MEDICARE PART A · PDPM

Find the documentation gap before the auditor does.

Predisight analyzes MDS assessments and clinical documentation to surface where a Part A claim isn’t yet supported by the record — before it’s submitted. Deterministic rules. Cited findings. Reviewed by your clinicians, decided by your clinicians.

Built by clinicians who spent years in these charts.

Divider Element

THE PROBLEM, IN NUMBERS

$4.3B

SNF IMPROPER PAYMENTS · FY2025

$2.31B

TRACEABLE TO INSUFFICIENT DOCUMENTATION

5 CLAIMS

REVIEWED AT EVERY SNF UNDER THE CMS PROBE

Source: CMS Comprehensive Error Rate Testing, FY2025.

The problem

A denial is rarely about the care.

Medicare does not pay for skilled care. It pays for skilled care the record proves. A reviewer never sees your building — only what was written down.

Progress note · Day 4

Resident up in chair this shift. Tolerated well. Encouraged PO intake. Wound to sacrum observed, dressing intact. Will continue to monitor.

Illustrative — synthetic

What a reviewer looks for

Wound measurements Not found
Skilled assessment described Not found
Rationale for skilled care Not found

The care may well have been skilled. The note does not say so.

01

The gap surfaces after it can be closed.

Denials, ADRs, and prepayment review arrive months later. The correction window shut long before the letter did.

02

One claim is never one claim.

A denial is the write-off plus the cost of appeal. A prepayment review is every claim in the building, held at once.

03

Review capacity is already spent.

Your MDS coordinator is reconciling assessments against charts by hand, on a deadline, at volume. She will catch what time allows.

ARCHITECTURE. hiding

The model reads. It doesn't decide.

Most healthcare AI hands you a conclusion and asks for trust. Predisight hands you the reasoning.

THE MODEL

Reads the narrative. Reports what the note says, in fields it cannot exceed.

DETERMINISTIC CODE

Owns every rule, score, and verdict. Same chart, same finding, every time.

YOUR CLINICIAN

Decides. Always. The system has no authority to act.

Every finding traces to a rule and a citation. If you want to see the logic, we will walk your team through it line by line.

PLATFORM

What it checks.

HIPPS DEFENSIBILITY

Every character of the billed classification, checked against what the record actually supports. Component by component.

RULE-BASED DOCUMENTATION REVIEW

Wound care, respiratory, complex medical treatments, therapy and SLP note sufficiency. Each anchored to CMS manual or LCD authority.

MDS-TO-CHART RECONCILIATION

Coded items read directly and reconciled against the narrative record, section by section.

COPY-FORWARD DETECTION

Duplicated narrative, blank GG items, missing assessments, and internal contradictions — surfaced for review.

NTA DOCUMENTATION COMPLETENESS

Conditions being actively treated but absent from the coded record, flagged as documentation gaps.

CITED FINDINGS

Every finding carries its authority: CMS Benefit Policy Manual, RAI Manual, 42 CFR, or the applicable MAC LCD.

EARLY ACCESS

See what your record supports.

We are working with a small number of facilities to test findings against real audit history. Send us a stay you have already been paid for. We will tell you what a reviewer would have found.

Typically a 30-minute call. We’ll tell you honestly if it isn’t a fit yet.