Know Exactly When to Continue Care and When Patients Are Ready
Inappropriate recertifications waste resources and burden patients. Our AI recommends optimal certification decisions—ensuring compliance while optimizing care delivery.
Key Metrics
The Challenge
Medicare requires periodic recertification for continued home health services. Making the wrong decision in either direction creates problems: unnecessary recertifications waste resources and delay appropriate transitions, while premature discharges can harm patients and create readmission risk.
Pain Points We Eliminate
- Inconsistent recertification criteria across clinical staff
- Documentation burden for justifying continued care
- Risk of inappropriate discharges that lead to readmissions
- Compliance concerns around over-utilization patterns
How We Solve It
Our AI analyzes patient progress, functional status, goal achievement, and clinical indicators to recommend optimal certification decisions. With 99.8% accuracy, it provides confidence and consistency while generating documentation to support each recommendation.
Binary Decision Support
Clear recertify vs. discharge recommendations with confidence scores
Documentation Generation
Supporting evidence and rationale for each recommendation
Compliance Assurance
All recommendations aligned with Medicare coverage criteria
Timing Optimization
Identify ideal certification periods based on expected progress
How It Works
Confident decisions in four simple steps
Certification Review
Submit patient data when certification period is approaching
Progress Analysis
AI evaluates goal achievement, functional changes, and care needs
Recommendation
Receive recertify/discharge decision with supporting documentation
Clinical Action
Care team reviews recommendation and implements appropriate next steps
Use Cases
Confident decisions across your care management workflow
Certification Period Decisions
Standard 60-day certification review with AI-powered recommendations
Early Discharge Planning
Identify patients meeting goals who are ready for discharge sooner
Audit Preparation
Generate documentation to support recertification decisions during audits
Ready for Confident Certification Decisions?
See how Recertification Intelligence can help your organization make compliant, optimal decisions every time.