🚀 Founding Facility Program — First 3 SNFs accepted receive founding-member pricing locked in for life

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Professional Service Plans

Fixed Monthly Retainer.
Measurable Outcomes.

RevOptix1™ operates as your compliance analytics and reimbursement accuracy partner — on a transparent fixed retainer, with milestone-based performance bonuses tied to measurable quality outcomes.

📊
Documentation Accuracy
Validated across every chart
🛡️
Compliance Risk Reduction
Quantified and reported monthly
⚖️
Audit Defensibility
iQIES-structured at every step
🏛️
CMS Readiness
Current with every regulatory change

Monthly Professional Retainer — All-Inclusive

One Fixed Fee.
Complete Coverage.

Your retainer covers all services — documentation accuracy analysis, compliance monitoring, staff training, leadership reporting, and audit defense. No hidden fees. No percentage of reimbursement. Ever.

Small
Under 75 Beds
Documentation accuracy and compliance monitoring for smaller SNFs
$3,500/mo
Fixed retainer · Cancel with 30 days notice
Included Services
  • ✓Unlimited chart accuracy analysis
  • ✓ICD-10 documentation validation
  • ✓Monthly accuracy & compliance report
  • ✓iQIES-structured documentation
  • ✓Works with any EHR/EMR
  • ✓BAA + HIPAA/HITECH compliance
  • —PDPM Audit Group™ consulting
  • —Staff training programs
🎯 Milestone bonuses available
Get Started →
Most Popular
Medium
76–150 Beds
Full platform + PDPM consulting for mid-size facilities
$5,000/mo
Fixed retainer · Cancel with 30 days notice
Everything in Small, plus
  • ✓Full PDPM compliance auditing
  • ✓MDS validation & accuracy review
  • ✓State survey & health inspection prep
  • ✓RAC, TPE, OIG, CERT audit defense
  • ✓Quarterly staff training — all roles
  • ✓Monthly leadership meetings
  • ✓Physician order accuracy monitoring
  • ✓Dedicated PDPM advisor
🎯 Enhanced milestone bonuses
Get Started →
Large
151–200 Beds
Comprehensive compliance program for larger facilities with greater regulatory exposure
$8,000/mo
Fixed retainer · Cancel with 30 days notice
Everything in Medium, plus
  • ✓RAI & PBJ compliance monitoring
  • ✓HIPAA & HITECH compliance auditing
  • ✓UPIC investigation preparedness
  • ✓1-on-1 physician training sessions
  • ✓Board-level compliance reporting
  • ✓Priority audit response support
  • ✓Regulatory change monitoring
🎯 Premium milestone bonuses
Get Started →
Enterprise
201+ Beds
Complete compliance and analytics program for large facilities and multi-site organizations
$12,000/mo
Fixed retainer · Custom terms available
Everything in Large, plus
  • ✓Up to 5 facilities under one agreement
  • ✓Consolidated compliance reporting
  • ✓Custom BAA for organization
  • ✓Dedicated account manager
  • ✓White-glove onboarding
  • ✓Direct leadership line to PDPM team
🎯 Enterprise milestone program
Contact for Enterprise →

How We Demonstrate Value

Your Monthly Report Shows
Exactly What We Found

Our fee is fixed regardless of findings. But every month, your leadership report quantifies exactly what our work identified — giving you full visibility into the value of the service.

📊
Documentation Leakage Identified
Every month your report shows the total estimated value of documentation accuracy gaps identified — coded as a reporting metric, not a fee basis. This gives your leadership team concrete visibility into reimbursement accuracy.
Example Report Finding
"This month's analysis identified 47 documentation accuracy gaps across 23 patient charts. Estimated reimbursement impact of unaddressed gaps: $84,200. 31 findings have been corrected and submitted."
🛡️
Compliance Risk Reduction
Your monthly compliance score tracks risk reduction over time — identifying which areas have been strengthened, which remain exposed, and where regulatory attention is most likely to focus next.
Example Report Finding
"Compliance risk score improved 23 points this quarter. RAC audit exposure reduced through corrected MDS coding in 18 charts. State survey readiness rating: High."
⚖️
Audit Defensibility Rating
Every chart analysis produces contemporaneous, iQIES-structured documentation. Your monthly report rates your facility's audit defensibility and tracks the completeness of your evidence library.
Example Report Finding
"Audit defensibility rating: Strong. 312 chart analyses on file with contemporaneous documentation. iQIES export readiness: 100%. Documentation response time if ADR received: <24 hours."
🏛️
CMS & iQIES Readiness
Your report tracks readiness against current CMS requirements — MDS accuracy rates, QRP compliance, VBP performance, and iQIES submission status — updated every time CMS issues new guidance.
Example Report Finding
"MDS accuracy rate: 94.7% (up from 81.2% at engagement start). QRP compliance: Full. New CMS transmittal effective 04/01 — staff training completed 03/15."

Optional Performance Program

Milestone Bonuses —
Tied to Quality Outcomes

In addition to the fixed retainer, facilities may opt into a milestone bonus program. Bonuses are flat amounts tied to specific, measurable quality and compliance milestones — never a percentage of reimbursement.

✅
Audit Passage Bonus
Flat bonus earned when your facility successfully passes a RAC, TPE, OIG, CERT, or state survey audit during the engagement period.
Up to $10,000
Per audit type · Flat fee · Not % of outcome
📈
Accuracy Improvement Bonus
Flat bonus earned when documentation accuracy rate improves by a defined percentage threshold from baseline at engagement start.
Up to $8,000
Based on accuracy metrics · Not revenue
🎓
Training Completion Bonus
Flat bonus earned when 100% of required staff complete their quarterly training program within the designated window.
Up to $5,000
Per quarter · Completion-based
⚖️
Why Milestone Bonuses — Not Revenue Percentages
RevOptix1™ and PDPM Audit Optimization Group™ operate as a professional compliance and analytics firm — not a revenue-sharing partner. Our fees are structured to comply with federal healthcare regulations including the Anti-Kickback Statute. Milestone bonuses are tied exclusively to quality, accuracy, and compliance outcomes — never to Medicare or Medicaid reimbursement amounts.

What Happens After
You Sign Up

1
Immediate

BAA, Terms of Service & Privacy Policy delivered

Legal documents sent immediately. A signed Business Associate Agreement is required before any patient data is uploaded — ensuring full HIPAA and HITECH compliance from day one.

2
Within 24 Hours

Platform access granted after BAA execution

Once your BAA is signed and returned, your RevOptix1™ platform access is activated. Our team walks you through your first chart upload and establishes your baseline accuracy metrics.

3
First Week

Baseline documentation accuracy assessment

We run your first batch of chart analyses to establish your baseline documentation accuracy rate — the foundation for all future reporting and milestone tracking.

4
Month 1

First monthly compliance & accuracy report

Your leadership team receives the first full report — documentation accuracy findings, compliance risk score, audit defensibility rating, and CMS readiness status. This becomes your monthly baseline going forward.

Founding Facility Program

Be One of the First
3 Facilities on RevOptix1™

Founding facilities receive white-glove onboarding, direct access to the RevOptix1™ and PDPM Audit Group™ team, and founding-member pricing locked in for life — in exchange for 90 days of feedback that shapes the platform.

3
Spots Left
Apply for Pilot →

🔒 HIPAA Compliance: A signed Business Associate Agreement (BAA) is required before any patient chart data is processed. Your BAA is delivered automatically upon signup. No PHI is transmitted until your BAA is executed. Questions? Contact us →

Common Questions

Why a fixed retainer instead of a percentage of revenue? ▾
RevOptix1™ and PDPM Audit Optimization Group™ operate as professional compliance and analytics consultants — not revenue-sharing partners. Tying fees to Medicare or Medicaid reimbursement raises significant legal concerns under the Anti-Kickback Statute. Our fixed retainer model is fully compliant, transparent, and actually gives you a more predictable cost structure. We demonstrate value through monthly reporting on documentation accuracy, compliance risk reduction, and audit defensibility — not through a percentage of your reimbursement.
How do I know I'm getting value for the monthly fee? ▾
Every month your leadership report quantifies exactly what our work found — documentation accuracy gaps identified (with estimated reimbursement impact), compliance risk score, audit defensibility rating, and CMS readiness status. You see the value in concrete numbers every single month, even though our fee is not tied to those numbers. Most facilities find the monthly report alone justifies the engagement many times over.
What are the milestone bonuses exactly? ▾
Milestone bonuses are optional flat fees tied to specific, measurable compliance and quality outcomes — such as passing a federal audit, achieving a defined documentation accuracy improvement rate, or completing staff training programs. They are never a percentage of Medicare or Medicaid reimbursement. The bonus amounts and specific milestones are agreed upon in your service agreement before the engagement begins.
Do I need to change my EHR system? ▾
No. RevOptix1™ works with every EHR and EMR on the market. Your staff exports charts using your existing system's standard export function and uploads them to RevOptix1™. No integration, no IT project, no vendor agreements required.
What is a BAA and why do I need one? ▾
A Business Associate Agreement (BAA) is legally required under HIPAA before any patient chart data can be shared with RevOptix1™. We provide a fully drafted BAA with every subscription — you review it with your compliance team, sign it, and return it. Platform access for PHI analysis is granted after BAA execution.
Can I cancel anytime? ▾
Plans can be cancelled with 30 days written notice. There are no cancellation fees for monthly plans. Upon termination, your PHI is returned or securely destroyed per your BAA terms.