SR SecondRead Health Book 15 minutes
AI-assisted clinical chart review

Every chart deserves a second read.

Your nurses deliver more care than your charts capture — and PDPM pays on what's in the chart. AI reads every page. A licensed reviewer verifies and signs every finding. You recover revenue your facility already earned.

Nursing Note — Day 11 · SNF ● Second Read
0712 — Pt required ext. assist w/ AM care.
Tearful during dressing, states "I just don't feel like myself lately." SS notified.
PHQ-9 administered — score 14.
Appetite fair. Voids w/o difficulty.
Depression indicators documented — never carried to MDS Section D. ≈ $40–60/day in PDPM nursing component, uncaptured.
Flagged · Verified by reviewer signed, R.N.
The problem

Short-staffed teams document what they must — not everything they did.

Each missed item quietly lowers your per-diem, admission after admission. The care happened. The reimbursement didn't.

MDS Section D

Mood indicators left behind

Depression screening lives in a social-services note and never reaches the MDS — one of the most common and most expensive misses in PDPM.

NTA Comorbidities

Diagnoses buried in progress notes

COPD on the med list but absent from MDS Section I. Home O2 documented by nursing, never coded. NTA points your facility earned — and never claimed.

F-Tag Exposure

Compliance risks hiding in plain sight

Antipsychotics without documented indication. Pressure injuries without staging. The same review that finds revenue also flags survey risk before the surveyor does.

How it works

AI does the reading. A clinician makes the call.

1

AI reads everything

Nursing, therapy, social services, physician notes — the full chart, not a sample. Every page, every shift note, every order.

2

A licensed reviewer judges

An RN or certified coder verifies, corrects, and signs every finding against the source chart.

AI never makes the final call
3

You get a signed report

Specific missed items, the dollar impact of each, and exactly where in the chart to fix them. Reviewer credential and signature on every page.

The numbers

What under-documentation costs a typical facility.

$400K+*

Modeled annual documentation-revenue gap for a typical 120-bed skilled nursing facility.

4.3×*

Reviewer throughput with AI-assisted first pass versus fully manual chart review.

73%*

Faster per chart — signed findings in 48 hours, not weeks.

* These figures are modeled economic impact built from industry benchmarks — not measured results from our clients. That's deliberate: we won't show you anyone's numbers but your own. Your free audit replaces models with your actual charts.

The offer — no cost, no commitment

Send us 10 recent admissions. Get a signed audit in 48 hours.

After a signed Business Associate Agreement, you send 10 recent charts. Within 48 hours of receiving them, you get a written, reviewer-signed report:

  • Every missed PDPM component, by chart and by section
  • Every uncaptured billing opportunity, with dollar estimate
  • Compliance flags — antipsychotics, staging, indications
  • Exactly where in each chart to make the correction
Book 15 minutes to start

If we find nothing, you've confirmed your documentation is airtight — at no cost.

Fair questions

What a Director of Nursing usually asks us.

We already have an MDS coordinator and a consultant.

Good — keep them. Your MDS coordinator works from the assessment window forward. We read the entire chart behind it: every nursing note, therapy log, and social-services entry — the places supporting documentation gets stranded. We hand your coordinator findings; they stay in control of every submission.

Is AI making clinical or coding decisions?

No. The AI is a reader, not a decision-maker. It surfaces candidate findings from the full chart; a licensed reviewer verifies each one against the source, corrects or rejects what doesn't hold up, and signs the report. Every document carries an AI-assist disclosure and the reviewer's credential.

What about HIPAA and our residents' data?

No PHI moves until a Business Associate Agreement is signed — ever. Charts are processed on HIPAA-eligible infrastructure, audit logs are retained for six years, and your data is never used to train AI models.

What does it cost after the free audit?

If the audit finds real money, most facilities start with a 30-day paid pilot with written success criteria — priced so that one corrected admission typically covers it. If the audit finds nothing, you owe nothing and you've stress-tested your documentation for free.

Compliance posture

Built like the audit trail we'd want to be judged by.

BAA First

Business Associate Agreement signed before any PHI moves. No exceptions, no "just this once."

Human Signature

Licensed reviewer credential and signature on every report. AI-assist disclosure on every document.

Infrastructure

HIPAA-eligible infrastructure end to end, with six-year audit-log retention.

Your Data

Never used to train models. Your charts are reviewed, reported on, and retained per agreement — nothing else.

Access Control

Every upload, review, and report download is logged — append-only, attributable, retained.

Honest Numbers

We publish modeled figures as modeled. Measured results are shared only with the client they belong to.