Stellar Inc. helps skilled nursing and post-acute providers align documentation, reimbursement, and operations with the standards that govern them — so the record supports the care and the care supports the claim.
Stellar Inc. is an independent consulting practice founded in 2007, focused exclusively on the clinical, regulatory, and reimbursement realities of post-acute care. We work at the intersection where clinical documentation, PDPM classification, and compliance meet — the place where revenue integrity is either protected or quietly lost.
Our work is grounded in the national standards that actually govern the setting — the CMS RAI Manual, 42 CFR Part 483, and PDPM — not in shortcuts or generic healthcare frameworks. The result is guidance a provider can act on and defend.
We operate with a fiduciary posture: candid advice, in the client's interest, with the risks and trade-offs named plainly.
Focused capabilities across the reimbursement and operations lifecycle of a skilled nursing facility.
Ensuring the clinical picture, coding, and classification align — so payment reflects the care actually delivered and documented, and revenue isn't left on the table or exposed to recovery.
Strengthening the clinical record against the RAI Manual and 42 CFR Part 483, so documentation is complete, corroborated, and defensible when it matters.
Building the workflows, competencies, and interdisciplinary structures that keep a facility both operationally sound and survey-ready — before a deficiency is written, not after.
Translating evolving CMS requirements into practical, current guidance for clinical and administrative leadership across the post-acute enterprise.
A disciplined method that keeps recommendations grounded, current, and defensible.
Every finding is measured against the public CMS standards that govern the setting — never against opinion or generic benchmarks.
We look for where the record and the classification diverge while it can still be corrected — not after a claim has hardened.
The goal is durable capability inside the organization — competencies and workflows that hold after the engagement ends.
In post-acute care, whether a claim holds or falls can come down to a single line in the record. Toni has spent three decades reading those lines — as a nurse and as a former CMS surveyor — and she holds the same exacting standard on both sides of them: the care that is given, and the record that has to prove it.
That precision isn't academic — in documentation, detail is money. A single line, captured well or captured poorly, is the difference between what a facility earns and what it quietly loses. Practical by nature, Toni doesn't just point out the gap; she builds the system that closes it — turning close attention to the record into a method others can run.
For consulting engagements, partnership inquiries, or a confidential conversation.
Inquiries are held in confidence. Stellar Inc. does not disclose client relationships.