Find out how many authorized days you’re leaving on the table.
For PHP, IOP, residential, detox, and SUD programs. We’ll run a workflow audit across admissions, UR, and billing, do payer-mix analysis on your actual book of business, and walk a sample concurrent-review review on 10 recent cases. You’ll see exactly where the revenue is leaking.
Programs that engage after the assessment are invited into our design-partner engagement — diagnose + build phases at no cost, with weekly working sessions with the founder and our UR-experienced advisor. See what that includes →
How the assessment works
Three phases. About two weeks. No commitment.
1. Workflow & payer-mix intake
A 45-minute call with your UR, admissions, and billing leads. You share a de-identified payer mix and a sample of 10 recent concurrent-review cases. No PHI required; we'll send a simple checklist.
2. We diagnose
We map the authorization workflow end-to-end, run payer-mix analysis on your book of business, and walk the sample concurrent-review review against the criteria each payer cites — ASAM, LOCUS, MCG.
3. You get the assessment
A written assessment showing where authorized days are leaking, which payers and workflow steps drive the exposure, and the prioritized changes — workflow, documentation, integration — that would recover them.
What the assessment contains
Specific, actionable, payer-grade.
Not a generic compliance checklist. The assessment is written against your actual workflow and your actual payer mix, using the exact criteria your payers cite in denial letters.
- Payer-mix breakdown — which payers drive your volume, denials, and exposure
- Workflow map across admissions, UR, clinical, and billing — with the leak points marked
- Sample concurrent-review review scored against each payer's cited criteria (ASAM / LOCUS / MCG)
- Eligibility / PA gaps at admission across the sample
- Estimated authorized days at risk and dollars at clawback exposure
- Three prioritized changes — workflow, documentation, integration — to act on this month
Sample assessment
Concurrent-review walk — 10 cases
Days at risk
~22
Aetna · Patient 4
High riskNo PHQ-9 in chart; step-down rationale absent; phrasing matches 3 prior notes — ASAM Dim 5 unsupported
Cigna · Patient 7
Medium riskLOCUS citation present but intensity justification thin under Cigna's continued-stay weighting
Optum · Patient 2
DefensibleIndividualized chart, MCG criteria met, clear step-down reasoning — would survive Optum review
Sample clawback exposure
~$47,200 at audit risk
Illustrative sample. Your assessment is written against your actual workflow and payer mix.
How we handle your data.
- ·Send only de-identified material for the sample concurrent-review walk — strip names, DOB, MRN, insurance ID, address. We’ll share a simple checklist.
- ·Files are encrypted in transit and at rest. Access is limited to the reviewer assigned to your assessment.
- ·If you require a BAA before sending anything, say so in the form and we’ll send one before you transmit a single document.
- ·Your data is not used to train any model without your explicit written consent. Samples are deleted within 30 days of the assessment being delivered.
Start your assessment
Tell us about your program.
We’ll reply within one business day with the de-identification checklist, the intake brief, and a time for the workflow-and-payer-mix call.