PDPM documentation & ICD-10 coding support for skilled nursing facilities
Turn hospital transfer packets into documentation you can defend. Every ICD-10 code we surface cites the page and the sentence that supports it, maps deterministically to the CMS PDPM tables, and shows what a physician still needs to answer.
Why PRECISION MD
Coding from memory and habit leaves facilities both under-reimbursed and audit-exposed. We fix both at once.
Codes you can defend
Each condition comes with the exact page and quote that supports it. If someone asks why a code is on the claim, the answer is already written.
Revenue you can measure
Deterministic PDPM mapping prices the NTA impact of every supported code against your facility's own CMS wage index and length of stay.
Queries, not guesses
When documentation falls short, the system drafts a compliant, non-leading physician query quoting the clinical indicators, never a leading suggestion.
How it works
Upload the packet. Review the evidence. Send the queries. Code with confidence.
Secure Upload
Scanned transfer packets, any length. Encrypted the moment they land; never leave the covered environment.
Extraction with citations
Every candidate condition, medication, lab and imaging finding, tied to the page it came from.
Judgment against a frozen rubric
Supported, insufficient, or not supported, under a physician-ratified standard with a published fingerprint.
Enterprise Security
Built to pass the interrogation, not just the checklist. Controls mapped to the SOC 2 Trust Services Criteria; independent report pending.
Encryption at rest & in transit
All PHI is encrypted at rest with customer-managed keys; every connection uses TLS 1.2+ with HSTS. No exceptions.
Automated daily backups
Encrypted backups run daily with 35-day retention and tested restore procedures.
Comprehensive audit logs
Every access, verdict, and administrative action is written to a hash-chained, tamper-evident log with user, IP and timestamp.
Role-based access & MFA
Multi-factor authentication for every user, 12+ character passwords, 20-minute idle timeouts, account lockout.
Tenant isolation
Each facility's data is scoped to its organization. Users see only their own facility's charts, by construction.
Security monitoring
Web application firewall, rate limiting, intrusion honeypots and automatic IP blocking, with alerts to the security owner.
Built for the people who own the admission
Directors of Nursing, Administrators, and MDS Coordinators each see the part of the packet they are accountable for.
MDS Coordinators
The Section I code set with a citation for every line, the NTA comorbidity points each code carries, and ready-to-send physician queries for the conditions that are almost there. No more coding from the face sheet alone.
Directors of Nursing
Documentation gaps by admission: what the hospital documented, what nursing captured, and what still needs a provider's signature before it can be coded. Queries are compliant and non-leading by design.
Administrators
A before-and-after Medicare Part A revenue report per admission, per patient day, and per year, priced from CMS rate tables and your facility's own wage index and average length of stay. Defensible numbers for the budget meeting.
Questions facilities ask first
What does it actually do?
Reads the hospital transfer packet, surfaces every candidate diagnosis with the page and sentence that supports it, judges whether the documentation supports coding it, maps supported codes to the CMS PDPM tables, and prices the NTA impact.
How do you handle HIPAA?
HIPAA has no certification, so we describe the controls instead: PHI is processed only under Business Associate Agreements, encrypted at rest with customer-managed keys and in transit with TLS, behind multi-factor authentication, tenant isolation, and hash-chained audit logs. Our controls are mapped to the SOC 2 Trust Services Criteria; an independent SOC 2 report has not yet been obtained.
How is this different from a coding tool?
The product is defensibility, not speed. Every code carries verbatim evidence. When documentation falls short, you get a compliant physician query instead of a guess.
What does the pilot involve?
Send your next 15 admissions. We return the evidence-cited code sets, the queries, and the revenue report for your facility. You decide what it is worth.
Ready for Precision PDPM?
Bring us your next 15 admissions. We'll show you what the packets already support.