The Gap in SNF Reimbursement Leadership
Many small and midsize SNF organizations operate multiple communities without a dedicated senior reimbursement executive, leading to critical visibility gaps.
No dedicated senior reimbursement leader
Inconsistent performance between communities
PDPM/MDS management concerns
Significant revenue leakage
Denials and underpayments
Managed care authorization issues
Audit and compliance exposure
Documentation and coding concerns
Weak Triple Check processes
Lack of enterprise-wide visibility
Leadership reacting instead of preventing
Fractional Reimbursement Leadership
Precision Reimbursement functions as an ongoing executive-level resource for your organization, not just a block of consulting hours. We provide the steady hand and strategic insight needed to navigate the complexities of SNF reimbursement.
01
Ongoing Oversight
Continuous monitoring of reimbursement metrics across all communities to ensure consistency and identify performance gaps early.
02
Executive Guidance
Strategic support for ownership and leadership teams, providing the C-suite perspective on reimbursement changes and regulatory shifts.
03
Prevention Focus
Proactive risk identification and mitigation strategies designed to prevent denials and audits before they impact the bottom line.
Three Core Areas of Focus
Reimbursement Oversight
Enterprise-level view of reimbursement performance, PDPM/MDS oversight, and critical risk identification for your communities.
Revenue Integrity
Identification of revenue leakage, monitoring of denial and underpayment trends, and managed care reimbursement support.
Executive Support
Strategic guidance for owners and executives, escalation support, and interpretation of regulatory and reimbursement changes.

What the Retainer Provides
Ongoing executive reimbursement leadership tailored to your enterprise needs.
• Monthly executive reimbursement review
• Ongoing reimbursement strategy
• MDS and PDPM oversight
• Revenue integrity oversight
• Denial and payer trend review
• Managed care support
• Audit and compliance risk identification
• Revenue leakage identification
• Executive-level problem solving
• Leadership consultation
• Escalation support
• Interpretation of regulatory changes
• Accountability and follow-through
Who Precision Reimbursement Serves
We provide senior-level reimbursement advisory specifically tailored for SNF organizations navigating the gap between community-level operations and enterprise-level clinical-financial leadership.
01
SNF Owners & CEOs
Facility owners, Presidents, and CEOs overseeing multiple SNF communities.
02
CFOs & Financial Officers
Executives managing revenue cycle health and seeking to mitigate underpayment risk.
03
COOs & Clinical Leaders
Chief Operating and Clinical Officers focusing on operational efficiency and PDPM accuracy.
04
Regional Operators
Leadership teams responsible for geographic clusters without dedicated senior reimbursement support.
05
Small to Midsize SNF Groups
Organizations with 3-15 communities requiring executive-level reimbursement oversight.
06
Financial Stakeholders
Entities seeking to secure their revenue cycle against audit exposure and clinical denials.
Why Precision Reimbursement
We bring decades of senior leadership experience to your organization, providing the enterprise visibility and technical insight required for accurate reimbursement. Our focus is on prevention-based leadership that identifies risk before it impacts your bottom line.
Practical Leadership
Direct executive support that translates complex data into actionable operational steps for your facility teams.
Accurate Outcomes
Ensuring every community in your portfolio receives the proper reimbursement for the care they provide, every day.
Proactive Prevention
Identifying documentation gaps and audit vulnerabilities before they result in denials or underpayments.
Enterprise Visibility
Providing owners with a clear view of enterprise-level performance and systematic accountability at every site.
How the Relationship Works
We integrate seamlessly with your leadership team through a structured, ongoing advisory process tailored to SNF operations.
01
Assess
A comprehensive review of your clinical and financial reimbursement health to establish a baseline for enterprise improvement.
02
Oversee
Ongoing monitoring of PDPM and MDS metrics to ensure consistent leadership and operational oversight across all communities.
03
Identify
Continuous analysis to spot revenue leakage, payer trends, and audit risks before they impact your organization's bottom line.
04
Improve
Implementation of executive-level solutions and accountability measures to drive sustainable reimbursement accuracy and growth.
Supporting Advisory Services
These specialized services support, but do not replace, our core fractional executive retainer, addressing specific organizational needs.
Audit & Compliance
Comprehensive audit support, including PDPM/MDS reviews, documentation analysis, and compliance risk identification.
Revenue Integrity
Reimbursement assessments and revenue integrity audits focused on identifying and mitigating revenue leakage.
Payer Strategy
Managed care reimbursement support, denial and appeal strategy development, and payer trend analysis.
Operational Support
Process improvement, education for regional leadership, and interpretation of complex regulatory changes.

Leadership Credentials
Matt Liers, RN, BSN, RAC-CTA
Matt Liers is a seasoned skilled nursing facility reimbursement executive with a background in clinical nursing and corporate operations. His career is built on a foundation of clinical integrity and financial precision, helping organizations bridge the critical gap between MDS accuracy and sustainable revenue health.
20+ years of healthcare experience
16 years of skilled nursing / long-term care experience
11+ years in corporate leadership
7 years as Senior Director of Clinical Reimbursement
EXECUTIVE SUMMARY
Strategic Reimbursement
Access the strategic depth of a VP-level executive without the full-time overhead. Our fractional leadership model provides the clinical and financial expertise required to navigate complex reimbursement landscapes, ensuring your organization maintains a competitive edge in the skilled nursing sector.
Strategic Services
VP Leadership
Delivering fractional senior-level reimbursement expertise to optimize revenue cycles and ensure regulatory compliance.
Revenue Strategy
Developing data-driven reimbursement strategies that align clinical operations with payer requirements and market trends.
Compliance Audit
Comprehensive audits to identify revenue leakage and implement corrective measures for sustainable financial growth.

Strategic Reimbursement Leadership
We provide fractional senior-level reimbursement expertise that bridges the gap between clinical excellence and financial health. Our approach ensures your organization maintains a competitive edge through strategic leadership without the overhead of a full-time executive.

Decades of Reimbursement Insight
01
Strategic reimbursement planning for complex skilled nursing facility portfolios.
02
Direct leadership in navigating CMS policy shifts and regulatory compliance.
03
Optimizing revenue cycles through data-driven financial modeling and analysis.
04
Implementing sustainable clinical reimbursement strategies for long-term growth.
