Home
What it detects

One queue. Every category of leak.

Every finding, regardless of category, arrives with a dollar value, an expiration, and a chain of evidence pointing back to the row that triggered it. The catalog grows as new patterns surface in your data.

Three signals in one breath

Picked for range, not dollar size.

A cross-section of what "a signal" actually means. One each from revenue, operations, and compliance. All three are live in the catalog.

Revenue
NTA Threshold Proximity

PDPM pays NTA in tiers. A resident at 11 points earns the same as one at 9, but one at 12 earns $25 a day more. We find every resident sitting one point below a tier break with an eligible diagnosis missing from Section I. One code change, one tier bump.

“The closest thing we have to Moneyball for nursing homes.”
Operations
Vendor Price Arbitrage

Only fires at chain scope. Looks across sister facilities for the same vendor and SKU, flags when the spread crosses threshold. Most administrators can’t see this because their lens is one building.

“Hilltop North is paying 3.8× Hilltop South for the same blood thinner.”
Compliance
PECOS Revalidation Due

Medicare requires enrolled providers to revalidate every five years. A lapse auto-denies every claim submitted during it, with clawback. CMS doesn’t send a reminder. The provider just starts getting denied.

“Fires 90 days before the revalidation window closes.”
What the engine detects

Five categories. One queue.

Every finding, no matter the category, arrives with a dollar value, an expiration, and a chain of evidence pointing back to the row that triggered it.

Revenue capture

Money already earned but not collected because of a coding gap, a timing miss, or a carveout.

  • Uncoded NTA comorbidity
  • Diagnosis to MDS mismatch
  • IPA not triggered
  • Part B carveout drug
  • Skilled day-100 harvest
  • More, continuously
Clinical risk

Lower dollars per finding, highest cost-avoidance ceiling. Catch it before the first fall.

  • Pressure injury unstageable
  • Fall without care plan update
  • Antibiotic stewardship
  • Dehydration risk
  • Rehospitalization risk
  • More, continuously
Payer & managed care

The MA surface where most chains lose 6 to 9 figures a year without realizing it.

  • Auth expiring soon
  • MA denial appealable
  • CO-50 pattern
  • Medicaid bed-hold unbilled
  • Payer mix drift
  • More, continuously
Staffing & operations

Agency spend that internal float could cover. HPRD breaches before state penalties hit.

  • HPRD below required
  • Agency shift avoidable
  • Float from sister facility
  • Turnover risk
  • Certification expiring
  • More, continuously
Quality & compliance

Survey-window exposure, grievance SLAs, star-rating downgrade, before CMS refreshes.

  • Care conference missing
  • Grievance SLA breach
  • Star rating near downgrade
  • 14-day MDS missing
  • Note contradicts MDS
  • More, continuously
See it on your own data

Thirty minutes. Your facilities. Your queue.

We walk a real resident chart, show what the engine surfaced, and let you drill into the evidence. You'll know by the end whether this fits your chain. No slide deck.