Module 4 capstone · Expert methodology
Cross-EMR reconciliation lab
Auditors pull physician EMR, nursing notes, therapy logs, care plan, and MDS — then ask one question: Do these tell the same story for the same dates? This is the core of RevOptix1.
Foundation exercise — one admission
Pick a recent Medicare Part A admission. Open these four sources side by side for the ARD look-back window:
Mark each row Pass only if a stranger could prove skilled need from the chart alone — the MAC standard.
Print reconciliation workbookRegional lab — facilitate a team session
For Regional and Enterprise tiers: run this as a 60-minute IDT exercise with MDS, DON, therapy lead, and business office.
You reconciled by hand — now automate it
Chart Score Pass runs one stay through the scoring engine. RevOptix1 runs the same cross-EMR logic across your census.