Authorization readiness before the SNF says yes.
AdmitScore™ helps admissions teams flag Medicare Advantage payer signals, prior authorization questions, skilled-need documentation gaps, and verification steps before making an admission decision.
Authorization risk is rarely just one missing field.
The platform is intended to assist review. It does not guarantee payer approval, reimbursement, admission outcomes, or denial prevention.
Payer detected by AI
Shows payer information that should be verified against the referral packet, eligibility checks, and payer portal.
Authorization readiness
Flags whether packet content appears to support prior authorization review, pending staff verification.
Skilled need support
Helps identify therapy, nursing, wound, medication, or care documentation that may support SNF level of care.
Missing documentation
Surfaces gaps such as missing therapy evaluations, orders, medication records, or discharge details.
Follow-up questions
Produces questions for the case manager, payer, internal clinical team, or finance reviewer.
Outcome tracking
Tracks recurring authorization and documentation issues by payer, referral source, and facility.
AdmitScore supports payer review; staff verify and decide.
Outputs are review aids and should not be represented as payer approval.
The product helps flag potential issues, but payer outcomes still depend on payer rules and documentation.
AI-extracted payer and clinical information should be verified against source documents.
Clinical, operational, payer, and legal judgment remains with the facility.