Know which admissions are missing LCD documentation across your entire census

Score every admission against the five Medicare LCD steps, see the documentation gaps, and prioritize fixes before MAC/RAC/PPEO auditors show up.

Portfolio risk dashboard
Prioritized remediation queue
Documentation gaps by LCD step

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 which LCD steps they miss 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 an overpayment demand

The solution:

Portfolio dashboard sorts admissions by LCD compliance score (0–100) and groups them by denial risk band (low, moderate, high), so you 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:

Preview an audit sample: how many of a random 30-admission draw the model rates high denial risk, and which LCD steps and documentation gaps put them there. Fix those 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., 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, admissions per denial risk band, critical gaps, and the trend over time. 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 which LCD steps it meets, its documentation gaps and its denial risk band. Get your aggregate compliance dashboard.

2

Prioritize what to fix first

Dashboard ranks admissions by LCD compliance score. See which 20 cases to review this week and which documentation gaps recur across your census (e.g., a missing 6-month prognosis statement).

3

Track improvement month-over-month

Monthly portfolio scans show your trend: average LCD score, high denial risk admissions, critical gaps. Show the board the gaps closing.

Built for sensitive data

Audit-logged
Every access to PHI
256-bit
Encryption
US-based
Infrastructure
BAA
Signed before records move

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