CMS Updates
CMS and its contractors can review SNF documentation to determine whether Medicare coverage, coding, and medical-necessity requirements are supported. CMS has specifically identified SNF PDPM documentation and medical necessity as an area subject to complex medical review. RevOptix1 helps facilities identify potential documentation issues earlier — before a request for records arrives.
Policy lives at CMS
This page is not a substitute for official CMS publications, transmittals, or program-integrity guidance. Skilled nursing teams should confirm current payment, MDS, and medical-review rules from CMS and their Medicare Administrative Contractor. RevOptix1 is chart-intelligence software; it does not replace reading the source guidance.
What RevOptix1 is for
When documentation, assessment information, and reimbursement-related data need to be reviewed together, RevOptix1 can help surface inconsistencies, missing support, and items that deserve additional human review. The software does not auto-code and does not change the MDS.
Review before the request arrives
A MAC, RAC, or other reviewer evaluates the record that exists — not what the facility intended to document. Internal chart review is the window to address weaknesses first. Log in to start a pilot, or see how the review flow works.
CMS: Patient Driven Payment Model
This is a marketing page. Do not upload protected health information here. Chart review happens in the signed-in software after the applicable BAA path. RevOptix1 is decision-support technology, not auto-coding software.