Nothing left on the table
MDS assessments are guided, checked, and scored under PDPM before they lock, so the HIPPS code reflects the care your team actually delivered.
The Thinking EMR.
One AI native platform for skilled nursing and assisted living: clinical charting, advanced MDS, a built in clearinghouse, and claims carried all the way to adjudication. Designed so staff can breathe and nothing is left on the table.
Conceived inside SNF and ALF operationsSkilled nursingAssisted livingPHI safe AI
Where MaxiCare comes from
Not a tech company that discovered nursing homes.
MaxiCare was conceptualized from inside skilled nursing and assisted living operations. It did not start as a platform looking for a market. It started at the point of care, in the business office, and in the administrator's office, with the people who run facilities every day.
We built it from the ground up with SNF clinical staff, billing staff, and operators, around the way a shift actually runs, the way an MDS actually gets completed, and the way a claim actually gets paid. The software came second. The work came first.
Directors of nursingMDS coordinatorsFloor nurses and CNAsBillers and business officeAdministrators and operators
Why operators switch
Four things a legacy EMR was never built to do.
Designed against burnout
Zero popups, no hover overs, and 66% fewer clicks than major competitors on MAR, TAR, and point of care. Charting follows the shift instead of interrupting it.
Admission to adjudication
Eligibility, claims, remittances, and follow up run inside the EMR through a built in clearinghouse. No export, no second vendor, no reconciling two systems.
AI that never sees the patient
Clinical decision support and reimbursement guidance run on PHI safe models inside your tenant boundary. The intelligence works for you; the data never leaves.
Point of care, by the numbers
The only EMR with zero popups and no hover overs. And two thirds fewer clicks.
Every popup is an interruption and every hover over is a hidden control someone has to discover. MaxiCare has none of either. The MAR, TAR, and point of care workflows that take major competitors 177 clicks take MaxiCare fewer than 60.
0
PopupsNothing steals focus mid task.0
Hover oversEvery control is visible. Nothing to hunt for.66%
Fewer clicksMAR, TAR, and point of care workflows.Readable in any light. Every user picks their own color scheme, so the chart stays legible in a dim room at night, a bright dayroom, or a sunlit nurses' station.
The platform
One system from the first assessment to the paid claim.
Most facilities run an EMR, an MDS tool, a clearinghouse, and a billing system, then pay people to move data between them. MaxiCare is all four, sharing one record.
270
Eligibility at admission and before every claim
Medicare Part A and B, state Medicaid, and managed care checked automatically, with coverage gaps flagged before care starts.
MDS
Assessment, PDPM scoring, and triple check
The assessment coordinator sees what the payer will see. Clinical, MDS, and billing sign off in one place.
837
Claims submitted through the built in clearinghouse
Institutional claims go straight from the record to the payer. Rejections come back as tasks, not as a spreadsheet.
835
Remittances posted and variances caught
Payments post against expected reimbursement. Anything outside your tolerance surfaces on the biller's home screen.
276
Follow up, appeals, and collections
Silent payers are chased on your schedule. Aged balances carry their reason, owner, and next step.
Assisted living gets the same engine for monthly invoicing, autopay, and family statements.
Clinical charting built for the floor
Care plans, MAR and TAR with voice dictation, progress notes, and orders in a chart that loads fast and reads at a glance.
Advanced MDS assessments
Guided item completion, consistency checks across the assessment, PDPM component scoring, and a clear view of what each answer means for reimbursement.
Full clearinghouse and claims to adjudication
Eligibility, payer enrollment, claim submission, remittance posting, and payer follow up, all native. Contracts and rate letters import with AI extraction and a review queue.
Payer first accounts receivable
Balances by facility, payer type, payer, and resident across months, the way back offices actually work them. Rates and claim rules come straight from the payer contract.
Migration Hub
Move census, charts, and history off any SNF EMR. Automated data discovery and AI information mapping do the work, with a per domain preview before anything transfers.
Multi tenant security by design
Tenant isolation on every row, per tenant audit logs, MFA, and role based access, on AWS.
Financials and compliance
The most advanced SNF financials on the market, with compliance running on autopilot.
Rates come from the contract, not from a spreadsheet. Claims come from the chart, not from a biller retyping it. And the regulatory calendar keeps itself.
Auto rate configuration from the payer's own PDF
Drop in a managed care contract, a Medicaid rate letter, or a whole folder of them. MaxiCare reads the document, matches the payer, extracts every rate line and its claim requirements, and shows you the difference against what is in force today. Accept it and the facility is billing on the new schedule.
- ✓One click all rate import. Every payer, every facility, every rate in the document, in a single approval with a revenue impact projection on the same screen.
- ✓Full claim recipe mapping. Each rate carries the revenue code, HIPPS or level of care logic, modifiers, authorization rules, and occurrence codes the payer expects, so the claim builds itself.
- ✓Contract version history. Rate documents are retained in immutable version chains, compared side by side, and every change shows who approved it.
- ✓Payer first AR, triple check, and 835 variance posting. Built for how a back office actually works a week.
Ohio Medicaid rate letter · effective Jul 1 Imported · 14 lines
Per diem, standardRC 0120$276.84
Bed hold, hospital leaveRC 0185$138.42
Ventilator specialty add onRC 0120 + T1$412.10
State and federal rules on autopilot, including full auto UB-04 mapping
Every institutional claim is assembled from the record with the correct type of bill, revenue codes, HIPPS, occurrence and value codes, and condition codes for the payer and the state. Billers review exceptions, not every field.
- ✓MDS schedule and submission. Assessment reference dates, the 5 day, IPA, and discharge assessments, and PPS windows are tracked automatically, with CMS validation edits run before the file goes to iQIES.
- ✓Medicare benefit tracking. Qualifying stay, benefit period days, and Part A exhaustion watched per resident so a claim never goes out for a day that is not covered.
- ✓Beneficiary notices on time. NOMNC and SNF ABN triggers fire from the record, with delivery dates and signatures kept for audit.
- ✓State Medicaid rules per state. Case mix and rate methodologies, bed hold and leave day policies, and state specific claim edits configured per facility.
- ✓Timely filing, PBJ, and audit readiness. Filing deadlines per payer, Payroll Based Journal staffing exports, and a complete immutable audit trail on every clinical and financial record.
Type of bill211
HIPPSKBCB1
Occ span 7006/02 to 06/05
Value code 8027 days
Rev code0022 · 0120
ConditionNone
Attending NPIVerified
Edits0 open
All fields derived from the chart, MDS, and census. Nothing keyed by hand.
Intelligence
Thinking is built in, not bolted on.
The same models that help a nurse decide what to chart next help the biller decide which claim to work first. Both run inside the boundary that protects your residents' data.
Clinical decision support
Context from the whole record, offered at the moment of care.
- Change of condition signals drawn from vitals, notes, and MAR trends
- Care plan suggestions tied to the active assessment
- Documentation prompts that close gaps before survey, not after
Reimbursement optimization
The right rate for the care delivered, with the evidence attached.
- PDPM component review against supporting documentation
- Missed capture flagged before the assessment locks
- Claims triage that ranks rejections and variances by dollars at risk
PHI safe by architecture. Models run within the tenant boundary. Resident data is never used to train shared models and never leaves your environment. Every AI suggestion is logged, attributed, and reviewable by a person.
Why MaxiCare
Your EMR records what happened. MaxiCare thinks about what comes next.
| A typical long term care EMR | MaxiCare | |
|---|---|---|
| Claims | ✕Exported to a separate clearinghouse and billing vendor | ✓Built in clearinghouse. Eligibility to adjudication without leaving the record. |
| MDS | ✕A form to complete, scored after the fact | ✓Guided and scored live. PDPM impact visible while the coordinator works. |
| Rates and contracts | ✕Rates keyed by hand from the PDF, claim rules kept in someone's head | ✓Auto rate configuration. Payer PDF import, one click all rate import, full claim recipe mapping. |
| Compliance | ✕Spreadsheets for ARDs, benefit days, and filing deadlines | ✓On autopilot. Auto UB-04 mapping, MDS scheduling, benefit tracking, notices, and state rules. |
| AI | ✕An add on module, or a chatbot beside the chart | ✓Native and PHI safe. Decision support and reimbursement guidance in the workflow. |
| Staff experience | ✕Screens designed a decade ago, workarounds taught at orientation | ✓Designed against burnout. Zero popups, no hover overs, and 66% fewer clicks on MAR, TAR, and point of care. |
| Providers | ✕Fax, phone, and a desktop login | ✓Provider Hub. Orders, results, and messages on the physician's phone. |
| Families | ✕A call when something goes wrong | ✓Family Hub. Connected through the whole stay. |
| Training and support | ✕A binder, a ticket queue, and a callback the next business day | ✓Help inside the chart. Role specific training on every screen and a live specialist with screen sharing. |
| Switching EMRs | ✕Months of manual re keying and a consultant's spreadsheet | ✓Automated discovery and AI mapping. From any SNF EMR, previewed before it moves. |
| Integrations | ✕A short approved vendor list and a paid interface for everything else | ✓Open Integration Hub. SMART on FHIR and REST APIs across clinical and billing, with AI assisted vendor onboarding. |
| Care settings | ✕Separate products for skilled nursing and assisted living | ✓One platform, both settings. Mixed campuses run on a single record. |
Switching without the long project
Move from any SNF EMR to MaxiCare. The AI does the mapping.
A typical SNF EMR migration runs many months: a data team, a parallel run, a training calendar, and a floor that gets slower before it gets faster. MaxiCare moves complex skilled nursing operations, full data history included, in a fraction of that time. And the migration covers everything: onsite training at every facility and real people at the point of care, so your staff never slows down for new technology.
✓Automated discovery. The platform inventories residents, charts, assessments, orders, census, and financial history in your current system, including the fields nobody documented.
✓AI information mapping. Every source field is matched to its MaxiCare home with a confidence score. Sure matches flow through; the rest go to a short review queue.
✓Preview before transfer. Your team sees exactly what will move, domain by domain, and runs it immediately or on a schedule around go live.
✓Nothing left behind. History, MDS records, and open balances arrive intact, so billing continues without a gap.
Discovery: current EMR export, 3 facilities 1,284 fields found
resident.adm_dt→Admission dateMatched
mds.gg0130a1→Section GG · Eating, admissionMatched
orders.sig_txt→Order instructionsMatched
payer.cd_2→Secondary payerReview
census.lvl_care→Care setting (SNF / ALF)Matched
ar.bal_open→Open balance by payerMatched
1,261 mapped automatically · 23 for review · ready to preview
How the switch runs
Migration, training, and support in one motion
The data, the people, and the go live move together, so there is no gap between a finished migration and a floor that knows how to use it.
Legacy EMR: many months. MaxiCare: a much shorter road, with your staff supported every step of the way.
Discovery.Our automated data discovery and AI information mapping platform reads your current EMR, finds where everything lives, and maps it to MaxiCare, including the fields nobody documented.
Migration and training together.Residents, charts, MDS history, orders, census, and open balances move domain by domain, previewed before they transfer. While the data moves, our trainers are onsite in every facility, on every shift, teaching the workflows your staff actually run.
Go live with people on the floor.Real humans at the point of care, in person and through live screen sharing inside the EMR, so a nurse with a question gets an answer in the moment, not a ticket.
Integration HubSMART on FHIR · REST
PharmacyOrders, MAR, refills
Labs and imagingOrders and results
Payers and banksClaims, ERA, payments
Therapy and rehabMinutes, plans, notes
Hospitals and HIEsReferrals, transfers, CCDs
Your own systemsAnalytics, HR, staffing
For the CTO and the CEO
An open EMR. Every vendor you already rely on plugs in.
Closed platforms make you renegotiate your whole vendor stack when you switch. MaxiCare was built the other way around: an intelligent, AI assisted Integration Hub and open standards across the entire clinical and billing flow, so most vendors connect in days and your data stays yours.
✓AI assisted onboarding for vendors. The hub reads a partner's interface spec or sample payloads, proposes the field mapping into the MaxiCare data model, and monitors the connection once it is live. Most integrations need no custom code on our side.
✓SMART on FHIR, end to end. Standards based access across clinical and billing, not a read only patient summary bolted onto the chart. Apps launch inside the EMR with the user's context and permissions.
✓RESTful APIs over the whole data model. Census, assessments, orders, MAR, care plans, claims, remittances, and invoices, all exposed through documented, versioned APIs with tenant scoped keys and full audit trails.
✓Governed like the rest of the platform. Every integration runs inside your tenant boundary, under the same role based access, PHI safeguards, and logging as a nurse at the chart.
SMART on FHIRFHIR R4REST + JSONHL7 v2X12 837 / 835 / 270 / 276WebhooksOAuth 2.0
Mobile
Two apps, two people the chart used to leave out.
Provider Hub
Active care in the physician's pocket
Attending physicians and nurse practitioners cover several buildings. Provider Hub gives them the active census, what changed since their last visit, and the actions the floor is waiting on.
- Sign orders and review results in seconds
- Change of condition alerts with the context attached
- Secure messaging with the nursing team
Family Hub
Connected through the whole stay
Families want to know how their person is doing without calling the nurses' station. Family Hub shares what the facility chooses to share, from admission through discharge or a long term home.
- Daily updates, photos, and care team introductions
- Statements and autopay for assisted living
- Messages that reach the right staff member
Support at the point of care
Help that shows up on the screen you are already on.
A new EMR fails when a nurse gets stuck at 2 a.m. with nobody to ask. MaxiCare puts training, communication, and a live person inside the chart itself.
Just in time training, built into the EMR
Training is not a course you take before go live and forget by the second week. Every screen carries short guidance written for the role using it, so an MDS coordinator and a CNA on the same page each see what matters to them.
On this screen: Section GG, MDS coordinatorTwo minute walkthrough of usual performance coding, plus the three items most often left blank.
Unified communications manager
Staff messages, shift handoffs, and critical system events land in one inbox instead of a phone tree, a group text, and an email nobody reads. A failed claim batch, a lab interface pause, or a call for help from the floor all arrive the same way, routed to the people who can act.
One inbox, ranked by urgencyChange of condition on 214 · Pharmacy interface delayed 12 min · RN Patel: handoff notes ready
Live support with screen sharing, from a real person
When guidance is not enough, staff start a support call from the chart and share the exact screen they are on. A MaxiCare specialist sees what they see and walks them through it in real time, at the point of care, whether the question is technical, clinical documentation, or billing.
Live now · Specialist joinedSharing: Care plan, resident E. MorrisStarted from the chart, no ticket number required.
Team
Built from inside the facility, by people who have run the systems and felt the burnout.
Dr. Oliver Degnan
Partner & Co-Founder, CEO- Led the innovation of four EMRs before MaxiCare
- SVP, IBM Watson Health Phytel · Chief Architect, Intuit Quicken Health · CIO, ChenMed · CTO, Marshfield Clinic · CIO, Experity
- Primary and specialty care, Medicare and Medicaid reimbursement, population health
- Venture creation and PE portfolio mergers
- Two U.S. technology patents · DBA · published on berkeley.edu on AI innovation and burnout prevention
Catherine Priem, BSN
Vice President, Product Management- 19 years as a nurse, 22 years in the medical field across acute care and long term care
- Medical assistant · CNA · cart nurse · unit manager · staff developer and infection preventionist · ADON · DON · corporate clinical nurse · Director of Clinical IT
- Still wore scrubs as a corporate clinical nurse: first to jump in when the floor needed help with a resident, and still hands on, so she knows firsthand what staff face at the point of care
- End user of more than 10 electronic health records, and end user designer and programmer on four of them
How we work
MaxiCare is a small, senior team spread across five countries, and it is an operations company before it is a software company. The product was conceptualized with SNF clinical staff, billing staff, and operators, and that is still how it gets built. We ship to real facilities every week, and the people who write the code sit in the demos with billers and directors of nursing. Decisions get written down. Nightly batch jobs are a last resort. A page that takes more than 400 milliseconds to load is a bug.
Clinicians in the roomProduct decisions are made with nurses, MDS coordinators, and billers, not for them.
Own it end to endEngineers carry a feature from schema to screen to the first facility using it.
Write it downArchitecture, decisions, and policies live in shared documents anyone can challenge. We don't just build solutions, we fix problems.
Different backgrounds, better productMaxiCare draws on the range of its people, in country, discipline, and career, and treats that mix as an advantage in how the product gets built.
United StatesIndiaGermanyMexicoColombia
“We are looking for innovators with curiosity who hate to lose.”Dr. Oliver Degnan
Careers
Come build the EMR you wish you had used.
We hire engineers who want to understand the clinic, and clinicians who want to shape the software. Remote first, senior by default.