PDPM REIMBURSEMENT INTELLIGENCE

Find missed PDPM opportunity before it disappears.

AcuityGuard reviews diagnoses, orders, MAR/TAR, and supporting clinical documentation to surface missed Medicaid and Medicare reimbursement opportunity.

Revenue Opportunity

$12,480
Estimated daily opportunity

Missing NTA Points

18
Across flagged residents

Coding Gaps

11
Ready for review

Resident opportunity detail

Review queue
ResidentGapEst. $/Day
J. Smith+5$400
M. Davis+3$240
R. Lopez+2$160
HOW IT WORKS

From raw data to prioritized reimbursement insight—without manual chart review.

Import your census and clinical data

Upload your standard exports. No integration required.

Identify missed PDPM and NTA opportunity

Surface where reimbursement may be undercaptured.

Focus review where it drives the most impact

Prioritize residents most likely to move rate.

WHAT IT SURFACES

Built to catch the reimbursement opportunities chart review often misses.

Undercaptured nursing category support

Highlight charted clinical indicators that may support higher nursing classification and more accurate reimbursement.

Documentation gaps worth reviewing

Spot missing, inconsistent, or weak documentation before it turns into missed reimbursement opportunity.

Residents with the highest financial impact

Prioritize review around the residents most likely to move rate when documentation and coding are aligned.

Don’t miss the reimbursement for the care you’re already delivering.
READY TO ANALYZE

Start with the residents most likely to change reimbursement.

Upload your census and begin with a prioritized view of the opportunities worth reviewing first.

Analyze My Facility
SCHEDULE A DEMO

Tell us about your facility.

Share a few details and we’ll follow up with a personalized walkthrough of how AcuityGuard could fit your workflow.