About Us

Based along the Wasatch mountains in Utah, we provide revolutionary technology to drive efficiencies in care service providers. We aim to let technology make nurses, physicians, and providers more effective in data delivery, so they can focus on what they do best- compassionate care. Our Mission is to help Medicare Certified Home Care agencies reduce errors in clinical records, eliminate medicare clawbacks, and maximize revenue in accordance with the highest quality and ethical standards.

Auditing Clinical Records

Traditionally, Hospice providers hire an auditor to review clinical records every so often to ensure quality of data, learn from their mistakes, and train physicians for the future. In a month's time, an auditor might be able to review 5-10 records. Pond Ai can review every clinical record every month with the same or better results. Increasing the auditing data and accelerating the time to use quality data for learnings and training. Artificial Intelligence can be trained on all Medicare guidelines, hospice rules, and latest regulatory updates.

Why Pond?

1- Train more in real-time, not just when an audit is done. The right feedback, based on the right data from faster audits will create better habits.
2- Be aware of critical flags in clinical records a lot faster.
3- Save money. Decrease audit costs, decrease medicare clawbacks. Without compromising care.

CTI Review and Drafts

Mistakes can be made due to human error. Sometimes it's the wrong date, the wrong signature, and often it's copy and pasting something to make it as easy (and dare I say short) as possible. Pond AI can read the Clinical Record and draft a data driven CTI for the physician to review, edit, and submit. Ensuring the CTI is robust, the narrative is specific, and the work is prepared for the physician.

Why Pond?

1- Increase the quality of physician CTI's.
2- Save money. Never see a medicare audit clawback due to CTI's again.

OASIS Review

Pond performs a Medicare Administrative Contractor audit on OASIS records for Medicare compliance and has been trained on the most recent CMS OASIS-E guidance, PDGM rules, and MAC audit focus areas. The audit provides a 3-Tier checklist that separates items based on severity of risk and consequence.

Tier-1 (Critical): These items directly affect PDGM reimbursement, case-mix calculation, and Medicare payment eligibility. Incomplete or inaccurate entries are frequent causes of denial by MACs, UPICs, and SMRCs. Pond flags any missing, inconsistent or unsupported fields that put payment at risk.

Tier 2 (Survey & Compliance Risk): These fields are essential for Conditions of Participation (CoPs) and clinical oversight, but errors are more likely to trigger survey deficiencies or probe audits than immediate denials.

Tier 3 (Best Practices): These items impact star ratings, value-based purchasing metrics, and care quality perception. They're not usually audited directly, but influence outcomes and appeal decisions. The best agencies audit these fields to enhance care quality and Medicare metrics.

Pond Ai's 3-Tier audit on OASIS covers the most essential components that impact Medicare payment, compliance risk, and quality ratings.

Why Pond?

1- Quality. Improvement measurements are only as good as the data in OASIS. We ensure high quality data across all OASIS records.
2- Increase star rating on Medicare Compare
3- Save Money. Save hundreds of thousands in audit review costs

Home Health Billing Review

Pond Ai provides coding services to home health and hospice agencies. Our goal is to elevate the level of accuracy and effectiveness of ICD-10 codings to insure proper reimbursement for our clients. Our proprietary technology reviews diagnoses and symptoms and maps them to proper codes, suggests care delivery codes based on language in the documentation, and audits the record to flag missing justification for services.

This allows companies to easily see any discrepancies or suggested codes to add to billing.

Why Pond?

1- Increase OASIS earnings
2- Save money. With our technology you gain extreme efficiencies in reviewing each record, which is significantly more cost effective than any of our competitors.