AdmitScore™ by VeriSight Analytics
See payer risk, MA authorization gaps, and margin before you hold the bed.
AdmitScore reviews each referral packet (payer signals, authorization readiness, documentation gaps, high-cost meds, and PDPM/margin context) and returns two scores by role: Referral Fit (clinical-safe, all roles) and Margin Score (admin-only). Admissions, clinical, and finance decide together in minutes, not over the day.
Founding pilot live · limited availability
Built for SNF teams evaluating SNF admissions software, AI admissions analysis for SNFs, and referral packet review software. Teams comparing SNF referral management software can use AdmitScore as a focused packet-review layer. See how AdmitScore compares and review focused ExaCare, Flax AI, and SmartAdmissions alternative guides. Staff verify every output and make the final admission decision. Public forms never receive PHI.
SNF admissions teams are making high-stakes calls from incomplete packets.
Referral review often happens quickly, across disconnected documents, payer rules, operational constraints, and uncertain financial assumptions.
Payer risk is easy to miss
Medicare Advantage authorization, network status, carve-outs, and approved days can change the real answer.
Documentation gaps slow follow-up
Missing therapy notes, orders, med lists, or skilled need support can create back-and-forth at the worst moment.
Financial fit is rarely visible up front
Teams need planning context for PDPM, payer assumptions, medications, and care requirements before saying yes.
Six structured signals on every referral, before you say yes.
Each output is a planning aid for staff to verify against source documents. AdmitScore does not approve admissions or guarantee payer outcomes.
Payer and MA signals
Identifies payer type, Medicare Advantage indicators, network status, and the verification questions to confirm with the plan.
Authorization readiness
Calls out missing details that prior auth or continued-stay review typically require, so staff can submit a complete packet the first time.
Documentation gaps
Surfaces missing therapy notes, skilled-need support, orders, and history-and-physical items that slow follow-up after acceptance. See the MDS Section GG admissions guide.
High-cost medications and care flags
Highlights medications, isolation, wound, therapy, and staffing items that can change the cost or feasibility of admitting.
Referral Fit + Margin Score
Referral Fit (financial-free, visible to all roles) keeps the clinical conversation clinical. Margin Score (admin-only) layers in PDPM and denial-risk for administrators. Estimates are planning aids, not guarantees of payer reimbursement.
Questions to verify before acceptance
Produces targeted follow-up questions for the hospital, payer, family, pharmacy, or internal clinical team.
From referral packet to review-ready admissions intelligence.
Upload synthetic-demo or live packet data in approved workflows
Teams provide referral documents through the configured workflow. Public forms should never receive PHI.
AdmitScore builds a structured review
The system extracts payer, clinical, documentation, medication, and financial signals for staff review.
Facility staff verify and decide
Admissions, clinical, and finance users verify source documents, ask follow-up questions, and record the final decision.
Synthetic sample output instead of public patient screenshots.
The public site uses a cropped synthetic AdmitScore report sample, so pilot conversations can focus on workflow value without exposing patient information.
Questions to verify before acceptance
- Has prior authorization been approved for SNF level of care?
- Are therapy notes and skilled need documentation included?
- Are any medications carved out or unusually high cost?
- Does the facility have the staffing and service line fit?
Designed to help teams catch authorization-readiness issues earlier.
AdmitScore does not guarantee payer approval or reimbursement. It helps staff identify potential payer and documentation issues that should be verified before acceptance.
Plan and payer verification
Helps flag payer information that should be confirmed against the referral packet and payer portal.
Authorization readiness
Calls out missing details that may be needed for prior authorization or continued stay review.
Skilled need support
Highlights documentation that appears relevant to skilled level of care, for staff verification.
Planning context before acceptance, analytics after the decision.
PDPM and revenue context
Where documentation supports it, AdmitScore provides planning estimates for reimbursement context. Estimates are not guarantees.
Cost-driver visibility
Medication, therapy, service, staffing, and supply considerations are surfaced for facility review.
Outcome tracking
Leaders can review accepted, deferred, and declined referrals by payer, source, risk signal, and downstream result.
Built with operator feedback, piloted with hands-on founder support.
The pilot is intended for SNF teams that want a practical admissions workflow review, not a self-serve AI experiment. VeriSight works with the facility to define packet volume, review expectations, risk categories, and outcome tracking.
Admissions leaders, administrators, DONs, finance leaders, and operators evaluating a structured referral review process for one or more facilities.
Healthcare workflows need verification, not black-box decisions.
VeriSight supports admissions review; it does not replace clinical, operational, payer, or legal judgment.
AI-extracted payer, authorization, and clinical information should be checked against the referral packet.
Revenue, margin, and cost outputs are planning estimates and do not guarantee reimbursement or admission outcomes.
Do not submit patient records, PHI, or confidential clinical information through the public website.
Evaluate AdmitScore for your facility.
Request a Founding Facility Pilot to review fit, packet volume, implementation scope, and pilot pricing.