Intake, evidence, deploy, cite, close — the five steps behind every Precisian engagement. One method, one engagement lead, evidence built to be sourced.
We open the file: define the scope, assess your posture, and map where the exposure actually sits.
We assemble the record — documents, citations, and controls — into something a reviewer can follow.
We put the evidence to work: build the submission, defend the position, advise the next move.
Every finding is sourced to its authority, so it holds when the payer, auditor, or court pushes back.
We close the file with a quantified outcome and a record you can stand behind.
Every matter runs the same five steps. Here’s what that looks like for two providers.
Intake — Scope the concern: which MDS assessments, which residents, and the PDPM and survey exposure that rides on them.
Evidence — Pull the MDS records, supporting documentation, and coding rationale against the RAI Manual and the controls that should have caught the gaps.
Deploy — Correct what’s miscoded, defend what holds, and advise on what needs re-opening or a corrective action plan.
Cite — Every finding tied to its RAI Manual / CMS authority, so it survives a survey or audit.
Close — A quantified case-mix accuracy picture and a record the facility can stand behind.
Intake — A Medicare ADR lands on a set of episodes. Scope the claims, the PDGM exposure, and the clock.
Evidence — Assemble the OASIS, plan of care, visit notes, orders, and signatures into one complete, navigable record — and flag every gap.
Deploy — Build the ADR response production: indexed, cross-referenced, with a coverage narrative that leads the reviewer straight to ‘covered.’
Cite — Each element mapped to the coverage criteria — CoPs, LCDs, PDGM rules — it satisfies.
Close — A submission-ready production and a clear view of the dollars defended.