SNF, LTC and LTPAC providers

The record follows the resident. The revenue follows the record.

Curatio is one EHR, one EMR and one revenue cycle. Clinical documentation, ADT and census, MDS and case mix, eMAR and billing, across every facility you run.

A nurse standing beside a resident sitting up in bed in a care facility room

Bed board, 2 East

Live

Occ

96%

In house

22

Holds

1

Room 214 transferred. Census, face sheet and room charge updated.

Recovery time objective
1 hr
Recovery point objective
4 hr
Concurrent users
100+
Capability areas
94

LTPAC, not acute care

Long stays. Readmissions. Case mix. Trust accounts.

An acute care EHR models an episode. A long-term care EHR has to model years: OBRA assessment cycles, PDPM and state RUG reimbursement, bed holds, leave of absence and personal needs accounts.

A caregiver leaning over to help a resident lying in bed

At the bedside

Chart at the point of care, on any device

Care staff taking a blood pressure reading for a resident seated in a wheelchair

Assessment

MDS and case mix feed reimbursement directly

A younger person holding the hand of an older resident

Years, not episodes

History follows the resident across every stay

One resident record

One EHR record. Enter it once, it lands everywhere.

An ICD-10-CM diagnosis, finance class change or bedside weight updates every dependent module in real time, stamped to a user.

ResidentrecordENTER ONCEFace sheetCare planMDS assessmentMedication reviewClaim and billingCensus recordTrust accountInfection controlDocumentsReporting

Referral to discharge

Referral, pre-admission and full ADT in one workflow.

READMISSION REUSES PRIOR HISTORY 01 Referral intake Hospital sends clinical, payor and documents 02 Pre-admission Waiting list, estimates, pre-assessments 03 Admission Face sheet, resident number, notifications 04 Stay and leave Transfers, bed holds, payor changes 05 Discharge Destination, final billing, trust account closure RESIDENT LIFECYCLE, ADMISSION DISCHARGE TRANSFER (ADT)

Point of care

Chart anywhere: desktop, tablet or point of care.

Point of care (POC) charting, eMAR, eTAR and CPOE on the same record, with the same permissions, on every screen in the building.

BCMA barcode medication administration

iOS, Android and touch terminals

Configurable clinical templates

Real time IDT and multi discipline updates

A care worker placing a pulse oximeter on a resident's finger at a table by a window
Nursing station
Progress notes14 today
Open assessments2 sections
Active orders8
Care plans3 open

Med pass, 2 East

Resident scanned
Medication verified
1 dose held, vitals pending

Documented at the cart, not at the station

Record integrity

A note is evidence, so it locks.

Signed Author may correct in place Window closes Note is locked to every user Addendum Original text kept exactly as signed CLINICAL NOTE LIFECYCLE
Author stampedDiscipline stampedVersion historyClinical spell checkOBRA and PPS schedulesCAAs and legacy RAPsPDPM and RUG-IVCMI reporting

MDS 3.0, RAI and case mix

One MDS, every discipline.

67% COMPLETE

    Validation blocks iQIES submission until open sections and inconsistent fields are cleared.

    Census, bed holds and leave

    Census is the spine of the building and the start of the bill.

    Every ADT event, LOA, bed hold and finance class change posts to clinical, billing, AR and trust accounting, and stays correctable.

    Facility board, 4 units

    168 beds
    Occupied 154 On leave 6 Bed hold 3 Vacant 5

    Occupancy

    92%

    Admissions

    3

    Discharges

    2

    Transfers

    4

    Occupied beds by finance class

    154 BEDS
    • Medicaid71
    • Medicare38
    • Private pay26
    • Third party19
    Hospital leaveTherapeutic leaveBed holdsReservationsPrior period correction14 census reports

    Revenue cycle

    Full RCM: clinical to census to billing to AR to remittance.

    DENIAL, CORRECTION AND REBILL RETURN TO THE SAME ACCOUNT 01 CLINICAL Assessment MDS, case mix, therapy minutes 02 CENSUS Room charge Status, level of care, finance class 03 BILLING Claim Preview, correct, approve, submit 04 RECEIVABLE Aging Posting, balances, collections 05 REMITTANCE Auto posting X12 835 matched to the source account

    Payors billed

    Medicare

    Part A and B, PPS, consolidated billing, UB-04

    Medicaid

    Per state plan, RUG rates, retro eligibility

    Private pay

    Prepayment, statements, PNA offsets

    Third party

    MA plans, COB, primary to tertiary

    Electronic transactions

    270/271

    Eligibility

    837

    Claims

    835

    Remittance

    276/277

    Claim status

    HIPAA X12 5010 transaction sets. EDI companion guides and clearing house routing configured per payor.

    Aged receivable

    Trust and PNA

    Interest and 1099 reporting

    Collections

    Notes on the account

    Daily operations

    Everything the building runs on, on the same record.

    Pharmacy and eMAR

    POS orders, eMAR, eTAR, DUR interaction alerts

    Infection control

    IPCP surveillance, cultures, antibiotic stewardship

    Therapy

    Worksheets, scheduling, discharge planning

    Appointments

    Transport, escort staff, cost tracking

    Activities

    Interests, calendars, attendance

    Staff and licences

    CNA, LPN, RN credentials, in service hours, PBJ ready

    An older man sorting tablets into a daily pill organiser at a table

    Medication and treatment records

    A care worker bringing a hot drink to a resident sitting up in bed

    Dining, activities and daily living

    Security, privacy and audit

    Who did what, to which record, and when.

    TLS 1.2+, ENCRYPTION AT REST AND IN TRANSIT SSO, MFA, SESSION TIMEOUT, LOCKOUT ROLE BASED ACCESS CONTROL FIELD LEVEL PERMISSIONS Protected health information

    Audit stream

    Tamper resistant
    HIPAA and HITECH alignedPHI and PII controlsFedRAMP Moderate baselineNIST SP 800-53 aligned ISO 27001 type controlsSOC 2 aligned practicesPenetration testedWCAG 2.1 AA targeted

    Certification status and any authority to operate are confirmed in writing per deployment during procurement.

    Deployment and availability

    Hosted the way your security office needs it.

    United States hosted, redundant across application, storage, messaging and integration services.

    SHARED PLATFORM

    SaaS

    Fully managed, fastest to stand up

    ISOLATED TENANCY

    Government cloud

    Private region where policy requires

    CLOUD + ON PREM

    Hybrid

    Selected components retained locally

    YOUR DATA CENTRE

    Customer hosted

    Deployed into your environment

    Environment promotion

    Development UAT Training Production Nothing reaches production without lower environment testing and your sign off in UAT.

    Recovery targets

    1 hr

    Recovery
    time

    4 hr

    Recovery
    point

    Contracted per deployment and tested. Clinical Continuity Mode covers the window in between.

    Implementation and migration

    Your history comes with you.

    Demographics, clinical records, census, billing, receivables, insurance and documents, validated and reconciled after every load.

    Close up of two older residents' hands resting together
    PHASE 01Discovery and designRequirements validation, architecture, interface design, data mappingPHASE 02Build and convertConfiguration, integrations, environments, historical data conversionPHASE 03Test, train and acceptSystem testing, UAT sign off, role based training on your own dataPHASE 04Go live and hypercareOn site and remote support through the first billing cycle, then support

    Terminology coverage

    Speaks the language on your requirement list.

    The terms your clinical, business office, IT and procurement teams each use, and where each one lives in the platform.

    Clinical record

    EHR / EMR
    Electronic health and medical record for the whole stay
    ADT
    Admission, discharge and transfer
    MDS 3.0 / RAI
    Minimum Data Set and the RAI process
    CAAs / RAPs
    Care area assessments and legacy protocols
    OBRA / PPS
    Assessment schedules and Medicare cycles
    ADL / IDT
    Activities of daily living, interdisciplinary team
    POC charting
    Point of care documentation at the bedside

    Orders and pharmacy

    eMAR / eTAR
    Electronic medication and treatment administration records
    CPOE
    Computerised provider order entry
    POS
    Physician order sheet and recapitulation
    BCMA
    Barcode medication administration
    DUR
    Drug utilisation review and interaction alerts
    ICD-10-CM
    Diagnosis coding, with legacy codes retained
    IPCP
    Infection prevention and control programme

    Revenue cycle

    RCM / AR
    Revenue cycle management and accounts receivable
    PDPM / RUG-IV
    Case mix models, with CMI reporting
    UB-04 / CMS-1450
    Institutional claim form and print
    X12 837 / 835
    Claim submission and remittance advice
    270 / 271, 276 / 277
    Eligibility and claim status
    MSP / COB
    Secondary payor and coordination of benefits
    PNA / trust
    Personal needs allowance and resident trust fund

    Platform and security

    HL7 v2 / FHIR
    Interface standards for referral and clinical exchange
    C-CDA
    Structured document exchange on transfer
    SSO / SAML / MFA
    Federated sign on and multi factor authentication
    RBAC
    Role based access down to the field
    PHI / PII
    Protected health and personal information controls
    RTO / RPO
    Recovery time and recovery point objectives
    SLA / UAT
    Service levels and user acceptance testing

    Also referenced across the platform

    SNFLTCLTPACCCRCALF CMSiQIESQRPFive-StarCMI LOABed holdLOSCensusFace sheet DONMDS coordinatorCNALPNRNNP PT, OT, STPBJHIPAAHITECH NIST SP 800-53FedRAMPSOC 2ISO 27001 Section 508WCAG 2.1 AASFTPTLS 1.2+

    Standards alignment, certification status and any authority to operate are confirmed in writing for your deployment during procurement.

    Capability index

    Match it against your requirement list.

    Questions we get

    Before the demo call.

    How is this different from an acute care EHR with a long-term care module?

    The data model starts from a multi year stay, not an episode. Census drives billing, MDS drives reimbursement, and readmission reuses prior history.

    Can we keep our historical billing and clinical data?

    Yes. Historical conversion is in scope, including legacy diagnosis coding retained against the periods it applied to.

    Does it handle our state Medicaid rules?

    State rules are configured rather than coded: eligibility, retroactive eligibility, rate adjustments, bed holds, leave, rebills and special claim indicators.

    What does it cost?

    Scoped to bed count, facility count, deployment model, integrations and migration volume. Send your requirement list and we will return a scoped proposal.

    Let’s Talk About Your Product

    Get expert guidance on scope, architecture, timelines, and delivery approach so you can move forward with confidence.

    What happens next?