Prototype only. Nothing here is a public launch. No data is sent anywhere. Do not send real patient information through this page. This prototype handles no real PHI.
What is it? A pre-bill audit of OASIS assessments and skilled visit notes, before billing. An AI pre-screen flags items, then a contracted US-licensed RN reviews only the flagged items and returns a dated findings list.
Who pays? A small home health agency, owner or director of nursing, without a QA RN on staff.
What problem does it solve? Wrong OASIS items, wrong ICD-10 sequencing, and notes that do not match the OASIS lead to denials and improper payments. CMS 2025 data, as reported by RedRoad and checked 2026-11-11, put home health improper payments at 6.9 percent, with insufficient documentation at 49.4 percent of improper dollars.
What would the customer receive? A dated findings list for each review, what to fix, where it is in the chart, and why it matters, plus a monthly trend report. Turnaround 24 to 48 hours. The agency clinician still signs everything.
Why would they buy ours? A subscription at $14.95 per review on the Starter tier is below the $40 per OASIS human review price published by Amity, if the AI triage model works. That if is unproven. See What is still unproven below.
What would it cost? PROPOSED pricing, not validated: $299 a month for up to 20 reviews, $549 a month for up to 50 reviews. No setup fee in the test. Cancel any time.
What evidence supports it? Four different agencies were hiring for the exact QA and OASIS review job in October to November 2026, at $36 to $50 an hour. Amity publishes $40 per OASIS review. Avory publishes $45 per QA hour. Links are in Research and evidence below.
What is still unproven? No agency has said it will trial this subscription rather than hiring a part-time QA RN or buying Amity per review. The $25 flagged-only RN review and the 30 percent AI flag rate are assumptions, not quotes or measurements. Customer acquisition cost, sales cycle, churn, and reachability are all UNKNOWN.
What happens next? Smallest validation experiment: find a contracted US-licensed RN who will do a flagged-only OASIS review for $25 or less, with a measured time, and find at least 5 small agencies willing to trial $299 or $549 a month. Kill criterion: kill this idea if no RN will do the flagged-only review for $25 or less, or if the AI flag rate pushes RN cost above about $150 a month per customer at 20 reviews, or if fewer than 5 small agencies will trial it. Do not build the review engine until that test passes. Do not handle PHI until a BAA and a qualified RN reviewer are in place.
A home health agency sends its OASIS assessments (start of care, resumption of care, recertification, discharge) and skilled visit notes before billing. The service checks them for OASIS accuracy, ICD-10 sequencing, OASIS-to-note consistency, medical necessity, homebound status, and plan-of-care alignment, then returns a dated findings list with what to fix before the claim goes out. It is a pre-bill audit, not an EMR and not a scribe. The agency clinician still signs everything.
Who it is for: small home health agencies without a QA RN on staff, who send every OASIS out before billing and feel the cost when documentation comes back wrong.
CMS 2025 Medicare Fee-for-Service data, as reported by RedRoad and checked 2026-11-11: home health claims carried a 6.9% improper payment rate. Insufficient documentation accounted for 49.4% of improper dollars, medical necessity for 30.4%, and incorrect coding for 3.6%. The two documentation causes together were nearly 80% of improper dollars. Those percentages are as cited in that article. The primary CMS table was not opened in the research pass, so treat them as secondary.
The need is live now. OASIS-E2 took effect for assessments dated on or after 1 April 2026, so the item set changed this year. Four different agencies were hiring for the exact QA and OASIS review job in October to November 2026, at $36 to $50 an hour, part time and full time, remote. A CMS survey completed 3 November 2025 found a Pasadena agency under Immediate Jeopardy, and its own corrective policy afterwards required all OASIS to be completed within 48 hours and a clinical documentation review and QA verification policy. There are 12,251 Medicare-certified home health agencies in the US, from CMS Provider Data Catalog data processed 2026-10-06, and the top 10 chains control about 19% of the market, so most agencies are independent or small chain.
None of that proves any agency will buy an outsourced audit. The four job postings prove agencies budget for this job by hiring. They do not prove any of them will outsource it.
| Plan | Price | Reviews per month |
|---|---|---|
| Starter | $299 a month | Up to 20 OASIS and visit-note reviews |
| Growth | $549 a month | Up to 50 OASIS and visit-note reviews |
No setup fee in the test. Cancel any time. These are test prices, not market evidence. At $299 for 20 reviews, the average is $14.95 per review. At $549 for 50 reviews, the average is $10.98 per review.
Amity Healthcare Group, price table opened live 2026-11-11: OASIS review $40 per unit, OASIS review plus ICD-10 coding $45, OASIS review plus plan-of-care review $50, OASIS plus ICD-10 plus plan of care $60. Episodic documentation review $125 for the first 30 days, $75 for subsequent 30 days. Quality trends analysis and QAPI development $450. Turnaround 24 to 48 business hours.
Avory Home Care Solutions, opened live 2026-11-11: QA services $45 per QA hour, 10 notes per QA hour, so $4.50 per note at that rate. Full chart reviews plus plan of care $85 per QA hour, 1 hour minimum. Skilled visit note tool $25 per clinician per month. RN-led, dual HCS-O and HCS-D credentials, 100% US-based team, 24 to 48 hour turnaround. Agency subscriptions are contact for pricing, so no agency subscription price is published.
Copper Digital, as reported in a Health AI Daily comparison, not read from Copper's own pricing page: $20 per OASIS start of care, $4 per visit note, $35 per patient per month, about $1,200 a month starting for a 300-census agency. Treat that as secondary.
The $299 subscription only works if AI does most of the screening and a contracted RN reviews flagged items only. The AI pre-screen does not certify anything. It flags items for a human RN to review. Full human review of every OASIS at $25 to $40 each wipes out the $299 price. Twenty reviews at Amity's $40 sale price would cost $800 a month to buy at retail.
Sources checked 2026-11-11, public web only. No one was contacted. No agency said it will buy this subscription.
Buyer signals, dated, deduplicated: Buena Vista Home Health, QA Specialist / OASIS Review Nurse, published 2026-10-28, $40 to $50 an hour, part time remote, Monster listing. Eddy Visiting Nurse and Rehab Association, RN Coder / OASIS Reviewer, listed 2026-11-09, $36.00 to $47.52 an hour, AAPC jobs. Breakthrough Healthcare, Quality Assurance Nurse (RN), published 2026-10-26, about 25 hours a week, Teal listing. Ohio Living, Medical Coder and QA, Clinical Reviewer, published 2026-10-02, COS-C required, CareerBuilder listing. These are 4 employers hiring for the exact job. Hiring is staffed work, not a purchase.
Pain signals: CMS 2025 Medicare Fee-for-Service data, as reported by RedRoad, RedRoad article, checked 2026-11-11: 6.9 percent improper payment rate, insufficient documentation 49.4 percent of improper dollars. The primary CMS table was not opened, so treat these as secondary. CMS Statement of Deficiencies, Summa Home Health Care Inc, Pasadena CA, survey completed 2025-11-03, Immediate Jeopardy, with a corrective policy requiring all OASIS within 48 hours and a QA verification policy.
Competitors: Amity Healthcare Group price table, opened live 2026-11-11, Amity price table (PDF): $40 per OASIS review, $45 with ICD-10, $60 with plan of care, 24 to 48 business hours. Avory Home Care Solutions, opened live 2026-11-11, Avory: $45 per QA hour, 10 notes per hour, $85 per hour full chart review. Copper Digital, as reported in a Health AI Daily comparison, Health AI Daily comparison: $20 per OASIS start of care, $4 per visit note, about $1,200 a month starting for a 300-census agency. Treat Copper pricing as secondary, not read from Copper's own page.
Honest limitations: No RFP, forum post, or review from a named agency saying it bought an outsourced OASIS audit, or asking for one at $299 a month. The 4 job postings cut both ways: they prove the job is budgeted, and they prove the default buyer behaviour is to hire a part-time QA RN, not to subscribe. No CAC, sales cycle, churn rate, or contractor RN rate was verified. The $25 flagged-only RN review, the 30 percent flag rate, and all owner-income cost figures are inference, not quotes. The 12,251 Medicare-certified agencies figure is a headcount, not reachability. OASIS-E2 took effect for assessments dated on or after 1 April 2026, so the item set changed this year, but that is a reason accuracy work is live now, not evidence anyone will buy it.
ILLUSTRATIVE and FICTIONAL. This sample report is fictional throughout. No real agency, no real patient, no real OASIS, no real visit note, no real finding. Do not use it as a clinical record.
Fictional agency: Fictional Home Health of Riverton. Fictional patient: Patient A, no name, no date of birth, no address, no real identifiers. Fictional document: start-of-care OASIS-E2 assessment, fictional assessment date 4 November 2026, plus one fictional skilled visit note dated 5 November 2026. Fictional reviewer: contracted RN, HCS-O credential (fictional). Report date: 6 November 2026. Turnaround shown: 48 hours.
| Item | What was found (fictional) | Severity | Fix before billing (fictional) |
|---|---|---|---|
| 1. OASIS item M1033, risk of hospitalization | OASIS marks a history of falls in the past 12 months. The fictional visit note for 5 November 2026 records no fall history and no fall-risk intervention. | Flagged | Clinician to confirm the fall history, correct either the OASIS item or the note so the two agree, and add the fall-risk intervention to the plan of care if the history is confirmed. |
| 2. ICD-10 sequencing, primary diagnosis | OASIS lists a secondary diagnosis first in the fictional sequence. The fictional visit note and plan of care both treat the other diagnosis as the reason for skilled care. | Flagged | Clinician to re-sequence the primary diagnosis to match the reason for skilled care, and check the PDGM grouping before the claim goes out. |
| 3. Homebound status | OASIS and fictional visit note agree. Patient A is recorded as leaving home only for medical care, with considerable and taxing effort. | Pass | No fix. Keep the supporting note as written. |
| 4. Plan-of-care alignment | Visit frequency in the fictional note matches the plan of care on file. | Pass | No fix. |
Verdict (fictional): Do not bill yet. Two flagged items to fix first. Items 1 and 2 above. Items 3 and 4 pass. The agency clinician signs the corrected OASIS. This service does not sign anything, and it does not replace the clinician's judgement.
This sample is fictional throughout. It shows the shape of the findings list only: flagged item, what was found, severity, and fix. A real report would carry real findings on real charts, under a signed BAA, reviewed by a real US-licensed RN.
Arithmetic only, after outsourced operating costs, under AI-triage assumptions. All cost figures are inference, not forecasts. No contractor rate was verified in the research pass.
| Plan | Price | Estimated cost per customer | Margin per customer | Customers for $10k a month owner income |
|---|---|---|---|---|
| Starter | $299 a month | About $209 a month | About $90 a month | 112 |
| Growth | $549 a month | About $324 a month | About $225 a month | 45 |
Starter cost build-up, all inference: AI screens all 20 reviews at $1.50 per review, $30 a month. AI flags 30% for RN review, and the RN reviews 6 OASIS at $25 each, $150 a month. RN reviews 10% of visit notes at $4.50 each, about $9 a month. Platform, BAA, storage, and QA oversight, $20 a month. Total about $209 a month.
For the $7k a month floor, the Starter tier needs 78 customers at about $90 margin each. The Growth tier needs 32 customers at about $225 margin each.
The whole bet is the $25 flagged-only RN review and the 30% flag rate. If the flag rate is higher, or the RN needs $40 per flagged OASIS, the margin goes to near zero. If the flag rate is lower, or the RN can do a flagged review for $15, the margin improves. The flag rate and the RN time per flagged OASIS are unknown.
Kill this idea if a cheap test cannot show either of these:
Also kill it if the AI flag rate is so high that RN cost stays above about $150 a month per customer at 20 reviews. Do not build the review engine until that test passes. Do not handle PHI until a BAA and a qualified RN reviewer are in place.
Not medical advice. This service is a documentation audit. It does not diagnose, treat, or decide care. The AI pre-screen does not certify anything. It only flags items for a US-licensed RN to review. The agency clinician signs every OASIS and every plan of care, and CMS audits the signer, not the software.
BAA required. Patient charts are PHI. No agency may send real charts until a signed Business Associate Agreement is in place, with HIPAA handling, secure EMR access, and agreed storage and retention.
RN reviewer required. Reviewers must be US-licensed RNs with OASIS credentials (HCS-O, HCS-D, or COS-C, as the job postings require). AI alone cannot do this job. Matt cannot do the review himself. A contracted RN reviewer pool, a QA lead RN, and a clinical escalation path are all required before any real chart is touched.
Support load is high. PHI, a BAA, EMR access, US-licensed RN reviewers, and a 24 to 48 hour turnaround. A wrong clean verdict that leads to a denial destroys trust, and a wrong flag wastes clinician time. A missed deadline holds up billing.
This form is a prototype demo only. Nothing you enter is sent, stored, or processed, and no real request was received. Do not enter real patient information.