AdmitScore™ — source-linked referral review
Save your DON about 5 hours a week of referral-packet review.
AdmitScore™ is built to turn each hospital referral packet into a short, source-linked list of questions, so your DON starts from the facts instead of a cold read. Staff verify. Staff decide.
Pilot conversations are open for SNF admissions teams.
Focused review layer beside your current systems — not an EHR, CRM, bed board, or payer-approval tool BAA before any PHI
Long referral packets eat admissions hours, and a missed payer gap can cost money.
Your DON can spend about 45 minutes on the clinical review of one hospital referral packet read cold: discharge summary, med list, therapy notes, payer face sheet. At about 10 referrals a week, that is close to a full working day (estimate).
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.
Medications and care needs change the answer
High-cost medications and care needs, such as dialysis, can be buried deep in the packet and change whether the facility can say yes.
Six checks pulled to the top of every packet, built to shorten the first read.
Six checks on every packet: payer, authorization, documentation, medications, facts that disagree between pages, and the follow-up questions to ask. Your admissions team starts from these instead of reading the packet cold. Packet-derived flags link to a source quote and packet page for staff to verify. For a deeper look, see how AdmitScore works as SNF admissions software and what a referral packet review covers.
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 details that prior authorization or continued-stay review typically require, so staff can request them before the authorization request goes to the plan.
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.
Facts that disagree between pages
Points out a payer, authorization, or other fact, such as a weight, that disagrees between two places in the packet, so staff can check both sources.
Questions to verify before acceptance
Produces targeted follow-up questions for the hospital, payer, family, pharmacy, or internal clinical team.
From a long referral packet to a shorter, source-linked first read.
Approved intake in the pilot workflow
Pilot intake follows a scoped, secure workflow after a signed BAA and facility approval.
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.
The answers your admissions team spends the most time digging for, in one review.
The review covers payer and authorization gaps, missing documentation, high-cost medications, and facility fit — with packet-derived flags linked to their source quote and page.
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?
Payer and authorization gaps usually cost less to fix before you accept.
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. See the Medicare Advantage authorization readiness workflow.
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.
Built inside a Wisconsin SNF family that knows where admissions hours go.
AdmitScore is shaped by the operating reality of skilled nursing admissions: incomplete packets, payer friction, staffing constraints, and the need for staff to verify every output. The pilot structure defined packet volume, review expectations, risk categories, and outcome tracking. See the pilot background.
Admissions leaders, administrators, DONs, finance leaders, and operators evaluating a structured referral review process for one or more facilities.
A faster first read, with staff still verifying every finding.
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.
AdmitScore does not guarantee payer approval, reimbursement, or admission outcomes. Staff verify every item and make the admission decision.
Do not submit patient records, PHI, or confidential clinical information through the public website.
Ready to explore an AdmitScore pilot?
Discuss your packet-review workflow, pilot fit, and scope with our team. A signed BAA and approved secure workflow are required before any PHI is shared.
No PHI on public forms · Staff verify every output and make the final call · BAA in place before any pilot uses real data.