Admissions and intake
Start with the payer and authorization questions, the missing documentation, and the follow-up items. Work through them before you commit a bed.
AdmitScore™ reads a hospital referral packet and lists what your team needs to check: payer and authorization details, missing documentation, high-cost medications, and facts the packet states two different ways. Each item shows the quote and page it came from. We estimate this cuts the DON's clinical review of a packet from about 45 minutes to about 15. It is not a measured result.
The estimate assumes a facility that reviews about 10 referral packets a week. How we estimate this
A review tool for skilled nursing referral packets. Your admissions team gets a list of the details worth checking, verifies each one at its source page, and makes the admission decision.
AdmitScore does not replace an EHR, CRM, referral queue, bed board, or payer-approval tool. It sits beside them. Pilot workflows can run alongside existing systems without requiring EHR integration.
Start with the payer and authorization questions, the missing documentation, and the follow-up items. Work through them before you commit a bed.
Start from a list of care needs, medications, behavioral details, and facility-capability flags, then read the discharge summary with those questions in mind. We estimate that saves about 30 minutes a packet (how we estimate this).
Read the same review your admissions team sees. For budgeting, we estimate about 5 hours a week of DON time is worth roughly $14,000 to $18,000 a year at about $55 to $70 an hour loaded. Your numbers will vary (how we estimate this).
The examples come from our sample report, where the packet is invented and the details were entered by hand. Staff check every item against the packet.
| On the list | What it covers | In the made-up packet |
|---|---|---|
| Payer and authorization | Payer details, authorization status, and the steps to verify them. | A Medicare Advantage authorization approved for the initial 7 skilled nursing days on page 4, and still pending review on page 6. |
| Documentation gaps | Missing or weak documentation that may affect acceptance, authorization, or handoff, including MDS Section GG items for staff to check. | Primary diagnosis not documented in the packet reviewed. |
| Medication and care-need flags | High-cost medications and service needs, for facility review. | Hemodialysis every Tuesday, Thursday and Saturday, and a bariatric bed and lift, both on page 2. |
| Facts that disagree between pages | A payer, authorization, or other fact that differs between two places in the packet, shown with both pages. | A current weight of 412 lb on page 2 and 436 lb on page 5, and a Cefazolin stop date of 2026-10-14 on page 3 and 2026-10-21 on page 6. |
The review also writes follow-up questions for the hospital, payer, pharmacy, or your own reviewers. When the file is a PDF open in the same browser tab, a button opens the packet page where an item appears.
Facility staff make final decisions after reviewing source documents, payer requirements, facility capabilities, and appropriate clinical, operational, legal, and financial guidance.
AI-extracted payer, authorization, and clinical information should be checked against source documents.
AdmitScore does not guarantee payer approval or reimbursement.
Public forms and public examples should not contain patient records or identifying details.
Tell us how your team reviews referral packets and what you want to look at first. We will go over scope and approved packet intake before any real patient data is shared.