Stop losing PHP and IOP revenue to documentation denials.
Lucida scores every daily progress note — from any EHR, or even paper charts — against payer and ASAM medical-necessity standards, so you catch the notes that won't survive concurrent review or audit before the payer does.
MN Score
CR Risk Notes
Clawback Exposure
7 notes flagged for review
Just now
Built with PHP and IOP leaders across the country
Medical necessity is where PHP and IOP revenue dies.
Across every payer, auditor, and denial letter, one failure mode dominates: daily notes that don't prove the patient can't step down to a lower level of care today. It costs programs revenue in three predictable ways.
Initial Auth Denied
Intake doesn't clear ASAM or LOCUS criteria the payer cites. The program admits the patient anyway and eats the claim.
Concurrent Review Cuts
Vague or templated daily notes don't justify continued PHP/IOP intensity. The payer ends authorization mid-stay; every day after is a denial.
Retrospective Clawbacks
Post-payment audits pull notes 12–24 months later. Documentation that doesn't support the LOC billed gets reclassified as overpayment — and the money goes back.
The Silent Cost
Templated copy-paste notes, missing PHQ-9/GAD-7/ASAM scores, weeks under the 20-hour PHP threshold. Nobody audits it until the denial letter arrives.
Platform
One pillar. PHP/IOP Revenue Protection.
Lucida sits on top of the EHR you already use and reads every daily note the same way a utilization-review nurse would — but for every patient, every day, in real time.
Medical-Necessity Scoring, Every Note, Every Day
Every progress note scored against payer and ASAM/LOCUS criteria the moment it's signed. Clinicians see a risk score; leadership sees which patients have documentation that won't hold up under concurrent review.
Concurrent-Review Readiness
Auto-compiles payer-ready justification packets from the notes already in the EHR. What used to take a UR nurse four hours takes four minutes.
Clawback Exposure Monitoring
Scans already-paid claims and flags which ones won't survive retrospective audit — so you can fix documentation before the auditor arrives, not after.
Payer-Language Coaching
Suggests ASAM/LOCUS-grade rewrites of weak note sections. Clinicians keep their voice; payers get the specificity they require.
How It Works
From disconnected to intelligent in three steps.
Bring your notes
Any EHR, any format — even paper charts or PDFs. Lucida ingests your daily progress notes read-only. We never write back to the chart. No workflow changes, no rip-and-replace.
Score every note
Lucida reads every daily progress note against payer and ASAM/LOCUS medical-necessity standards, flags missing elements, and scores the note's audit survivability.
Defend your revenue
A dedicated UR-experienced advisor sits with your clinical and billing leaders weekly to act on the risks — fixing documentation, defending authorizations, and neutralizing clawback exposure.
Features
Every layer of medical-necessity risk, covered.
Documentation intelligence at the note, concurrent-review defense at the auth, and clawback exposure monitoring after the claim is paid.
Note-Level MN Scoring
Every daily note scored in real time. Flags missing PHQ-9/GAD-7/ASAM scores, templated language, and absent step-down rationale before the note is ever reviewed by a payer.
20-Hour Threshold Tracker
Live weekly tracker of PHP therapeutic service hours per patient, with proactive alerts the moment a patient is trending below the 20-hour threshold.
Payer-Language Coaching
Inline suggestions that rewrite vague clinical language into the ASAM/LOCUS-grade specificity payers require — without changing the clinician's voice.
Step-Down Rationale Check
Every note is evaluated for whether it answers the payer's core question: why this patient cannot safely step down to a lower level of care today.
Results
The numbers speak for themselves.
of PHP notes fail an ASAM audit*
Faster concurrent-review response*
Typical clawback lookback window
PHP weekly threshold we monitor live
Integrations
Works with the tools you already use.
We connect to your existing systems — no rip-and-replace, no workflow disruption. If you use it, we can integrate it.
EHR (PHP/IOP)
EHR
Billing / Payer
Billing
Don't see your system? We'll connect it.
“We thought our documentation was fine because the claims were getting paid. Lucida showed us $340K of exposure across already-paid weeks. We fixed the process before a single audit pulled it back.”
Design Partner
CFO, Florida IOP network
Prove it against your own notes.
First 45 days on us.
We’re opening ten design-partner slots with PHP and IOP programs who want to co-develop Lucida against their real payers and real clawback exposure. It’s a working partnership, not a freemium tier — and it’s the fastest way for a skeptical CFO to prove ROI before a single dollar changes hands.
Claim a design-partner slotNo card required · No auto-charge · Qualification on a 30-minute call
45 days of Lucida — no cost
Full access to documentation scoring, concurrent-review packets, and clawback monitoring. No card on file. No auto-charge.
Weekly working sessions
Direct time with the founder and our UR-experienced clinical reviewer. We tune the scoring against your payers and your notes.
Lifetime preferred pricing
Design partners lock in an early-adopter rate on the day they convert. If we raise prices later, yours don't move.
Keep every report
Even if you don't continue after 45 days, every risk report, exposure summary, and concurrent-review packet we produced is yours to keep.
FAQ
The questions PHP & IOP operators actually ask.
Quick answers on medical necessity, how Lucida works, and what the design-partner pilot includes.
What is the #1 cause of PHP and IOP claim denials?
What is a retrospective clawback and how far back can a payer go?
How does Lucida work with our existing EHR?
Is Lucida HIPAA compliant?
What is the design-partner program?
Find out how many of your notes would survive a payer audit.
We'll run a free documentation risk scan on a sample of your program's actual notes — scored against your payers' real medical-necessity criteria — and show you exactly where the revenue is leaking.