Know your exact audit exposure across your entire census

See your portfolio-wide LCD compliance risk, identify which admissions would fail an audit today, and prioritize fixes before MAC/RAC/PPEO auditors show up. Stop guessing — get your actual denial risk.

Portfolio risk dashboard
Prioritized remediation queue
Expected audit exposure ($)

Start with 10 free portfolio analyses. Then $500-2,000/mo for unlimited census monitoring.

Monthly plans include unlimited admission scoring, portfolio risk dashboard, prioritized remediation queue, and monthly trend reports. Price scales with ADC (average daily census).

Analyze your 10 highest-risk admissions free — see your exact audit exposure before you commit.

The Problem

The pain:

You don't know which of your 200 admissions would fail an audit until auditors show up — and by then it's a $2M overpayment demand

The solution:

Portfolio dashboard shows you exactly which admissions are high-risk, medium-risk, or audit-ready. Sort by LCD compliance score, see your aggregate denial risk, and know where to focus your compliance team's time.

The pain:

When MAC samples 30 random claims, you're gambling on which ones they pick — one bad draw extrapolates to your entire census

The solution:

Run audit simulations: see your expected denial rate if auditors sampled today. Fix the bottom 10% of your portfolio and your projected overpayment demand drops from $850K to $40K. Know your exact exposure before the ADR arrives.

The pain:

Your compliance team reviews charts one-by-one with no way to prioritize — you're fixing easy cases while critical gaps sit unnoticed

The solution:

Get a prioritized queue: top 20 highest-risk admissions with remediation checklists. See patterns across your census (e.g., '40% of dementia admissions missing FAST staging'). Fix systemic issues, not random spot-checks.

The pain:

You report 'we're compliant' to the board based on gut feel, not data — and can't show month-over-month improvement or justify budget for more compliance staff

The solution:

Board-ready metrics: average LCD score, high-risk admission count, trend over time, projected audit exposure. Show the CFO exactly how compliance spend reduces financial risk. Track improvement as you fix documentation patterns.

How It Works

1

See your portfolio risk in 48 hours

Upload your active admissions (CTI, physician notes, PPS assessments). We score each one against Medicare LCD criteria and show you exactly which cases are audit-ready vs. high-risk. Get your aggregate compliance dashboard.

2

Prioritize what to fix first

Dashboard ranks admissions by audit risk. See which 20 cases to review this week, what gaps are causing denials (e.g., 'Missing 6-month prognosis: 35% of CHF admissions'), and estimated financial exposure if audited today.

3

Track improvement month-over-month

Monthly portfolio scans show your trend: average compliance score, high-risk admission count, projected audit exposure. Show the board you're reducing risk. Know you're audit-ready before MAC shows up.

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