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Compliance Oversight

AI-Powered Oversightfor Regulated Care

Continuous review of care activity to support documentation integrity, compliance requirements, and audit readiness. All insights are advisory and operate alongside clinician oversight.

Healthcare professional reviewing patient documentation

Audit-Ready

Documentation verified

The Challenge

Regulated care programs are complex

RPM, CCM, and other Medicare programs have strict documentation requirements, time thresholds, and billing rules. Manual monitoring of compliance across hundreds or thousands of patients creates risk and administrative burden.

Missing a required touchpoint, incomplete documentation, or unmet time thresholds can result in denied claims or audit findings—often discovered too late to correct.

Our Approach

The AI layer acts as an adviser and monitor—not a clinician or decision-maker. It continuously reviews care activity against program requirements, surfacing potential gaps while clinicians and system logic retain final authority.

Care manager reviewing patient care documentation
Real-time alerts
Capabilities

Outcome-focused oversight

The AI layer supports care teams by reviewing activity, identifying gaps, and maintaining audit-ready documentation.

Continuous Care Review

The system reviews care interactions and notes against program requirements and patient context, identifying missing documentation or unmet time thresholds before they become compliance gaps.

Patient-Specific Context

The platform maintains relevant context for each patient. Review insights are tailored to individual care plans, conditions, and program enrollments.

Real-Time Compliance Alerts

Care teams receive timely notifications of potential compliance gaps as they occur, allowing for proactive resolution before documentation issues arise.

Audit-Ready Evidence

All review activity feeds into an immutable evidence trail. Documentation is complete, traceable, and exportable when needed for audits or quality reviews.

How It Works

From data to documentation

A straightforward flow from care activity to audit-ready evidence.

01

Data Intake

Care interactions, device readings, and documentation flow into the system from integrated EMRs and connected sources.

02

Rule Evaluation

The system evaluates activity against program requirements, documentation standards, and patient-specific parameters.

03

Advisory Outputs

Insights and alerts are surfaced to care teams as suggestions. All recommendations are advisory—clinicians and system logic remain the final authority.

04

Evidence Preservation

Review activity and documentation are preserved in an audit-ready format, available for export and compliance verification.

Important: All AI suggestions are advisory only. Clinicians and system-enforced compliance rules remain the final authority on care decisions and documentation.

Trust & Integration

Built for healthcare environments

The platform integrates with existing clinical systems and operates within healthcare compliance frameworks. AI insights are explainable and non-autonomous.

  • Integrates with 80+ EMR systems—works alongside existing clinical infrastructure
  • HIPAA compliant with enterprise-grade security and encryption
  • AI outputs are explainable and transparent to care teams
  • Non-autonomous operation—system assists, clinicians decide
Healthcare team collaborating on patient care

Security & Compliance

Enterprise-grade protection

HIPAA Compliant
SOC 2 Type II
End-to-End Encryption
Audit Logging
Role-Based Access
Data Residency
Supported Programs

AI oversight for regulated programs

The AI layer enhances these programs by reducing administrative burden and supporting compliant documentation. Programs are supported workflows—not the product identity.

Remote Patient Monitoring (RPM)
Chronic Care Management (CCM)
Behavioral Health Integration (BHI)
Transitional Care Management (TCM)
Principal Care Management (PCM)
Annual Wellness Visits (AWV)

See AI oversight in action

Schedule a demo to learn how continuous compliance review can support your care programs and reduce audit risk.