DESIGN PARTNER PROGRAM
Send us one chart.
We’ll show you what a reviewer would find.
Predisight’s tool reads the MDS and the clinical documentation behind it, applies the criteria a Medicare reviewer applies, and sends back cited findings
One de-identified record, and nothing to sign
Request a review
No cost. Nothing to sign.
What Happens next
Four steps, none of them a sales call
- You send the form. We reply within two business days.
- We confirm what to export and how to send it.
- We read the record and send back cited findings.
- If it was useful, we talk about what comes after. If it wasn’t, we say thank you and that is the end of it.
What you get back
A record comes back for review months after the resident has gone home. By then nothing can be added.
Every finding names the criterion, quotes the record, states what is absent, and cites the source. If we cannot cite it, we do not report it.
Oxygen therapy documented as routine administration
The record says
“O₂ at 2L/min via NC, continuous. SpO₂ 94% on room assessment. No respiratory distress noted. Tolerating well.”
Not found in the record
Documentation that the resident is in an initial or titration phase, or that skilled assessment is directing changes to the flow rate. Oxygen delivered at a stable rate, without more, is not by itself a skilled service.
Medicare Benefit Policy Manual, Ch. 8 §30.2.3.2
Illustrative — synthetic
Wound description and coded stage do not line up
The record says
“Sacral wound, 3.1 × 2.4 × 0.6 cm. Subcutaneous tissue visible. No slough, no eschar, no undermining.”
Coded on the assessment as
Stage 2. The narrative describes full-thickness involvement. The record and the code describe two different wounds — a clinician decides which one is right.
RAI Manual v1.20.1, Section M
Illustrative — synthetic
What we need from you
What we need, and what it costs you in time
ABOUT 30 MINUTES
NOTHING
ABOUT 45 MINUTES
Going through the findings together, if you want to.
- An EHR that can export MDS data and clinical notes.
- We do not need patient names, dates of birth, or record numbers. Nothing identifying should leave your facility for the initial review.
- Some criteria come from Novitas coverage determinations, which govern Texas. Outside that jurisdiction we will tell you which findings do not transfer.
No cost. Send us one record