The intelligence layer for skilled nursing

Stop reading reports. Start working the queue.

Hive reads the data already in your EHR, finds the money and risk hiding in it, and delivers a prioritized queue of dollar-valued work — with the evidence behind every finding — routed to the role responsible for acting on it.

Runs on your existing EHR data
No migration
Uncoded NTA comorbidity
Mrs. R. Patterson · MR# 80214
Multi-drug-resistant infection documented but not coded on MDS
Urgent
Recover, annualized
$0
Expires
47 days
Open an IPA to code Section I · I2500. Lifts NTA from tier NB → NC over remaining 47 Part A days.
Owner
MDS Coordinator
Lab
ESBL+
Klebsiella · 3/14
Order
IV abx
Ceftazidime · active
MDS
Sec I gap
ARD 3/11 · 5-day
Every finding traces back to the exact row that triggered it.
The operator's week

Your clinical leadership gets fourteen PCC reports a week.
By Wednesday, they've read four.
By Friday, the most expensive items — an uncoded NTA, an MA appeal that aged out, a Medicaid bed-hold that was never billed — are already losses.

The reports were correct. They just weren't operational. Hive is the layer that turns every correct report into a named item, routed to a named person, with a dollar value and the evidence behind it.

How Hive works

Three things happen, on repeat, without anyone asking.

Step one

Hive reads the data you already have.

Residents, diagnoses, orders, eMAR, vitals, labs, wounds, MDS assessments, payer authorizations, staffing shifts. No migration. No new charting tool. No change to your team's workflow.

Step two

The engine scans, continuously.

Every night (or on demand), the detection layer runs across revenue, clinical, payer, staffing, and compliance categories. New detection patterns slot in automatically as they're identified — the catalog grows without a release.

Step three

Findings become a prioritized queue.

Each finding comes with a dollar value, an expiration, and the exact rows from the chart that triggered it. Routed to the owner role. Defensible to a CFO, a surveyor, and the clinician closest to the resident.

What the engine detects

Five categories. One queue.

Every finding — no matter the category — arrives with a dollar value, an expiration, and a chain of evidence pointing back to the exact row in the chart that triggered it.

Revenue capture

Money your chain has already earned but hasn't collected because of a coding gap, timing miss, or carveout.

  • Uncoded NTA comorbidity
  • Diagnosis → MDS mismatch
  • IPA not triggered
  • Part B carveout drug
  • Skilled day-100 harvest
  • More, continuously
Clinical risk

Things that cost money in QM scores and F-Tag exposure — but more importantly, things that hurt residents.

  • Pressure injury unstageable
  • Fall without updated care plan
  • Antibiotic stewardship
  • Dehydration risk
  • Rehospitalization risk
  • More, continuously
Payer & managed care

The MA contract surface where most chains lose 6 to 9 figures a year and don't realize it.

  • Authorization expiring soon
  • MA denial appealable
  • CO-50 medical-necessity pattern
  • Medicaid bed-hold unbilled
  • Payer mix drift anomaly
  • More, continuously
Staffing & operations

Agency spend that internal float could cover, HPRD breaches before state penalties, and turnover before it happens.

  • HPRD below required
  • Agency shift avoidable
  • Float from sister facility
  • Turnover risk
  • Certification expiring
  • More, continuously
Quality & compliance

Survey-window exposure, grievance SLAs, and Five-Star downgrade risk — before they hit the CMS refresh.

  • Care conference missing
  • Grievance SLA breach
  • Star rating near downgrade
  • 14-day MDS missing
  • Note → MDS contradiction
  • More, continuously

The catalog grows as new patterns emerge in your data. Detection layers slot in without a code release — so the queue gets sharper every month.

One product, four windows

The work shows up where the work gets done.

Familiar ground
Portal

A clean read-only chart viewer: face sheet, diagnoses, orders, eMAR, vitals, labs, wounds, MDS, progress notes, care plan. Every evidence chip in Hive deep-links back here.

The queue
Intelligence feed

The full prioritized list across your chain. Filter by facility, role, category, priority, dollar value. Every item drillable, claimable, actionable, verifiable.

The right work, for the right person
Role dashboards

Administrator, MDS, DON, Staffing, Billing — same data, each person sees their work. Nobody scrolls a 200-row report looking for the 12 rows that are theirs.

Portfolio view
Chain operator

Recovered dollars, prevented dollars, and open dollars across every facility, side-by-side. Peer benchmarks turn your own chain into the measuring stick.

See it on your own data

Thirty minutes. Your facilities. Your queue.

We'll walk a real resident chart, show you what the engine surfaced, and let you drill into the evidence. You'll know by the end whether this works for your chain — without a slide deck.