Pulse recommendations are generated after care begins, limiting visits based on acuity without accounting for significant functional deficits, resulting in inadequate visit authorizations.

Implied Software Gaps

• Software that adjusts visit authorizations based on actual functional progress rather than initial acuity alone.

CarePulse Optimizer

An AI-driven clinical decision support tool that integrates real-time patient progress data with insurance authorization rules to recommend appropriate visit frequencies and durations, preventing premature care termination.