Patient Capture & Eligibility Automation
Real-time eligibility monitoring and automated patient capture across facilities — replacing manual data exports and pivot-table workflows.
Overview
In skilled nursing, the window to capture a short-stay patient is narrow. Miss it — because you're manually reviewing records, chasing eligibility confirmations, or waiting on a report that's three days old — and that revenue is gone.
For one preventative care organization operating across hundreds of facilities in multiple states, that was the reality every day. We built a real-time eligibility and logistics platform that monitored admissions, discharges, insurance eligibility, cognitive status, and clinical criteria automatically — pulling live from PointClickCare and EMR integrations.
When a patient qualified, the system routed them, queued the visit, and optimized the schedule. The manual pivot-table workflow was replaced entirely.
Business Impact
Patient capture rates increased dramatically. The operations team stopped spending their days on data exports and started managing by exception. The platform scaled across hundreds of facilities in multiple states without adding headcount.
- Automated real-time eligibility monitoring across thousands of residents
- Eliminated manual data exports and pivot-table workflows entirely
- Provider routing and visit queue optimization across hundreds of facilities
- Scaled across multiple states without proportionally growing the team