Scorched earth
Mass recoupments. Facilities closed. Residents displaced. Careers ended. And the underlying chart fragmentation that enables fraud stays in place for the next wave.
Precision beats punishment.
The 2026 National Health Care Fraud Takedown charged 455 defendants in alleged schemes involving more than $6.5 billion in false Medicare and Medicaid claims (KUTV, 6/24/2026). Everyone agrees fraud must stop. The question is whether we destroy good buildings or fix bad documentation. Our answer: verify the chart before you verify the dollar.
PDPM Audit Group
AI cross-references every EMR — physician notes, nursing notes, MDS, procedures — and shows exactly what is supported. Facilities correct gaps privately. Enforcement gets line-item truth. Legitimate revenue is recovered with audit-ready proof.
For SNF operators
Mock surveys built on your state’s survey checklist. Confidential chart review. Coach your team before surveyors or federal agents arrive.
For regulators & integrity units
The same cross-EMR methodology fraud hides behind — applied consistently at chart level, not facility-by-facility guesswork.
For media & policymakers
A concrete alternative to “burn it all down” enforcement: patent-protected AI that makes documentation truth visible before dollars move.
Structurally honest
RevOptix1 cannot invent codes or fabricate revenue. It only surfaces what is already documented — zero opportunity for upcoding.
Patent-protected technology. Partnership, media, and government inquiries: audit-defense@pdpmauditgroup.com · Smithfield, Utah