Pivotal Consulting Services LLC

We are PDPM specialists who increase skilled nursing facility's Medicare reimbursement and compliance through clinical documentation review, consultation and support.

Chief Executive Officer

MDS Excellence | Maximizing Reimbursement and Compliance | CEO at Pivotal Consulting Services LLC

As a Nursing Home Owner, Operator, or Administrator, you know that having a well run MDS Department is crucial to the clinical and financial success of your facilities.

But Knowing where you are leaving reimbursement on the table?

How your MDS Department actually operates?

How the MDS Coding impacts your compliance and 5 Star Ratings?

.....Often, not so much.

That's where we come in.

At Pivotal Consulting Services, we are MDS Experts whose focus is exclusively on maximizing your facility's Reimbursement, Compliance, and Resident Care through MDS expertise, focused education & training, and hands on guidance to your in house clinical team.

Our team of experienced consultants, with hundreds of years of cumulative experience, have helped dozens of facilities:

*Increase their MCR and MCD Reimbursement
*Raise their 5 Star and Quality Measures Scores
*Create Systems and Processes to streamline their MDS Department

And, we would love to do the same for you.

We also offer a free Reimbursement Analysis (did I mention its free😊) to demonstrate how we can impact your facilities.

Want to discuss how we can assist your company hit (and surpass!) your MDS Goals?

Lets talk.
ekohn@pivconsult.com

PreciseMDS will be at CAHF!

Aaron Victor, LNHA and myself are looking forward to seeing you!

Looking forward to meeting old friends and making some new ones.

And if you would like to hear about how our cutting edge MDS Completion software, can help your facilities make your MDS team more efficient, capture more reimbursement, and have better accuracy and compliance - you know where to find us😉



California Association of Health Facilities
PreciseMDS
#MDSsoftware

Eli Kohn

PreciseMDS

AI for MDS: Maximize Reimbursement, Improve Accuracy , Save Time

California Association of Health Facilities

Aaron Victor

“Take it out of my paycheck — I want it!”




That’s a word for word quote of what one regional MDS said after seeing a live demo of PreciseMDS this week.

Sure, Nursing Home owners and operators are excited — because it boosts reimbursement and MDS team efficiency.

But what’s equally thrilling is how regional MDSs and VPs of Clinical are reacting.

They’re seeing how PreciseMDS:

✅ Brings the most relevant documentation to their fingertips — instantly
✅ Helps MDS nurses code with accuracy and speed
✅ Drives better compliance and gives them full oversight of their MDS Department

It’s not just a better software experience — it’s a smarter way to support your clinical and financial goals.

Want to see it for yourself?

 Let’s set up a demo.

When Theory Meets the Real World 🚗🔥

In the early 1970s, Ford launched the Pinto—a sleek, affordable compact car designed entirely by engineers focused on speed to market.

But they missed one critical detail.

The fuel tank was placed dangerously close to the rear bumper. In low-speed rear-end crashes, the car could explode into flames. Why?

 Because no one involved had real-world experience fixing cars or designing for day-to-day safety.

The Pinto became a cautionary tale of what happens when something is built with theory—but not with experience.

That’s why we built PreciseMDS differently.

Yes, our developers are top-tier. But the people who designed the clinical brain behind the software?

🩺 MDS Coordinators
 🩺 Regional MDS Nurses
 🩺 VPs of Clinical Services

People who have fought through Section GG confusion, flagged reimbursement risks, cleaned up triple-check chaos, and educated new hires after survey tags.

They’ve lived MDS. And that’s the difference.

For MDS Nurses. By MDS Nurses.

Want to see what MDS software looks like when it's designed from the trenches?

Let’s set up a demo.

“Wait… does it really analyze every piece of documentation in the EHR?”

That was the (understandably skeptical) question from a Regional MDS during a recent Precise MDS demo.

We get it.

A lot of software claims to streamline the MDS process — but falls short when it comes to actually pulling relevant, clinical-grade detail from across the EHR.

So we kept showing her…

✅ Progress notes? Yup.
✅ Hospital documentation packet? Yes.
✅ Miscellaneous tab? You bet.
✅ UDA’s, consults, nursing documentation? All of it.

PreciseMDS was built to do exactly what MDS nurses need:

 Pull the right info, from the right places, in real time — so nothing gets missed.

PreciseMDS doesn’t guess. It finds.

 From anywhere in the chart.

 And gives MDS nurses the confidence to code with accuracy — faster than ever.


#PreciseMDS
#MDS
#reimbursement
#compliance

"I’ve seen so many MDS software's....none of them actually provide real value.”

That’s how the conversation started yesterday with a regional MDS nurse who visited our booth at CAHF.

She had tried plenty of tools that promised accuracy, speed, and simplicity—and she was skeptical, understandably.

She agreed to hear us out... just to be polite.

But within minutes of seeing what PreciseMDS can do—how it analyzes documentation from anywhere in the EHR, surfaces the most relevant clinical data, and delivers targeted, accurate MDS answers—her skepticism turned to disbelief… and then to excitement.

We wrapped up with her requesting a full demo post-conference.

Curious to see what impressed her so much? Give us a ring.

Or better yet - if you are at CAHF, come say hi. 

Booth 306. Looking forward to seeing you.

“This is life-changing.”




 That’s what a Regional MDS said after seeing a demo of the PreciseMDS software.

Now normally, you hear “life-changing” used for things like:
 👉 Ozempic
 👉 Winning the lottery
 👉 Your kid finally sleeping through the night

But MDS software?

Yes.

 Because when you show a regional how they can make their MDS nurses more efficient, more accurate, and capture more reimbursement, all in a intuitive and easy to use way - 

That’s a game-changer.



#mds
#reimbursement
#MDSsoftware

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