Akssi.Logo&Typo.Colored-2
 
Hospice Decision Risk & Operations Platform

Scale Your Hospice
Without Scaling Risk

Akssi™ works with your EMR to identify documentation and eligibility gaps before they surface during CMS review, helping ensure decisions are defensible and follow-through is complete as your organization grows.

Vector

See where risk is building across your patients and how Akssi fits into your current workflows

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Built by hospice operators
Built by hospice operators
Aligned with CMS and LCD requirements
Aligned with CMS and LCD requirements
Works with your EMR
Works with your EMR
Built for clinical, operational, and compliance teams
Built for clinical, operational, and compliance teams

Audit risk exposure is driven by patterns, not individual charts

As hospice organizations grow, small inconsistencies across teams and locations accumulate. As variability increases, exposure follows in the form of ADRs, denials, clawbacks, and audits.

The average hospice has 8-17% of its claims at risk.

This results in $800K–$1.7M+ in potential exposure for every $10M in claims

Most organizations only see these issues after submission, when correction is more difficult and more costly.

Akssi changes this.

Akssi™ is the structured operating layer for

hospice decision protection.

Our platform works with your EMR to identify documentation and eligibility gaps across patients and claims, so decisions are
consistent and defensible before they are reviewed, resulting in:

Reduced Audit Exposure And Financial Risk

Defensible, Consistent Decisions Across The Organization

Less Leadership And Staff Time Dedicated To Rework

Greater Operational Control As Complexity Increases

Identify risk, support decisions, and ensure

follow-through

Proactively Find And Address What Matters Most

  • Surface documentation and eligibility gaps early
  • Prioritize the most critical issues based on CMS guidelines
  • Provide visibility into where exposure is building

Protect And Support The Decision

  • Align documentation with patient condition and CMS requirements
  • Reduce variability across providers and teams
  • Strengthen defensibility under audit or review

Ensure Completion And Confirmation

  • Assign and track corrective actions
  • Provide visibility into ownership and completion status
  • Confirm that follow-through is completed

What hospice organizations gain with Akssi

Save Time Now

Reduce recertification time by 2–4 hours and minimize chart audit effort

Protect 8–17% Of Revenue

Address gaps before they result in denials or clawbacks

Reduce Audit-Related Cost And Disruption

Limit legal, consulting, and internal time spent managing audits

The Akssi™ Platform

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Recert-Assist

Recert-Assist reviews eligibility decisions against the full clinical record and CMS LCD criteria and highlights inconsistencies to ensure recertification decisions are complete and defensible. 
  • Identify where documentation does not support eligibility
  • Highlight gaps in patient progression
  • Align narratives with the clinical record
Learn More
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Audit-Scan

Audit Scan constantly scans 100% of eligibility, documentation and operational data to proactively surface gaps while they are still fixable. 
  • Identify missing or incomplete documentation
  • Surface inconsistencies across visits
  • Detect patterns that increase audit risk
Learn More

What Hospice Leaders Are Saying

★★★★★
“Reviews that used to take hours now can happen in minutes, with clear, defensible documentation every time.”
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Daniel Brooks

CEO, multi-site hospice

★★★★★
“The time savings on recertifications alone have been meaningful, but the bigger impact is reducing rework and avoiding issues that would have surfaced later.” 
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James Carter

Chief Operating Officer, mid-size hospice

★★★★★
“Having visibility across all charts—not just a sample—reduces both the time spent reviewing and the risk of something being missed.” 
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Richard Foster

VP, Clinical, multi-site hospice

★★★★★
“Reviews that used to take hours now can happen in minutes, with clear, defensible documentation every time.”
Ellipse 13-2

Daniel Brooks

CEO, multi-site hospice

★★★★★
“The time savings on recertifications alone have been meaningful, but the bigger impact is reducing rework and avoiding issues that would have surfaced later.” 
Ellipse 13-2

James Carter

Chief Operating Officer, mid-size hospice

★★★★★
“Having visibility across all charts—not just a sample—reduces both the time spent reviewing and the risk of something being missed.” 
Ellipse 13-2

Richard Foster

VP, Clinical, multi-site hospice

Works with your Hospice EMR

Akssi pulls fragmented data from across your EMR without additional work or disruption to your clinical workflows. EMRs store documentation, but do not identify patterns of risk.  Akssi fills that gap.

Homecare Homebase
MatrixCare
WellSky
Consolo

EMR

  • Stores documentation
  • Captures patient data
  • Single source of truth

Akssi

  • Identifies documentation and eligibility gaps
  • Supports decisions
  • Assigns and monitors corrective actions until resolved.

Implementation is easy, with very little effort on the part of your staff.

Frequently Asked Questions

What causes hospice audit risk?

Patterns in documentation and eligibility decisions across claims.

Why are hospice recertification decisions denied?

Documentation does not consistently support patient decline.

How quickly can we see value?

Customers see time savings and risk reduction within the first two weeks of implementation.

Does Akssi work with Homecare Homebase?

Yes, Akssi works with Homecare Homebase, as well as other EMRs such as MatrixCare, Careficient, PointClickCare and Wellsky. Akssi can also integrate with any other hospice EMR.

Insights & Resources

Stay informed with expert articles, case studies, and training guides designed to help your team work smarter and stay compliant.

The Other Side of SSVI: What Hospice Leaders Should Watch Beyond Non-Hospice Spending

The Other Side of SSVI: What Hospice Leaders Should Watch Beyond Non-Hospice Spending

The Other Side of SSVI: What Hospice Leaders Should Watch Beyond Non-Hospice Spending Much of the industry discussion around CMS’s new Service and Spending Variation Index, or SSVI, has focused on non-hospice spending. But the utilization side deserves just as much attention. CMS is also looking at patterns such as long lengths of stay, high live-discharge rates, and beneficiaries returning to the same hospice shortly after discharge. Those patterns do not prove that a hospice made the wrong decision, but they can become flags that lead CMS to look more closely at the eligibility, recertification, and discharge decisions underneath the claims.

Read More
Stop Looking for Decline. Start Seeing the Patient.

Stop Looking for Decline. Start Seeing the Patient.

Stop Looking for Decline. Start Seeing the Patient. Every 15 days, federal regulation requires your interdisciplinary group to review each patient's plan of care. That's not a best practice. That's 42 CFR 418.56(d), and surveyors cite against it. What that review actually looks like inside a growing hospice is a lot less standardized than most leaders think. In plenty of organizations, IDT prep has quietly turned into a search. A nurse opens the chart hunting for evidence the patient is declining, because decline is what survives an audit. That's a poor use of a clinician's hour. It's also, and this is the part that usually gets missed, a poor compliance strategy.

Read More
Why Operational Consistency Is Your Best Defense Against Hospice Audit Risk

Why Operational Consistency Is Your Best Defense Against Hospice Audit Risk

Why Operational Consistency Is Your Best Defense Against Hospice Audit Risk Hospice organizations rarely struggle because clinicians make poor eligibility decisions. More often, appropriate decisions become harder to defend as documentation, clinical reasoning, and supporting evidence become less connected over time. Growth increases the number of patients, clinicians, locations, and decisions an organization must manage. Without a structured way to identify hidden gaps before they become exposure, decision risk quietly grows alongside the census.

Read More

Events

Went To: GHPCO Clinical & Leadership Conference

Date Feb 18-20, 2026
Location Athens, GA

Went To: AgeTech Connect Summit, 2025

Date November, 18 2025
Location Atlanta, GA

Went To: National Alliance for Care at Home (NACH)

Date Nov 2-4, 2025
Location New Orleans, LA

Went To: The National Investment Center for Seniors Housing & Care (NIC)

Date Sep 8-9, 2025
Location Austin, TX

Went To: Aging Media Continuum Conference

Date Dec 8, 2024
Location Washington, DC

Went To: GHPCO - LEAP Summit

Date Aug 25-26, 2025
Location Jekyll Island, GA

Went To: Senior Living Executive Conference

Date May 19-20, 2025
Location Tampa, FL

Went To: Aging Media Continuum Conference

Date Sep 15-17, 2024
Location Denver, CO

Went To: Palliative Care Conference

Date Feb 29, 2024
Location Tampa, FL

Went To: OAHC Annual Conference

Date April 16-17, 2026
Location OREGON

Went To: AHHC 54th Annual Convention & Expo

Date April 19-21, 2026
Location North Carolina

CMS Webinar

Date
Location

Went To: Texas Association - 57th Annual Meeting

Date September 1-3, 2026
Location San Antonio, TX

Went To: Annual Conference & Expo

Date June 22, 2026
Location Rancho Mirage

Went To: GHPCO 2026 LEAP Summit

Date August 10-11, 2026
Location Jekyll Island, GA

Will Be At: National Alliance for Care at Home Annual Meeting & Expo

Date October 28-30, 2026
Location Washington, DC

Know Where Your Decisions May Not Hold Up Before They Are Reviewed

Review your recertification workflows

See where gaps are forming

Understand how Akssi reduces your risk

Most hospice organizations see benefits within the first two weeks