AdmitScore

Admissions intelligence for referral packet review.

AdmitScore™ turns each referral packet into a structured review (payer risk, Medicare Advantage authorization readiness, documentation gaps, high-cost medications, and PDPM/margin context) and returns two scores by role: Referral Fit (financial-free, all roles) and Margin Score (admin-only). Staff verify every output and make the final admission decision. Learn how this works as AI admissions analysis for SNFs. Teams evaluating focused packet review can also compare SNF admissions software, referral packet review software, and the synthetic AdmitScore sample report.

Synthetic AdmitScore decision card showing ACCEPT WITH CAUTION recommendation, projected margin, financial fit score, and referral fit score
Sample AdmitScore output using a synthetic case view. Facility staff verify source documents and make the final decision.
Definition

What is an Admit Score?

An Admit Score is AdmitScore™'s structured read of a skilled nursing referral packet. It surfaces payer and Medicare Advantage authorization risk, documentation gaps, high-cost medications, and PDPM and margin context so your admissions team can review them before holding the bed. Staff verify every finding and make the final accept, defer, or decline decision.

What AdmitScore reviews

The admissions questions that matter before saying yes.

Payer and authorization risk

Helps identify payer signals, authorization readiness, and verification steps.

Documentation gaps

Surfaces missing or weak documentation that may affect acceptance, authorization, or handoff, including MDS Section GG signals that staff should verify.

Medication and care-cost flags

Highlights high-cost medication and service needs for facility review.

Two scores by role

Referral Fit (financial-free, 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.

Follow-up questions

Creates targeted questions for the hospital, payer, pharmacy, or internal reviewers.

Facility analytics

Tracks decisions and outcomes by payer, referral source, risk type, and facility.

Human-review guardrails

AdmitScore supports review; the facility remains in control.

Final decisions stay with staff

AdmitScore does not replace clinical, operational, payer, or legal judgment.

Verification is required

AI-extracted payer, authorization, and clinical information should be checked against source documents.

No reimbursement guarantees

Revenue, margin, and cost estimates are planning aids and not guarantees.

No public PHI intake

Public forms and public examples should not contain patient records or identifying details.

Evaluate AdmitScore in a Founding Facility Pilot.

Scope pilot pricing by facility count, packet volume, and implementation support needs.

Request Pilot Pricing