MDS Audit Software That Compares the Assessment to the Chart
RevOptix1 helps skilled nursing facilities review MDS information against the underlying clinical record.
The platform analyzes available chart documentation to identify inconsistencies, missing support, conflicting information, and items that may require additional clinical or MDS review before they become reimbursement or audit problems.
Compare the MDS to the chart. Find the gaps. Strengthen the record.
The MDS Should Tell the Same Story as the Clinical Record
The Minimum Data Set is not an isolated form.
It is a summary of information supported by the resident record, interdisciplinary documentation, assessment data, and applicable CMS guidance.
When the MDS and the chart tell different stories, the facility may face:
- reimbursement issues
- documentation questions
- audit exposure
- inconsistent care planning
- inaccurate quality reporting
- avoidable rework
RevOptix1 helps identify those inconsistencies earlier.
What RevOptix1 Reviews
Depending on the documentation supplied, RevOptix1 can assist your team in reviewing relationships between:
MDS Assessment Information
Review MDS data for inconsistencies, unusual patterns, or items that deserve comparison with the underlying clinical record.
Nursing Documentation
Compare MDS-related information with nursing notes, assessments, flowsheets, and other available clinical documentation.
Therapy Documentation
Review available physical therapy, occupational therapy, and speech-language pathology documentation where it is relevant to the assessment.
Physician Documentation
Evaluate whether diagnoses, conditions, and other clinical information reflected in the MDS align with available physician documentation.
ICD-10-CM Diagnoses
Identify diagnosis-related discrepancies that may affect assessment accuracy, PDPM classification, or documentation support.
Section GG
Review functional documentation associated with Section GG and identify potentially conflicting information across the interdisciplinary record.
NTA-Related Documentation
Identify records containing information that may deserve review for Non-Therapy Ancillary classification and supporting documentation.
Reimbursement-Related Information
When claim, HIPPS, or PDPM information is supplied, compare it with the available clinical evidence and MDS information.
MDS Accuracy Starts With Source Documentation
A field on the MDS should be supported by the record.
That support may come from multiple sources, including:
- nursing notes
- physician notes
- therapy documentation
- medication records
- treatment records
- assessments
- diagnosis information
- interdisciplinary documentation
RevOptix1 helps bring those sources together so the MDS team can review the evidence more efficiently.
The software does not replace the RAI Manual, clinical judgment, or qualified MDS review.
It helps identify where those resources should be applied.
Find More Than Simple Errors
An effective MDS audit should do more than look for blank fields or obvious coding mistakes.
RevOptix1 is designed to identify broader patterns such as:
- MDS-to-chart inconsistencies
- conflicting interdisciplinary documentation
- diagnosis discrepancies
- Section GG support questions
- NTA documentation concerns
- reimbursement-related differences
- missing or incomplete support
- repeated documentation patterns
- areas requiring clinical clarification
The goal is to make the review process more focused and defensible.
Review Both Revenue Opportunity and Compliance Risk
MDS accuracy affects both reimbursement and compliance.
That means the review should look in both directions.
Potentially Supported Opportunities
The record may contain clinical information that deserves additional review because it is not reflected consistently in the MDS or reimbursement record.
Potential Documentation Risk
The MDS may contain information that appears inconsistent with or insufficiently supported by the clinical documentation provided for review.
Both are important.
RevOptix1 is designed to identify the discrepancy.
Your team determines the appropriate action.
Why Review the MDS Before an Outside Reviewer Does?
External reviewers may compare the MDS, clinical documentation, diagnoses, treatment records, and claims to determine whether the submitted information is supported.
If a discrepancy can be identified internally, the facility has an opportunity to:
- clarify documentation
- educate staff
- correct workflow problems
- strengthen future assessments
- reduce repeated errors
That is the value of pre-audit MDS review.
How RevOptix1 Works
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Upload a Supported Chart Export
Use a supported export from your existing EHR after the required security and BAA process is completed.
RevOptix1 is designed to work with common SNF chart formats rather than requiring your facility to replace its current system.
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RevOptix1 Reviews the Available Documentation
The platform analyzes the supplied chart and assessment information to identify discrepancies, missing support, and items requiring closer review.
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Your Team Reviews the Evidence
Findings are presented for qualified facility personnel to evaluate.
The responsible clinician, MDS professional, coder, or reimbursement specialist determines whether a correction or other action is appropriate.
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Use Patterns to Improve the Process
A single discrepancy may be isolated.
Repeated discrepancies may identify a larger workflow or training issue.
RevOptix1 helps facilities move from individual findings to process improvement.
Built for MDS and Clinical Teams
RevOptix1 can support:
- MDS Coordinators
- Registered Nurses
- Directors of Nursing
- Administrators
- Reimbursement Specialists
- Compliance Teams
- Regional Clinical Leaders
- Multi-Facility Operators
The objective is not to replace experienced MDS professionals.
It is to help them focus their expertise where it matters most.
Section GG Review
Section GG can require review of documentation across multiple disciplines.
RevOptix1 can help organize available evidence relevant to:
- self-care activities
- mobility activities
- nursing documentation
- therapy documentation
- interdisciplinary observations
When different parts of the chart reflect different levels of assistance or function, those differences deserve review.
RevOptix1 helps make those inconsistencies easier to identify.
Learn More About Section GG Audit
NTA and Diagnosis Review
Diagnoses and NTA-related conditions can have important PDPM implications.
RevOptix1 can help identify where the chart contains information that may deserve review for:
- diagnosis support
- clinical-category alignment
- NTA-related documentation
- inconsistencies between the problem list, MDS, and source notes
The platform does not automatically determine what should be coded.
It helps identify where the evidence requires human review.
Learn More About PDPM NTA Review
Keep Your Existing EHR
RevOptix1 is designed as an additional chart-intelligence layer.
It is not intended to replace your EHR or MDS workflow.
Depending on your system and export capabilities, supported formats may include:
- CCD
- HL7
- FHIR
- other supported chart exports
Software Identifies. Your Team Decides.
RevOptix1 is decision-support technology.
It does not automatically:
- change an MDS assessment
- change a diagnosis
- submit an MDS correction
- change a claim
- bill Medicare
- make a final coding decision
Findings should be reviewed by appropriately qualified facility personnel before changes are made.
That review step protects clinical accuracy and compliance.
What Makes RevOptix1 Different?
Chart-to-MDS Review
RevOptix1 focuses on the relationship between the assessment and the documentation behind it.
Evidence-Oriented Findings
The platform is designed to direct users back to the available source documentation rather than provide unexplained alerts.
Skilled-Nursing Focus
RevOptix1 is built around SNF documentation, PDPM, MDS, reimbursement, and audit-readiness workflows.
Revenue and Compliance Together
The same review can identify both potential missed opportunity and potential unsupported risk.
Human Expert Support
When deeper review is needed, PDPM Audit Optimization Group provides a human compliance and audit-support layer.
MDS Audit Software vs. Manual Review
Manual MDS review remains essential.
The challenge is scale.
Reviewing every supporting note across every assessment can take significant staff time.
RevOptix1 helps identify the records and issues most likely to require attention so experienced staff can spend more time evaluating meaningful findings.
Technology narrows the search.
Professionals make the decision.
Common MDS Issues a Review May Identify
Depending on the documentation supplied, a review may surface:
- unsupported assessment items
- MDS/chart discrepancies
- inconsistent diagnoses
- Section GG conflicts
- NTA documentation questions
- missing clinical support
- conflicting nursing and therapy documentation
- reimbursement-related discrepancies
- repeated documentation patterns
- items requiring further clinical clarification
Each finding should be reviewed according to the applicable assessment period and current CMS guidance.
Strengthen the Assessment Before It Becomes an Audit Issue
MDS problems are often easier to address when they are identified during internal review rather than after an external request arrives.
RevOptix1 helps skilled nursing teams identify documentation issues earlier and create a more repeatable review process.
Start With a RevOptix1 Pilot
Use your own workflow and documentation to evaluate what RevOptix1 can identify.
The pilot is designed to help your organization determine how chart intelligence can support MDS accuracy, reimbursement integrity, and audit readiness.
Pilot pricing: $550 per month for the first three months.
Frequently Asked Questions
What is MDS audit software?
MDS audit software helps skilled nursing facilities review assessment information against supporting clinical documentation to identify inconsistencies, missing support, and items requiring further review.
Does RevOptix1 replace the MDS Coordinator?
No. RevOptix1 is designed to support qualified MDS professionals, not replace them.
Does RevOptix1 automatically change the MDS?
No. The platform provides findings for human review. Facility personnel remain responsible for assessment decisions and corrections.
Can RevOptix1 identify MDS documentation gaps?
Yes. The platform can identify inconsistencies, missing support, and areas that deserve additional review based on the documentation supplied.
Can RevOptix1 review Section GG?
RevOptix1 can assist with review of available documentation relevant to Section GG and identify conflicting or potentially inconsistent information.
Can RevOptix1 review NTA-related documentation?
Yes. It can help identify chart information that may deserve review for NTA-related implications, subject to qualified human review.
Does RevOptix1 work with PointClickCare or other EHRs?
RevOptix1 is designed to work with supported exports from existing clinical systems. Compatibility depends on the export format and data available from the facility’s EHR.
About RevOptix1
RevOptix1 is chart-intelligence software built for skilled nursing facilities.
The platform helps SNFs compare clinical documentation, MDS information, diagnoses, and reimbursement-related data before discrepancies become external audit findings.
Compare the assessment to the chart before somebody else does.
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.