98% compliance isn't a goal. It's a guarantee.
AI-powered EVV exception triage, authorization burn-rate predictions, per-claim risk scoring, and a single compliance score for your entire agency. Stop reacting to denied claims — prevent them.
Every EVV exception, ranked by risk and ready to resolve
Most agencies discover EVV exceptions when claims get denied — weeks later. Compliance Copilot surfaces every exception daily, triages them by severity, and suggests the fastest resolution path so your billing team fixes problems before they cost you money.
Exceptions detected automatically
Missing clock-ins, GPS mismatches, duration variances, overlapping visits — the system catches every exception type and categorizes them by root cause.
AI triages by denial risk
Not all exceptions are equal. A 2-minute GPS drift is cosmetic. A missing clock-out on a 6-hour shift will get denied. AI scores each exception by its likelihood of causing a claim rejection.
Suggested resolutions
Each exception comes with a recommended fix: request caregiver attestation, apply manual override with documentation, or flag for supervisor review. One-click actions, not research projects.
Know when authorizations will run out — before they do
Authorization tracking shouldn't be a spreadsheet exercise. Compliance Copilot uses velocity-based projections to predict exactly when each authorization will be exhausted, so you can request renewals proactively and never leave billable hours on the table.
Velocity-based exhaustion predictions
Not just "60% used." The system calculates current burn rate and projects the exact week each authorization will run out — accounting for seasonal patterns, schedule changes, and utilization trends.
Early renewal alerts
Configurable alerts at 30, 60, and 90 days before projected exhaustion. Your admin team gets the lead time they need to file renewals without scrambling.
Underutilization detection
Authorizations expiring with unused hours is money left on the table. The system flags clients burning too slowly so you can adjust schedules and maximize service delivery.
Per-payer dashboards
See burn rates by Medicaid waiver, private pay, or VA — across your entire caseload. Spot systemic issues before they affect revenue.
Score every claim before you submit it
Denied claims cost $25-50 each to rework and resubmit. Compliance Copilot scores every claim for risk factors — missing documentation, EVV exceptions, authorization mismatches — before it leaves your system. Fix problems in minutes, not after a 30-day denial cycle.
Per-claim risk scoring
Every claim gets a risk score before billing. High-risk claims are flagged for review. Low-risk claims flow through automatically. Your billing team focuses attention where it matters.
Org-level compliance score
One number, 0-100, that represents your entire agency's compliance health. EVV rates, documentation completeness, claim approval rates, and authorization utilization — combined into a single actionable metric.
Weekly compliance snapshots
Automated weekly reports delivered to your inbox. Compliance score trends, top risk areas, exception resolution rates, and upcoming authorization deadlines — everything your leadership team needs in two minutes.
Denial pattern analysis
When denials do happen, Compliance Copilot identifies patterns: specific payers, service codes, caregivers, or documentation gaps that repeat. Fix the root cause, not just the symptom.
Related Features
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