Reimbursement clarity starts at admission
Reimbursement clarity starts at admission
Exacare ai automates managed care prior authorization by reviewing clinical documentation against your payer contracts, so teams can secure the right reimbursement level and pre-approve carve-outs upfront.
Support the right acuity.
Secure the right reimbursement.
Support the right acuity.
Secure the right reimbursement.
Streamlined authorization workflows
Automate and simplify insurance authorization workflows, enabling staff to refocus resources on patient care.
Clinically accurate classification
Improved acuity and high-cost medication capture ensures payer approvals reflect patient needs.
Enhanced care for better outcomes
More accurate reimbursement so you can grow therapy and nursing services to provide the care patients need.
0 min0 min prior authorization submission time0%+0%+ of managed care days in L2+$0K+$0K+ per facility reimbursement increase
How it works
Extract clinical and insurance details
When a referral arrives, exacare ai pulls key clinical and coverage information directly from the documentation.
Extract clinical and insurance details
When a referral arrives, exacare ai pulls key clinical and coverage information directly from the documentation.
Estimate reimbursements early
AI analyzes PDPM drivers and predicts reimbursement, showing the clinical details behind the estimate.
Estimate reimbursements early
AI analyzes PDPM drivers and predicts reimbursement, showing the clinical details behind the estimate.
Maximize what you're owed
Analyze managed care contracts, support higher acuity classifications, and verify coverage before admission.
Maximize what you're owed
Analyze managed care contracts, support higher acuity classifications, and verify coverage before admission.
How it works
Step 1
Extract clinical and insurance details
When a referral arrives, exacare ai pulls key clinical and coverage information directly from the documentation.
Austin Steele, Chief Strategy Officer at Journey
“Exacare ai has radically improved our managed care process… we can now be confident that higher acuity patients receive the high-quality care they deserve.”
Tim Fields, CEO at Ignite Medical Resorts
“Our organization is very unique in that 60% of our business is managed care, so when we do managed care, we want to do it right.”
Across the care journey
Across the care journey
- For Skilled NursingHigh referral volume, complex documentation, and tight response windows demand consistent, defensible decision-making across facilities.Learn moreLearn more
Trusted by 2,000+ care teams
Move care forward
Move care forward