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For Skilled Nursing Facilities

Win the referrals. Keep the quality edge.

Hospitals and ACOs are narrowing their post-acute networks around SNFs with the best readmission and functional-recovery metrics. Puzzle gives you the clinical horsepower to earn those referrals — without adding staff or changing your billing.

A physical therapist supports an older patient walking with a rollator in a bright SNF therapy gym
The math

Referrals follow outcomes. Outcomes follow support.

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New hires required

Puzzle physiatry providers work inside your building, backed by a care coordination team. Your staff keeps doing what they do — with real clinical support behind them.

Independent billing

Puzzle physiatry providers bill their own clinical services separately, like any consulting physician group. You don't invoice for the program.

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Care plan across the transition

Hospital, SNF, and Puzzle work off a shared plan — no more chasing hospitalists for peer-to-peer calls.

What deploys into your building

A physiatry team, a care coordination team, and the data to prove it worked.

A physiatrist at a SNF nursing station reviewing patient records
Onsite Physiatry

Physical medicine coverage on your floor.

Puzzle physiatrists work alongside your medical director, therapy team, and DON. They handle complex medical management, pain, DME orders, and Medicare meeting participation — reducing the load on your existing team.

  • Onsite physical medicine and rehabilitation coverage
  • Comprehensive pain and complex-medical management
  • PDPM/MDS documentation accuracy support
  • Active participation in your interdisciplinary rounds
Interdisciplinary care team meeting around a table
Care Coordination

Managed-care paperwork — off your desk.

Puzzle care coordinators own the ugly work: authorizations, peer-to-peer calls with health plans, family updates, and post-discharge outreach. Your staff focuses on care.

  • Managed-care peer-to-peer and authorization support
  • Disease-specific care coordination from admission through 90 days home
  • HIPAA-secure messaging with the discharging hospital
  • Escalation triage for changes in condition
Case in point

Allure Healthcare expanded Puzzle physiatry to all 15 of their buildings.

Started as an OSF-referred program. Extended chain-wide because the referrals followed the outcomes — and the SNFs paid nothing for it.

See the outcomes

Bring a Puzzle team into your building.

45 minutes with your administrator and DON. We'll walk through what deployment looks like end-to-end — including the referral conversation with your local hospital.