FY 2026 CMS Compliant

Maximize
Medicare
Reimbursements

AI-powered PDPM optimization that analyzes clinical documents, identifies missing diagnoses, and maximizes legitimate reimbursements for skilled nursing facilities.

HIPAA Compliant
SOC 2 Certified
CMS Audit Ready
pdpm-optimizer.app
Daily Rate Impact
+$127.43
↑ 23% increase
NTA Group
NA → NC
+6 points
Diagnoses Identified12 New
E11.65 - T2DM with hyperglycemia
I50.22 - Chronic systolic HF
J69.0 - Aspiration pneumonia
21-Day Revenue
+$2,676
Audit Score
100%
$0.0M
Revenue Recovered
0+
Facilities Served
0%
Avg. Rate Increase
0.0%
Audit Success Rate

Stop Leaving Money on the Table

Most SNFs miss 15-30% of legitimate reimbursements due to incomplete documentation and missed diagnoses. Our AI changes that.

The Problem

  • Manual review misses NTA-relevant diagnoses
  • Inconsistent BIMS/PHQ-9 documentation
  • Section GG scores underreported
  • Clinical complexity not captured
  • Revenue lost to undercoding

Our Solution

  • AI extracts all NTA comorbidities automatically
  • Approximates cognitive/depression scores
  • Full Section GG functional assessment
  • Complete PDPM classification (PT/OT, SLP, Nursing, NTA)
  • Audit-ready documentation with quotes
Powerful Features

Everything You Need for PDPM Excellence

A complete platform designed specifically for skilled nursing facilities to maximize legitimate Medicare reimbursements.

🧠

AI Document Analysis

Upload H&P, discharge summaries, and facility diagnoses. Our AI extracts every relevant diagnosis with supporting quotes.

📊

FY2026 PDPM Calculator

Complete classification across all components: PT/OT, SLP, Nursing, and NTA with accurate rate calculations.

💰

Financial Impact Analysis

See exactly how much more you could earn with before/after comparisons and 21-day projections.

📋

NTA Optimization

Identify all NTA-relevant comorbidities with exact point values and category mappings per CMS guidelines.

Provider Attestation

Physicians review and attest to diagnoses with one click. Full audit trail and compliance documentation.

📄

Comprehensive Reports

Generate provider recommendations, financial Excel reports, and updated H&P documents instantly.

Simple Process

From Upload to Revenue in Minutes

Our streamlined workflow integrates seamlessly into your existing operations. No training required.

1

Upload Documents

Upload H&P, discharge summary, and facility diagnosis list. Supports PDF, DOCX, and images.

2

AI Analysis

Our AI extracts diagnoses, approximates clinical scores, and calculates full PDPM classification.

3

Review & Attest

Physicians review identified diagnoses with supporting evidence and attest with one click.

4

Generate Reports

Download comprehensive reports, updated H&P, and financial impact analysis.

Watch our 2-minute demo
Trusted by Leaders

What Our Customers Say

We increased our average daily rate by $89 per patient. The ROI was immediate and the compliance team loves the audit-ready documentation.
DSC
Dr. Sarah Chen
Medical Director
Sunrise Senior Care
The AI catches diagnoses our team misses every single time. It's like having an expert coder reviewing every case.
MT
Michael Torres
Director of Finance
Heritage Health Systems
Implementation was seamless. We were up and running in a day, and saw results on our very first case.
JW
Jennifer Walsh
Administrator
Meadowbrook SNF

Ready to Maximize Your Reimbursements?

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