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The Safety Line for Clinical Documentation

Every Note, Anchored.

Belay automatically turns clinician voice into audit-ready notes.

40+ role-based templates CMS-compliant from the first word Every discipline. Every shift.
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Belay On Belay

Select Patient

Room 112 — J. Martinez
Room 118 — D. Patel
Room 124 — R. Thompson

Note Type

RN Skilled Nursing Progress Note
Set and Secure
Tension Needed

The documentation burden in skilled nursing

17.2%

of skilled nursing claims result in improper payments

CMS Improper Payment Data, 2024

75.5%

of audit failures trace back to insufficient documentation

CMS MLN SNF Compliance Tips

40%

of clinical time spent on paperwork, not patients

NIH / PubMed Central, 2020

The Challenge

Your clinicians are climbing without a safety line

SNF clinical staff juggle direct patient care with documentation demands that grow every year. When notes are rushed, incomplete, or structurally non-compliant, the consequences cascade: denied claims, failed audits, MDS inaccuracies, and lost revenue. The problem isn't your people — it's the tools they've been given.

Compliance Review
PT Daily Treatment Note — Margaret Johnson
Room 204 · Medicare A · Day 3
Set and Secure
Skilled Necessity Functional Detail Section GG Goal Progress

Patient participated in PT 45 min. Skilled PT required for post-surgical gait retraining and fall risk management.

Ambulated 75 ft × 2 with FWW, min A. Progressing toward goal: 150 ft × 2 by DC.

Signed · David Mercer, PT · 2:14 PM
Tension Needed
Skilled Necessity Functional Detail Section GG Goal Progress

Patient participated in PT 45 min. Worked on gait training and balance.

Patient did well overall. Will continue with treatment.

Goal Progress
Note doesn't reference measurable progress toward goals. Add distance, assist level, or comparison to prior session.
Unsigned draft

Defensible at Review

Stop fixing notes after the fact. Get them right the first time.

Every Belay note is evaluated against CMS compliance criteria in real time — skilled necessity language, functional specificity, goal-oriented framing. "Set and Secure" and "Tension Needed" indicators show staff exactly where each note stands before it ever reaches the chart.

  • Real-time compliance scoring on every generated note
  • Skilled necessity and functional specificity checks built in
  • Audit-defensible documentation from the point of care forward
See how compliance scoring works
Belay · Start a Note

Who is documenting?

Belay adapts the note template and compliance checks to your role.

MJ
Margaret Johnson
Room 204 · Medicare A · Day 3
PT
Physical Therapist
Functional progress, gait, skilled intervention
PT Daily Treatment Note
RN
Registered Nurse
Clinical status, IV therapy, wound care
Skilled Nursing Progress Note
CNA
Certified Nursing Assistant
Assist levels, ADL performance, observations
ADL Flow Sheet
MDS
MDS Coordinator
Section-by-section review, PDPM classification
5-Day Assessment
Templates auto-populate with resident data, diagnosis codes, and prior session context.

40+ Templates

One platform your whole clinical team will actually use.

Belay speaks every discipline's language. CNAs document ADL assistance levels. Therapists capture functional progress and treatment outcomes. Nurses record skilled interventions. Each role sees only the templates built for how they actually describe care — not how an EMR thinks they should.

  • Voice-first input — speak naturally, receive structured clinical notes
  • Role-specific templates for CNA, LPN, RN, PT, OT, SLP, and more
  • Audit-ready documentation at the point of care — in under 90 seconds
Explore role-based templates
Belay
MDS Coordinator
Jennifer Williams
Resolute SNF · March 2026
2 Complete
2 In Progress
1 Not Started
Active Assessments — 5 residents
All Due This Week Incomplete
MJ
Margaret Johnson
Rm 204 · 5-Day MDS · Medicare A
ARD 2/28
Lock 3/3
Completion 92%
GG C N
In Progress
RC
Robert Chen
Rm 108 · 14-Day MDS · Medicare A
ARD 3/4
Lock 3/9
Completion 100%
All sections complete
Complete
DW
Dorothy Williams
Rm 215 · Quarterly · Medicaid
ARD 3/10
Lock 3/15
Completion 41%
J M
Not Started
JP
James Porter
Rm 301 · 5-Day MDS · Medicare A
ARD 3/6
Lock 3/11
Completion 78%
GG O
In Progress
HK
Helen Kowalski
Rm 118 · Discharge · Medicare A
ARD 3/3
Lock 3/5
Completion 100%
All sections complete
Complete

MDS Integrity

Give your MDS Coordinator documentation they can actually trust.

MDS accuracy is entirely downstream of documentation quality. Belay ensures the notes feeding your assessments are complete, structurally specific, and consistent — across every discipline, every shift. The MDS Coordinator view aggregates documentation status so gaps surface before they become costly.

  • Cross-discipline documentation aggregated into MDS-relevant workflows
  • Real-time visibility into which sections are complete, pending, or conflicted
  • Improve RUG/PDPM classification accuracy at the source — the clinical note
Discover the MDS Coordinator view

Incomplete notes don't just fail audits.
They cost you millions.

Documentation gaps create a chain reaction across your facility's financial performance.

Denied Claims

Insufficient skilled-necessity language is the leading reason SNF claims are denied on Medicare RAC and TPE audits — and the hardest to appeal retroactively.

MDS Misclassification

When frontline notes lack functional specificity, RUG/PDPM acuity scores understate clinical complexity. Revenue follows acuity. Incomplete notes mean lower payments.

Audit Exposure

Without audit-defensible documentation at the point of care, every retrospective review — whether RAC, TPE, or state survey — becomes a material financial risk event.

The Workflow

From voice to anchored note. Every time.

01

Select Patient

Choose from your active census. Belay knows their name, room, and care context.

02

Record by Voice

Describe the care you just provided in your own words. No templates to fill in manually.

03

Answer Clarifiers

Belay checks the tension — asking 1–3 targeted clarifying questions to close clinical and compliance gaps before the note is anchored.

04

Anchor & Copy

A structured, billing-ready note — ready for your EMR. PointClickCare, MatrixCare, any system.

Ready to put your team on belay?

See how Belay transforms frontline voice into audit-ready clinical notes — and what that means for your facility's reimbursement and survey outcomes.

Request a Demo