MatrixCare PDPM Audit Software for Skilled Nursing Facilities
Keep MatrixCare. Export the resident record. Review MDS, Section GG, NTA, MAR/TAR, and PDPM/HIPPS findings without replacing the long-term and post-acute EHR your team already uses.
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RevOptix1 is MatrixCare SNF audit software as a second review layer: chart intelligence for skilled nursing facilities that document in MatrixCare.
It is not a MatrixCare replacement, module, or competing clinical system.
Depending on the export available, RevOptix1 can help you run a MatrixCare MDS audit against the rest of the resident record, then surface PDPM-related questions for human review.
Keep the EHR. Review the chart. Decide with evidence.
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The MatrixCare PDPM Audit Workflow
A MatrixCare PDPM audit should be explainable in one path:
- MatrixCare
- Export resident record
- RevOptix1
- MDS validation
- Section GG
- NTA
- MAR/TAR
- PDPM/HIPPS
- Audit findings
MatrixCare stays the system of record. RevOptix1 reviews a supported export and returns findings for qualified staff.
What Is a MatrixCare PDPM Audit?
A MatrixCare PDPM audit is a structured review of the documentation that supports Patient Driven Payment Model classification for a skilled nursing stay documented in MatrixCare.
It asks whether the exported resident record reasonably supports:
- MDS assessment responses
- diagnoses used for PDPM
- Section GG functional scoring
- NTA conditions and services
- nursing, medication, and treatment evidence
- the HIPPS / PDPM classification associated with the stay
The useful question is:
If someone requested the MatrixCare chart tomorrow, would the MDS, GG, NTA, MAR/TAR, and billed classification tell one defensible story?
RevOptix1 is designed to help facilities see that story while the record is still in their control.
Why MatrixCare Facilities Still Need a Chart-Review Layer
MatrixCare is a major long-term and post-acute EHR. Using it well does not, by itself, complete a MatrixCare PDPM review.
Clinical documentation, MDS coding, therapy notes, MAR/TAR, and billing classification often live with different users even when they share one EHR.
A MatrixCare chart audit is the work of connecting those pieces before an auditor, MAC, RAC, or survey process reconstructs them from the outside.
RevOptix1 does not replace MatrixCare charting, overwrite MDS items, or submit claims. It reviews a supported export.
Keep MatrixCare. Add Chart Intelligence.
RevOptix1 is designed to work from common SNF export formats such as searchable PDF, CCD, HL7, FHIR, CSV, XML, and other supported files.
It does not require a MatrixCare rip-and-replace, and it does not depend on the facility switching to PointClickCare or another EHR.
What can be reviewed depends on what the MatrixCare export actually contains. Structured, searchable files generally review more completely than image-only PDFs.
This marketing page does not accept chart uploads. Protected health information is handled in the signed-in software after the applicable BAA path.
MatrixCare MDS Audit
A MatrixCare MDS audit compares available MDS information with supporting documentation in the resident record.
Depending on the export, RevOptix1 can help reviewers look for:
- MDS responses that appear unsupported in the chart
- chart evidence that may not be reflected on the MDS
- inconsistencies across nursing, therapy, diagnoses, and assessment data
- items that deserve additional human review
If you need to audit MatrixCare MDS documentation, the software is built to make that comparison visible—not to recode the MDS automatically.
See also: MDS Audit Software.
Section GG, NTA, and MAR/TAR
The same MatrixCare export can support more than a diagnosis list.
- Section GG — functional documentation versus MDS GG responses. See Section GG Audit Software.
- NTA — supported versus missed Non-Therapy Ancillary conditions and services. See PDPM NTA Review.
- MAR/TAR — medication and treatment administration evidence when those records are included in the export.
- PDPM/HIPPS — reimbursement-related classification questions for human review. See PDPM Audit Software.
RevOptix1 is not the official CMS grouper, Pricer, or a certified replacement for MatrixCare billing tools.
What RevOptix1 Does Not Do
- It does not replace MatrixCare.
- It does not automatically change the MDS.
- It does not submit claims.
- It does not auto-code diagnoses.
- It does not replace qualified clinical, MDS, or billing judgment.
HIPAA and This Page
Do not upload protected health information on this marketing page.
Chart review happens in the signed-in software after the applicable BAA path.
Other Major SNF EHR Workflows
The same export-based model applies when a supported resident-record export is available from other skilled nursing EHRs.
- PointClickCare PDPM Audit
- Netsmart myUnity PDPM Audit
- American HealthTech PDPM Audit
- Full EHR compatibility list
Frequently Asked Questions
Does RevOptix1 replace MatrixCare?
No. RevOptix1 is an additional MatrixCare PDPM audit and chart-intelligence layer.
Can you audit MatrixCare MDS documentation?
Yes, depending on the export. RevOptix1 can help compare available MDS information with supporting documentation and flag inconsistencies for qualified reviewers.
What is a MatrixCare PDPM review?
A MatrixCare PDPM review looks at whether MDS, diagnoses, Section GG, NTA, MAR/TAR, and related documentation in the MatrixCare record support the classification used for the stay.
Is this MatrixCare chart audit software?
RevOptix1 is SNF chart-review software that can review a supported MatrixCare resident-record export. It is not a MatrixCare module.
What is MatrixCare SNF audit software used for?
Facilities use a second review layer to find unsupported MDS responses, missing support, Section GG conflicts, NTA questions, and reimbursement-related items before an outside auditor sees the chart.
Do we have to change EHRs?
No. The intended workflow is MatrixCare → export resident record → RevOptix1 → audit findings.
Does RevOptix1 automatically change the MDS or HIPPS?
No. Findings require human review.
What exports are supported?
Common formats include searchable PDF, CCD, HL7, FHIR, CSV, and XML when the file contains usable clinical content. See EHR compatibility.
Where is PHI handled?
Not on this page. Chart review is in the signed-in software after the applicable BAA path.
Continue the Review
Review the MatrixCare Chart Before Someone Else Does
MatrixCare holds the record. RevOptix1 helps you inspect it.
Export the resident record. Validate the MDS. Surface the findings.
Request a Demo Explore PDPM Audit Software
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. MatrixCare is a trademark of its respective owner. RevOptix1 is not affiliated with, sponsored by, or endorsed by MatrixCare or ResMed.