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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
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

Explore Our Akssi™ Solutions

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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. (or we can say 100% of your charts) 
  • Identify missing or incomplete documentation
  • Surface inconsistencies across visits
  • Detect patterns that increase audit risk
Learn More
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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

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?

It escalates. If Dr. Johnson doesn't fix it by the deadline, her manager gets it three days later.

How quickly can we see value?

First Scan shows you what's broken right now. You can start fixing things before your next claim cycle

Does Akssi work with Homecare Homebase?

No. It gives them visibility and stops them from drowning in spreadsheets. They can focus on actual compliance work instead of tracking tasks.

Insights & Resources

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

Proactive Preparation for Provisional Period of Enhanced Oversight (PPEO) in Hospice

Proactive Preparation for Provisional Period of Enhanced Oversight (PPEO) in Hospice

Proactive Preparation for Provisional Period of Enhanced Oversight (PPEO) in Hospice The compliance environment for hospice providers has shifted. CMS has intensified scrutiny of the hospice program in response to improper payments, suspected fraud, and rapid growth in certain markets. A central enforcement tool is the Provisional Period of Enhanced Oversight (PPEO), which places selected new hospices under heightened review that may include prepayment review of Medicare claims.

Read More
Operationalized Insights: The Next Frontier in Healthcare Workflow Management

Operationalized Insights: The Next Frontier in Healthcare Workflow Management

Operationalized Insights: The Next Frontier in Healthcare Workflow Management The healthcare industry generates massive amounts of data every day from electronic health records and digital health apps to monitoring devices and reporting tools. Artificial intelligence can now analyze this information and surface meaningful patterns and risks. When used effectively, these insights help reduce administrative burden, guide better decisions, and support safer, more consistent care across senior living, home health, and hospice environments.

Read More
The Anatomy of a Defensible Hospice Recertification

The Anatomy of a Defensible Hospice Recertification

The Anatomy of a Defensible Hospice Recertification

Read More
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The Anatomy of a Defensible Hospice Recertification

In our last piece, we talked about the $2 billion recertification problem we witnessed firsthand during our years in hospice operations. We've sat through the appeals, absorbed the denials, and watched excellent clinicians question their documentation skills. The problem wasn't clinical judgment—it was translation. 

Read More
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Lost in Translation: Why Certain Clinical Narratives Fail Hospice Recertifications

We've been there—sitting across from your clinical team after another recertification denial, knowing the patient absolutely qualified, but somehow the narrative didn't convince the auditor. After years running hospice operations, we've seen this scenario play out too many times. The industry loses an estimated $2.1 billion annually to recertification denials, and we're convinced most of these patients genuinely were qualified. 

Read More
image 8

Hospice Growth Strategies in 2025

Hospitals- You need to implement a weekend marketing strategy, there are fewer facility security-reduced access restrictions and more access to nurse case manager decision-makers.
Read More

Events

Went to: GHPCO Clinical & Leadership Conference

Date Feb 18-20, 2026
Location Athens, GA

Were at: AgeTech Connect Summit, 2025

Date November, 18 2025
Location Atlanta, GA

Were At: National Alliance for Care at Home (NACH)

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

Were At: The National Investment Center for Seniors Housing & Care (NIC)

Date Sep 8-9, 2025
Location Austin, TX

Were At: Aging Media Continuum Conference

Date Dec 8, 2024
Location Washington, DC

Were At: GHPCO - LEAP Summit

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

Were At: Senior Living Executive Conference

Date May 19-20, 2025
Location Tampa, FL

Were At: Aging Media Continuum Conference

Date Sep 15-17, 2024
Location Denver, CO

Were At: Palliative Care Conference

Date Feb 29, 2024
Location Tampa, FL

Will Be At: OAHC Annual Conference

Date April 16-17, 2026
Location OREGON

Will Be At: AHHC 54th Annual Convention & Expo

Date April 19-21, 2026
Location North Carolina

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 organizations begin identifying gaps and improving consistency within a couple of weeks.

 
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Contact Us

Let’s talk about how Akssi™ can streamline your workflows and give you peace of mind.