customized Strategy
We create a plan specific to your needs, whether that's immediate audit support, long-term training, or something in between.
3
Collaborative Implementation
We work with your team to strengthen documentation practices and build knowledge.
4
Measurable Results
Track revenue improvements, team confidence, and audit readiness. Adjust as you grow.
5
Ongoing Partnership (Your Choice)
Some clients need us for short-term projects. Others want ongoing support. We flex to your needs.
Let's Discuss Your Specific Situation
Confidential • No obligation • 30 minutes
Questions We Hear Often
The Minimum Data Set (MDS) is a federally mandated assessment tool used in skilled nursing facilities to determine Medicare and Medicaid reimbursement under PDPM. Proper MDS documentation directly impacts your facility's revenue. Errors or incomplete assessments mean lost reimbursement for care you're already providing.
Yes. We review clinical records for new admissions and provide detailed findings to your team within 1–3 business days. Our review includes ICD-10 code recommendations, guidance on how to clinically support each code, and identification of the exact source documentation within the medical record. This helps ensure accurate capture, compliant coding, and proper reimbursement from the start of the stay.
We focus on building your team's long-term capability, not creating ongoing dependency. Plus, we bring specialized LMSW support and deep regional audit knowledge that most consultants don't offer. Every recommendation is customized to your specific facility and documentation.
Absolutely. We can train your existing staff to bridge the knowledge gap, provide temporary support during transitions, or work with you to develop internal talent. Most facilities find the revenue increase from better documentation covers the investment—often within 60–90 days.
QRP is a CMS program implemented because of the IMPACT Act that requires SNFs to accurately collect and submit specific quality data through the MDS. Unlike performance-based programs, QRP is about compliance and completeness- with 2% of reimbursement at risk if less than 90% of the MDS assessments are not 100% completed. This means no dashes. Learn more in this CMS quick reference guide.
VBP is a CMS payment program that directly ties 2% of your Medicare reimbursement to performance. VBP doesn’t operate alone. It intersects with QMs, QRP, survey outcomes, and ADRs—meaning weak processes can create financial and regulatory exposure across multiple programs. For more details, review the CMS factsheet.
We provide MDS consulting for skilled nursing facilities nationwide and understand PDPM as well as state-specific Medicaid methodologies. Support is available in all states. Whether you're in a CMI state or non-CMI state, we bring relevant expertise.
It depends on your needs. Some facilities need short-term project support (audit defense, post-acquisition review). Others want ongoing training and optimization. We customize the timeline to what makes sense for you.
Once the contract is signed and EHR access is granted, services begin within 1-2 business days.
Engagements are strategically designed around your organization’s needs and evolve with your operation.
Schedule Your Free Consultation
Ready to turn your documentation into defensible revenue?
Whether you're facing an audit, need team training, or want to maximize reimbursement, let's talk about your specific situation.
No pressure. Just a genuine conversation about what’s possible.
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All consultations are confidential and completely free. We're here to help you succeed.