▬ The Telium platform · Physician-led

Bring the physician back to the bedside.

Telium Health pairs on-site nurse practitioners with remote, AI-assisted physicians — so residents in senior-care facilities are seen more often, documented to standard, and kept out of the hospital.

  • Physician services
  • AI-enabled visits
  • Evidence-based protocols
  • Care that comes to the resident

▬ The model

NP presence, physician authority, AI efficiency.

Care is delivered through a deliberate division of labor, orchestrated by one platform — more frequent, more consistent, fully documented, and dramatically more efficient.

At the bedsideThe nurse practitioner performs the hands-on visit, exam, and history — supported in real time by Telium's protocol and triage engine.
The recordAI drafts the clinical note and proposed plan to regulatory standard, before the physician ever joins.
The attestationThe physician reviews virtually, speaks with the patient, and attests — a visit that took 30 minutes now takes under five.
The protocolA nurse inputs symptoms; the engine triages, escalates NP→physician as needed, and documents every step.
A nurse practitioner examines an older man with a stethoscope at a table in a senior-care room with warm daylight.
The required physician touch in person · virtual efficiency everywhere else
A nurse practitioner kneels beside an elderly woman in an armchair, holding her hand in a warm, sunlit room.

Care that comes to the resident.

Seen more often, by the right clinician, without ever leaving the facility — and every encounter documented to standard.

▬ The platform

Documentation is the center of gravity.

Documentation isn't a feature of Telium — it's the core. Because every encounter is captured inside the platform, complete, structured, timestamped records are captured as a byproduct of care. That one capability pays off three ways.

It drives NP adoption

Because the AI does most of the charting, NPs spend less time documenting and more time with patients — so they actually want to use it.

It defends against citations

Structured, timestamped records substantiate visit frequency, care-plan development, assessment accuracy, and the QAPI trail.

It proves the outcomes

Complete data is what lets us show the reduction in transfers and readmissions — the proof that wins value-based contracts later.

AI intakeStructured intake on admission; the visit note and plan are drafted automatically for physician sign-off.
Protocol & triageEvidence-based order sets; symptom input is triaged and escalated NP→physician, documented throughout.
Virtual attestThe physician joins by video, reviews the drafted note, speaks with the patient, and attests — in minutes.
Quality & QAPIAutomated QAPI / QAA reporting (CMS F-tag aligned), generated from the record of care.

▬ Outcomes & data

The metrics that matter — tracked, and moved.

Telium is built around the numbers that determine a facility's rating, its survey results, and its value-based revenue. We don't just deliver care — we measure it and prove it improved.

~1 in 4
SNF patients readmit within 30 days — SNFRM
2%
of Medicare payment at risk on readmission · SNF VBP
What we track from day one
MetricWhy it matters
30-day readmission (SNFRM)Anchors SNF Value-Based Purchasing
Hospitalizations & ED / 1,000 daysFeed the CMS Five-Star claims-based measures
Antipsychotic / unnecessary medsA Five-Star measure and frequent survey focus
Falls, ulcers, UTIs, functionCore long-stay Quality Measures
I-SNP: admits/1,000, ED, total costTracked now; central to the later value-based phase

Combating the citations that hurt most

The most-cited survey deficiencies are heavily documentation- and protocol-driven — exactly what Telium is built to address.

CMS F-tags · how Telium helps
F-TagWhat it citesHow Telium helps
F880Infection prevention & control (~42% of facilities)Standardized infection protocols + automated QAPI surveillance
F689Accidents / falls / supervision (~26%)Protocol-driven risk assessment + documented follow-up
F656 · F641 · F684Care plans / assessment accuracy / quality of careAI-assisted care-plan completeness; notes that substantiate the MDS
F605Unnecessary psychotropic medicationsProtocol-driven medication review + gradual-dose-reduction records
F710–F712Physician services & visit timelinessTimestamped physician/NP visits that directly evidence compliance
F867 · F868QAPI / QAA programBuilt-in QAPI reporting generates the performance-improvement trail

Citation frequencies reflect recent CMS CASPER data and vary by survey type and period.

▬ For facilities & NP groups

The physician layer an NP model can’t supply on its own.

Keep your nurse-practitioner operation and billing intact. Telium's physician layer and platform sit on top — capturing revenue that goes uncaptured today and letting you serve facilities you can't fully serve now.

Requirement · NP-only group vs. with Telium
RequirementNP-only groupWith Telium
SNF initial comprehensive visit (physician-required)✗ Cannot bill✓ Telium physicians
Facility medical director (physician-required)✗ Not eligible✓ Telium physicians
NP supervision & high-acuity escalation✗ Gap✓ AI-assisted
Documentation & survey defense~ Variable✓ Telium platform
Added cost (fee-for-service facilities)✓ None — Telium bills Medicare directly
$0

No added cost in FFS facilities

Telium bills Medicare directly for its own physician services. You keep your nurse-practitioner operation and your billing entirely intact.

NPs who use the platform

A free AI scribe that cuts charting time and a physician safety net one tap away — so it earns daily use, not shelfware.

Better ratings, proven

Fewer transfers, fewer citations, stronger Quality Measures — with the data to demonstrate it to surveyors and plans.

A physician at a warm home-office desk reviews a patient case on a tablet during a virtual visit.
Supervise on a flexible schedule · AI does the charting

▬ For physicians

Practice at the top of your license — on your schedule.

Telium makes physician oversight fast enough to scale. Review AI-drafted notes, attest in minutes, and supervise many NPs across many facilities without the 30-minute-per-visit grind.

Flexible telehealth supervision

Attending visits and NP supervision on a schedule that fits — acute and follow-up by telehealth, the required visits in person.

AI efficiency, protocol-guarded

The note is drafted before you join; evidence-based protocols keep quality consistent and your time on judgment, not typing.

A real pipeline

Attendings, recruited facility medical directors, and licensed moonlighting residents — a flexible, AI-guarded clinician network.

▬ The partnership story

A true win-win — starting in fee-for-service.

Our launch partner, TruHealth, is one of the country's largest nurse-practitioner-led senior-care groups. They have the facilities and the NP workforce; what they structurally lack is the physician layer. Telium supplies it — and the data to prove it works.

Step 1 · FFS

Fee-for-service pilot

Launch in TruHealth's direct-pay facilities — Telium bills Medicare directly, at no added cost.

Step 2 · Measure

Measure & prove

Track transfers, readmissions, and quality metrics from day one — baseline and improvement.

Step 3 · Scale

Scale across FFS

Roll the proven model across the fee-for-service footprint with the physician network behind it.

Step 4 · Later

Value-based / I-SNP

After a year-plus of proven results, extend into value-based / I-SNP programs together.

A note on sequencing

"No added cost" applies to the fee-for-service model, where Telium bills Medicare directly. Value-based / I-SNP work is a deliberate later phase — inside a capitated arrangement, physician services are a cost against the pool and are structured separately. We never imply the value-based work is free or immediate.

▬ Next steps

Let’s complete the model — together.

See the platform in a working demonstration, or talk through a fee-for-service pilot for your facilities and NP teams.